Garrett Regional Medical Center · 12 hours ago
Pre-Authorization Scheduling Coordinator
Oakland, MD
Part-time
Onsite
Entry Level
$15.68/hr - $23.51/hr
1+ years expGarrett Regional Medical Center is seeking a Pre-Authorization Scheduling Coordinator to manage patient scheduling and registration processes. The role involves coordinating outpatient procedures, ensuring accurate registration data, and performing prior authorization tasks while maintaining compliance with hospital guidelines.
Health CareHospital
Responsibilities
May be scheduled to work various shifts based on departmental and patient needs
Schedules outpatient procedures via telephone with patients and offices in a courteous, professional manner
Coordinates multiple procedures patients have to ensure they are scheduled on the same day and within an appropriate time frame
Provide patients and offices with accurate instructions regarding the schedule procedure (i.e., NPO, arrival time, where to arrive, etc.)
Check order documents for completeness. Validate orders against scheduled services
Clearly documents activities and actions take on accounts, which include but not limited to, authorization, communication with patients, staff and other departments
Maintains scheduling and registration accuracy threshold of 95% as identified in audit processing
Perform prior authorization process by performing medical review and entering authorizations into system
Works and assists with the billing department in researching and resolving rejected, incorrectly paid, and denied claims as requested
Ability to multi task and perform duties well; while under pressure; while meeting deadlines
Obtains demographic/billing/insurance information from patient/family/legal guardian and correctly enters into the scheduling and registration/billing systems for service and claim processing
Understand and use applicable CPT and ICD-9 codes
Verify insurance; validate pre-cert/pre-auth information after completion of insurance verification and record results in system. Preforms other insurance related functions as required or necessary
Completes Medicare Secondary Payer forms, where applicable. Completes medical necessity screening. Verify medical necessity for applicable payer and service
Cancel or reschedule patients in accordance with hospital workflows
Exercises proper stewardship through the appropriate us of supplies, equipment, and time
Follows hospital, state and federal guidelines for ensuring safe environment for workers, patients and public. Ensures compliance by staff to hospital, governmental and insurance regulations
Actively participates in in-services, staff meetings, continuing education courses, hospital wide committees and other meetings as needed or required
Participates in the processes to assess and improve the services provided and compliance with regulatory requirements. Reports results assessment and improvement processes to the appropriate administrative level
Performs other duties as assigned which support the mission and values of the organization. Willingly accepts assignments within scope of practice, skill set and level of competence
Qualification
Required
High school diploma or equivalent required AND One year of recent experience in a physician/hospital scheduling and registration or business office environment OR
Completed Medical Assistant (MA) degree OR
Associate Degree
Strong communication skills
Working knowledge of office equipment and computers
Excellent customer service and telephone etiquette
Must demonstrate the ability to use tact and diplomacy in dealing with others
Use a computer keyboard, monitor and mouse
Answer telephones and transcribe messages
Communicate verbally, written and electronically with healthcare personnel, families and patients
Working knowledge of healthcare insurance plans
Working knowledge of hospital clinical departments and service protocols
General knowledge of hospital payment plan guideline
General knowledge of healthcare coding practices
General knowledge of hospital clinical departments and services protocols
Experience and knowledge in admissions, registration, and insurance verification
Benefits
Medical
Dental
Vision
Disability Coverage
Tuition Program
Retirement
Paid Time Off
Wellness Program
Company
Garrett Regional Medical Center
Garrett Regional Medical Center focuses on securing funds for critically important services to allow for the state of the art healthcare.
Founded in 1950Oakland, Maryland, USA
201-500 employees
H1B Sponsorship
Garrett Regional Medical Center has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (9)
2024 (11)
2023 (9)
2022 (9)
2021 (7)
2020 (6)
Funding
Current Stage
Growth StageRecent News
2025-11-30
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