The Surgery Scheduler/Prior Authorization Coordinator is responsible for coordinating surgical procedures, obtaining required insurance authorizations, maintaining assigned electronic work queues, and providing front-desk coverage at multiple practice locations.

This position serves as a key liaison among patients, providers, hospitals, insurance companies, and clinical staff to ensure timely scheduling, accurate documentation, and a positive patient experience.

Essential Duties and Responsibilities
Surgical Scheduling
Coordinate and schedule inpatient and outpatient surgical procedures.
Communicate with providers, patients, hospitals, and surgical facilities regarding available dates, times, and required documentation.
Provide patients with preoperative instructions, testing requirements, arrival information, and postoperative appointment details.
Verify that surgical orders, consent forms, medical clearances, laboratory testing, and other required documentation are completed.
Schedule postoperative appointments and communicate any changes promptly.
Maintain accurate surgical schedules and notify the appropriate departments of cancellations or rescheduled procedures.
Monitor pending surgeries and follow up on incomplete clinical or administrative requirements.
Prior Authorizations and Insurance Verification
Verify patient insurance coverage and benefits for surgical procedures, diagnostic testing, medications, and other services as assigned.
Submit complete and accurate prior-authorization requests to insurance companies within required timeframes.
Obtain and document authorization numbers, effective dates, approved services, and insurance correspondence in the electronic medical record.
Track pending authorizations and follow up with insurance companies to prevent delays or cancellations.
Communicate authorization denials or barriers to providers and leadership.
Assist with appeals, peer-to-peer requests, and the submission of additional clinical documentation when necessary.
Inform patients of authorization status and potential financial responsibilities according to organizational guidelines.
Work queue Management
Review and maintain assigned electronic health record work queues daily.
Address scheduling requests, referrals, authorization needs, registration errors, claim-related edits, and other assigned work queue items.
Ensure work queue items are completed accurately and within established turnaround times.
Route items requiring clinical review or leadership assistance to the appropriate team member.
Monitor outstanding items and follow through until resolution.
Maintain accurate documentation of all actions, communications, and outcomes.
Front-Desk and Multi-Location Support
Provide front-desk coverage at multiple practice locations based on operational needs.
Greet and check patients in and out in a courteous and professional manner.
Verify and update patient demographics, insurance information, consent forms, and required documents.
Collect copayments and outstanding balances according to organizational policies.
Schedule and confirm patient appointments.
Answer and route telephone calls, messages, and patient questions appropriately.
Scan and index documents into the electronic medical record.
Assist with referral coordination and medical-record requests.
Maintain patient confidentiality and provide excellent customer service at all locations.
Travel between assigned practice locations as required.
Additional Responsibilities
Work collaboratively with physicians, advanced practice providers, nursing staff, medical assistants, registration staff, hospital departments, and insurance representatives.
Maintain knowledge of insurance requirements, payer policies, scheduling procedures, and organizational workflows.
Protect patient information and comply with HIPAA, regulatory requirements, and organizational policies.
Participate in staff meetings, training, and process-improvement activities.
Maintain organized records and complete tasks with a high level of accuracy.
Perform other duties as assigned based on practice and departmental needs.
Required Qualifications
High school diploma or GED required.
Previous experience in medical scheduling, surgical scheduling, prior authorization, patient registration, or a medical-office setting preferred.
Experience using an electronic health record system, preferably Epic, is preferred.
Knowledge of medical terminology, insurance verification, prior-authorization requirements, and surgical scheduling processes preferred.
Ability to work at and travel between multiple practice locations As a Bon Secours Mercy Health associate, you're part of a Mission that matters.

We support your well-being—personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Bon secours Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com . 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Office Scheduler and Coordinator - Youngstown Womens Health - PRN