Job Description

Scheduler

The scheduler is responsible for coordinating patient appointments while maintaining clear and proactive communication with both new and existing patients through inbound and outbound calls or email.

Essential Functions

• Determine patient co-payments and calculate co-insurance and deductibles
• Enter accurate insurance information, including co-payments and deductibles, into patient records
• Prioritize incoming authorization requests based on urgency
• Initiate and assist with appeals for denied authorizations
• Communicate effectively with patients, healthcare providers, and relevant parties regarding procedures
• Follow-up to ensure all necessary documentation is obtained and complete
• Schedule and reschedule patient follow-ups and procedures as needed
• Provide patients with essential information and instructions before their procedure date
• Send prescriptions to pharmacies via fax or email
• Ensure patients move through scheduled appointments efficiently
• Answer phone calls and respond to patient inquiries
• Update and maintain accurate patient information in the database
• Submit patient information to the verification department for pre-authorization
• Ensure completeness and accuracy of all patient forms and documentation

Knowledge, Skills, And Abilities

• Knowledge of in-network and out-of-network insurance, as well as patient financial responsibilities
• Familiarity with ICD-10 and CPT codes and medical procedures
• Ability to review and comprehend patient medical documentation
• Ability to independently identify and understand medical necessity requirements
• Strong task management and organizational skills with the ability to complete tasks in a timely manner
• Detail-oriented, ensure accuracy and thoroughness in all tasks
• Ability to work both independently and collaboratively as part of a team
• Adaptability and flexibility in a dynamic work environment
• Effective written and verbal communication skills

Education And Experience

• High School Diploma or GED
• One (1) year of experience in a medical facility
• Basic Life Support (BLS) Certified

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