Scheduler

Townsen Memorial Hospital•Houston, TX

32d

About The Position

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.

Requirements

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

Responsibilities

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
Perform other related tasks as needed