Scheduler - Central Wide Scheduling

Southwestern Vermont Health Care • Bennington, VT

124d • $18 - $20

About The Position

The Prior Authorization Staff is responsible for filing requests for prior authorization for all insurances that require based upon plan or insurance contract. Request, obtain, and document (within current software) all prior authorizations (or denials of same) appropriately and in a timely manner. Ensures all necessary authorizations are obtained prior to scheduling of services. Verifies insurance coverage to ascertain deductible and co-insurance amounts. Notifies patients of expected financial responsibility that will be due at the time of service. Schedules pre-authorized services. Coordinates with referring physician offices when necessary to pre-authorize services. Coordinates with billing office to evaluate and resolve reimbursement issues.

Requirements

• High School Diploma or equivalent required.
• Ability to learn and operate a variety of software programs.
• Professional telephone skills.
• Ability to work independently in a fast-paced, multi-tasking medical billing environment.
• Ability to effectively and independently communicate with patients in a courteous, professional, thorough, and timely manner.
• One to two years medical billing experience preferred.

Responsibilities

• File requests for prior authorization for all insurances based on plan or insurance contract.
• Request, obtain, and document all prior authorizations or denials in current software.
• Ensure all necessary authorizations are obtained prior to scheduling services.
• Verify insurance coverage to ascertain deductible and co-insurance amounts.
• Notify patients of expected financial responsibility due at the time of service.
• Schedule pre-authorized services.
• Coordinate with referring physician offices to pre-authorize services.
• Coordinate with billing office to evaluate and resolve reimbursement issues.

Benefits

• Health, Dental, and Vision Insurance
• Life Insurance
• Paid time off
• Tuition Assistance
• 403B Retirement Savings Program
• On-site day care
• Employee Discounts

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Nursing and Residential Care Facilities
• Education Level: High school or GED