Top 36 Authorization specialist Jobs in Blairstown, Nj

Surgical Scheduler for Joint Replacement Orthopedic Surgeon
Mountain Valley Orthopedics PC —East Stroudsburg, PA
- From $18 an hour
- Full-time
- Background check
- Surgery
- Pass drug screening
- Health insurance
- Dental insurance
Quick Apply
Medical Receptionist
Consensus Health LLC —Blairstown, NJ
- $15.49 - $23.00 an hour
- Full-time
- Computer literacy
- Basic math
- Administrative experience
- Paid holidays
- Disability insurance
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Front Desk Specialist
Lehigh Valley Health Network —East Stroudsburg, PA
- Full-time
- Spanish
- Computer literacy
- BLS Certification
Prior Authorization Specialist
Polaris Pharmacy Services —Rockaway, NJ
- $23 - $25 an hour
- Extended hours
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
- Paid holidays
- Disability insurance
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Medical Office Associate I, Full Time - 8am-6pm, Family Medicine, Randolph
Atlantic Health System —Randolph, NJ
- Full-time
- Administrative experience
- High school diploma or GED
- Communication skills
- 403(b) matching
- AD&D insurance
14d
Lead Certified Medical Assistant- Full Time, Days, AMG Hematology-Oncology, Hackettstown & Newton Medical Centers
Atlantic Health System —Sparta, NJ
- Full-time
- Management
- BLS Certification
- Laboratory experience
- 403(b) matching
- AD&D insurance
Medical Receptionist - Float
Consensus Health LLC —Newton, NJ
- $18 - $22 an hour
- Full-time
- Computer literacy
- HIPAA
- Administrative experience
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Surgical Scheduler
Premier Health Associates —Sparta, NJ
- From $21 an hour
- Email
- Surgery
- Medical office experience
- Mid-level
- Profit sharing
- Health insurance
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Certified Medical Assistant
ZUFALL HEALTH CENTER INC —Newton, NJ
- $19.00 - $24.34 an hour
- Full-time
- BLS Certification
- HIPAA
- High school diploma or GED
Quick Apply
Lead Certified Medical Assistant
Vanguard Medical Group —Randolph, NJ
- $25 - $28 an hour
- Full-time
- Vital signs
- OSHA
- Ability to walk for extended periods
- Health insurance
- Dental insurance
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14d
Certified Medical Assistant
Vanova Health —Randolph, NJ
- $19 - $25 an hour
- Full-time
- Vital signs
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- HIPAA
- Health insurance
- Dental insurance
13d
Certified Medical Assistant III
Vanguard Medical Group —Randolph, NJ
- $23 - $25 an hour
- Full-time
- Vital signs
- Ability to walk for extended periods
- HIPAA
- Health insurance
- Dental insurance
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Certified Medical Assistant
Vanguard Medical Group —Randolph, NJ
- $19 - $25 an hour
- Full-time
- Vital signs
- Ability to walk for extended periods
- HIPAA
- Health insurance
- Dental insurance
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Surgical Scheduler for Joint Replacement Orthopedic Surgeon

Mountain Valley Orthopedics PC
East Stroudsburg, PA

Quick Apply

Job Details

Full-time
From $18 an hour

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Life insurance

Qualifications

Computer operation
Teamwork
Medical documentation
Overseeing health insurance pre-certification
Medicare
Commercial insurance knowledge
In-person customer service
HIPAA
Workers' compensation insurance knowledge
Medical scheduling
High school diploma or GED
Medicaid health insurance
Driver's License
Medicare regulations
Medicaid regulations
Medicaid
Productivity software
Clinical confidentiality policies

Full Job Description

Position Summary

Mountain Valley Orthopedics is seeking an experienced, organized, and patient-focused Surgical Scheduler to coordinate all aspects of the surgical scheduling process for a busy Joint Replacement Orthopedic Surgeon. This position serves as the primary liaison between patients, the surgeon, hospitals, surgery centers, insurance carriers, and ancillary providers to ensure a seamless surgical experience from initial scheduling through postoperative follow-up.

The ideal candidate has a thorough understanding of orthopedic surgical procedures, insurance authorization requirements, and perioperative workflows. This individual must be highly organized, able to manage multiple priorities simultaneously, and committed to providing exceptional customer service while maintaining accuracy and efficiency.

Essential Duties and Responsibilities

Surgical Coordination

Schedule elective orthopedic surgical procedures including but not limited to the following:
Total Knee Replacement (TKA)
Total Hip Replacement (THA)
Revision Joint Replacement Surgery
Other orthopedic surgical procedures as assigned
Coordinate operating room dates with hospitals and ambulatory surgery centers.
Schedule first assist providers, anesthesia, and specialty equipment as required.
Ensure all surgery scheduling documentation is accurate and complete.

Patient Coordination

Educate patients regarding the surgical scheduling process and expectations.
Coordinate pre-operative appointments, medical clearances, laboratory testing, imaging, EKGs, and specialty consultations.
Review pre-operative instructions with patients and answer scheduling-related questions.
Confirm surgery dates, arrival times, and postoperative appointments.
Maintain ongoing communication with patients throughout the surgical process.

Insurance & Authorizations

Obtain prior authorizations for surgical procedures, implants, durable medical equipment (DME), and imaging as required.
Verify insurance eligibility and benefits.
Submit supporting clinical documentation to insurance carriers.
Track authorization approvals and resolve denials or requests for additional information.
Ensure all required authorizations are obtained prior to surgery.

Clinical & Administrative Support

Utilize the AthenaOne Electronic Medical Record (EMR) system to document patient communications, surgical scheduling activities, and updates.
Coordinate physician surgery block time and maximize operating room utilization.
Prepare and distribute surgical packets to patients and hospitals.
Maintain accurate surgical logs and scheduling reports.
Communicate scheduling changes promptly to all affected parties.
Ensure compliance with HIPAA and all applicable regulatory requirements.

Collaboration

Serve as the primary point of contact between:
Surgeon
Physician Assistants
Medical Assistants
Hospitals
Surgery Centers
Primary Care Providers
Specialists
Insurance Companies
Patients and Families

Qualifications

Required

Certified Medical Administrative Assistant (CMAA) or equivalent certification.
High school diploma or equivalent.
Experience obtaining insurance prior authorizations.
Knowledge of Medicare, Medicaid, Workers' Compensation, and commercial insurance requirements.
Excellent organizational and multitasking skills.
Strong computer skills including Microsoft Office.
Exceptional verbal and written communication skills.
Excellent customer service skills.
Ability to maintain confidentiality and professionalism.
Valid driver's license.
Reliable transportation and willingness to travel between Mountain Valley Orthopedics office locations, including Brodheadsville, Tobyhanna, and Milford, as business needs require.

Preferred

Minimum 2 years of orthopedic surgical scheduling experience
Experience scheduling surgeries within hospital and ambulatory surgery center environments.
Previous experience using the AthenaOne Electronic Medical Record (EMR) system.

Knowledge, Skills, and Abilities

Thorough understanding of orthopedic joint replacement procedures.
Knowledge of surgical scheduling workflows and operating room scheduling.
Proficiency in AthenaOne EMR.
Strong understanding of insurance authorization processes.
Ability to prioritize multiple tasks while meeting deadlines.
Exceptional attention to detail and accuracy.
Excellent interpersonal and communication skills.
Strong problem-solving and critical-thinking abilities.
Ability to work independently while collaborating effectively with a multidisciplinary team.

Physical Requirements

Prolonged periods of sitting and computer work.
Frequent telephone communication.
Occasional standing, walking, and lifting up to 20 pounds.
Ability to move between departments and office locations as needed.

Working Conditions

Fast-paced orthopedic specialty practice.
Frequent interaction with physicians, advanced practice providers, hospital personnel, insurance representatives, and patients.
Regular use of computer systems, multi-line telephone systems, and office equipment.
Travel to all Mountain Valley Orthopedics office locations—including Brodheadsville, Tobyhanna, and Milford—is a required function of this position. Flexibility to work at any practice location based on business needs and physician schedules is essential.

Why Join Mountain Valley Orthopedics?

At Mountain Valley Orthopedics, we are committed to delivering exceptional orthopedic care through teamwork, compassion, accountability, and excellence. As a Surgical Scheduler, you will play a critical role in ensuring every joint replacement patient experiences a coordinated, efficient, and positive surgical journey while supporting one of the region's leading orthopedic surgeons.

Pay: From $18.00 per hour

Benefits:

401(k)
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance

Application Question(s):

Willingess to undergo a pre-employment drug screen

Experience:

Surgery Scheduling: 2 years (Required)

Work Location: In person

Quick Apply

Refine Your Search

authorization specialist jobs in blairstown, nj

Surgical Scheduler for Joint Replacement Orthopedic Surgeon

Medical Receptionist

Front Desk Specialist

Prior Authorization Specialist

Medical Office Associate I, Full Time - 8am-6pm, Family Medicine, Randolph

Lead Certified Medical Assistant- Full Time, Days, AMG Hematology-Oncology, Hackettstown & Newton Medical Centers

Medical Receptionist - Float

Surgical Scheduler

Certified Medical Assistant

Lead Certified Medical Assistant

Certified Medical Assistant

Certified Medical Assistant III

Certified Medical Assistant

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