PRECERT CLERK OUTPT SCHEDULER
About The Position
WHO WE ARE: State of Franklin Healthcare Associates is a physician-led and team member-owned multi-specialty care group headquartered in Johnson City, TN with locations in the upper East Tennessee & Southwest Virginia region. Our mission is to improve the health and well-being of our patients and our team members. PRIMARY RESPONSIBILITIES: Schedule outpatient diagnostic tests and referrals as ordered. Knowledge of insurance carrier requirements. Organize/Provide necessary information to obtain necessary authorizations or precertification from insurance carriers. Notify patients of scheduled appointments and document their acknowledgment. Counsel patients regarding special preparation for procedures and answer questions. Contact insurance payers daily: Medicare, BlueCross BlueShield, and others. Review claim denials and appeal when justified. Verify the accuracy of coding. Compile and prepare reports.
Requirements
- High school diploma or GED
- One year of general clerical experience, preferably in a medical office setting.
- Word processing and computer experience.
- Familiarity with local insurance policies and their referral requirements.
Responsibilities
- Schedule outpatient diagnostic tests and referrals as ordered.
- Knowledge of insurance carrier requirements.
- Organize/Provide necessary information to obtain necessary authorizations or precertification from insurance carriers.
- Notify patients of scheduled appointments and document their acknowledgment.
- Counsel patients regarding special preparation for procedures and answer questions.
- Contact insurance payers daily: Medicare, BlueCross BlueShield, and others.
- Review claim denials and appeal when justified.
- Verify the accuracy of coding.
- Compile and prepare reports.
Benefits
- Company Provided Life and Accidental Death and Dismemberment Insurance
- Company Provided Long Term Disability Insurance
- Employee Stock Ownership Plan
- 401(k)
- Company Contributions
- Voluntary options for Medical, Dental, Vision, and additional Life Insurance.
- Company match in Health Savings Account Plans (restrictions apply)
- Vacation, Personal, Sick and Holiday Time Off
- An array of team member perks and discounts
- Tuition Assistance Programs
- And more!
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
