Procedure Scheduling/Authorization Manager

• Manages the day-to-day operations of the Procedure Scheduling department to optimize performance and quality levels while ensuring the most efficient use of resources.
• Responsible for reviewing and approving timesheets and paid time off requests in the time management system and will generate regular reports to the management team on staff adherence to schedule.
• Responsible for interviewing, hiring, and training new team members.
• Responsible for performance management of the team including reviews, corrective action, mentoring, and performance improvement plans.
• Monitors daily operating activity of the department and make necessary adjustments in work assignments.
• Ensures efficient and high-quality delivery of care within the department.
• Monitors individual scheduler's productivity and works to improve staff performance to meet MGMA standards.
• Oversees and monitors financial collections of in-office and pain procedures.
• Works cohesively with Clinic Leadership to help maintain the scheduling templates; updates team on any changes or additions.
• Works cohesively with Supply Chain Management to ensure PO requests for supplies and inventory have been ordered in the accounting system.
• Conducts department audits to maintain consistency in the procedure scheduling process.
• Work collaboratively with all internal and external customers and departments to ensure timely and accurate patient registration, scheduling, and aspects of the revenue cycle process are followed.
• Understands and stays abreast of payer requirements and changes within the industry. Provides training and oversight to staff to assure that these requirements are executed.
• Attends administrative meetings and participates in committees as requested.
• Assists Leadership in trending/identifying claim denials due to demographic and referral/authorization errors.
• Research and resolve scheduling discrepancies promptly. Provide trends and action plans for improvement to the leadership team.
• Support and comply with all company policies and procedures.
• Must be able to meet deadlines given by Senior Management.
• Works with sensitive and confidential materials and must be able to exercise discretion.

• Bachelor’s degree or an equivalent combination of education and experience.

• Requires 2 or more years of experience in a supervisory or leadership role.
• Proven leadership skills with an ability to motivate with a positive attitude that positively impacts others.
• Excellent organizational skills and strong customer service orientation are required with a strong background in computers and data entry.

• Knowledge of medical clinic operations and scheduling.
• Federal, state, and HIPAA privacy regulations.
• Knowledge of medical terminology and office procedures.
• Working knowledge of eligibility, verification of benefits, and prior authorizations from various HMOs, PPOs, commercial payers, and other funding sources.

• Skill in establishing and maintaining effective working relationships with employees, patients, and providers.
• Analytical and problem-solving capabilities.
• Effectively managing multiple projects simultaneously.
• Effective verbal and written communication skills.
• Represent The CORE Institute in a professional manner related to appearance, communication, and the maintenance of patient confidentiality.

• Ability to analyze problems and interpret information and prioritize and reprioritize, as necessary. Ability to work independently, and as part of a team.
• Ability to develop plans, evaluate workflow and implement improvements.
• Ability to maintain patient confidentiality and follow HIPAA guidelines.

• Normal office environment.
• Some travel within the community.

• Requires sitting and standing associated with a normal office environment.
• Some bending and stretching are required.
• Manual dexterity using a calculator and computer keyboard.
• Requires working under pressure in emergencies.

• HOPCo Mission, Vision, and Values must be read and signed.

HOPCo