Procedure Scheduler - Medical

GI North•Alpharetta, GA

About The Position

Handles outbound calls daily to schedule procedures and/or clinic appointments. Schedules ASC and hospital based medical procedures, for patients with appropriate provider and time/location slot, utilizing appropriate scheduling code. Effectively utilizes clinical knowledge when determining if appointment is consistent with the diagnosis/indications indicated by the provider. Completes accurate documentation of informed consent with patients for procedures and surgeries as needed. Provides accurate, detailed information to patients regarding test preparations, time of patients scheduled arrival, and any other directional information needed; takes appropriate action in responding to questions from patients. Ensures patients have proper medical clearance and pre-surgical testing as needed. Verifying insurance coverage of each patient scheduled for surgery. Explaining coverages to patients and discuss financial responsibility. Prioritize incoming authorization requests according to urgency. Confirms patient’s insurance provider and obtains prior authorization via payer website or by phone and follow up regularly on pending cases. Maintain individual payer files to include up to date requirements needed to successfully obtain authorizations dating patient information/keeping records. Confirm accuracy of CPT and ICD-10 diagnoses in the procedure order. Contact patients to discuss payments for upcoming procedures and setting up payment plans when needed. Assists other members of the department as needed. Ability to work at other locations and overtime as needed. Other duties as assigned. Must be open to cross training and learning other areas as needed

Requirements

High school or equivalent
Customer service and computer skills: 1 year
Medical terminology: 1 year
ASC Scheduling: 1 year
Call center: 1 year

Responsibilities

Handles outbound calls daily to schedule procedures and/or clinic appointments.
Schedules ASC and hospital based medical procedures, for patients with appropriate provider and time/location slot, utilizing appropriate scheduling code.
Effectively utilizes clinical knowledge when determining if appointment is consistent with the diagnosis/indications indicated by the provider.
Completes accurate documentation of informed consent with patients for procedures and surgeries as needed.
Provides accurate, detailed information to patients regarding test preparations, time of patients scheduled arrival, and any other directional information needed; takes appropriate action in responding to questions from patients.
Ensures patients have proper medical clearance and pre-surgical testing as needed.
Verifying insurance coverage of each patient scheduled for surgery.
Explaining coverages to patients and discuss financial responsibility.
Prioritize incoming authorization requests according to urgency.
Confirms patient’s insurance provider and obtains prior authorization via payer website or by phone and follow up regularly on pending cases.
Maintain individual payer files to include up to date requirements needed to successfully obtain authorizations dating patient information/keeping records.
Confirm accuracy of CPT and ICD-10 diagnoses in the procedure order.
Contact patients to discuss payments for upcoming procedures and setting up payment plans when needed.
Assists other members of the department as needed.
Ability to work at other locations and overtime as needed.
Other duties as assigned.
Must be open to cross training and learning other areas as needed