Surgical Scheduler / Financial Clearance Representative

Vitruvian Health • Cleveland, TN

6d

About The Position

Under the direct supervision of the Front Office Supervisor and Practice Manager, the representative verifies demographic and financial information. Seeks to help patients understand their financial responsibilities by providing estimated out-of-pocket costs and payment options, while delivering exceptional customer service to set the tone for the patient's journey of care and manage financial expectations prior to clinic appointments or surgery. Provides information to patients regarding when and where to report for appointments and procedures. Schedules appointments in response to recalls on procedures. Responsible for performing all tasks related to obtaining prior authorizations from payers for services. Reviews chart documentation to ensure patients meet medical policy guidelines. Prioritizes incoming prior authorization requests according to urgency and follows up regularly on pending cases and denied authorizations. Contacts patients regarding authorization status and scans all related documentation into the patient's medical record. Complies with all HIPAA policies and procedures. Serves as a cross-trained resource and provides front office coverage as needed to support patient access, maintain workflow efficiency, and ensure continuity of operations during periods of high patient volume, staff absences, or other coverage needs. Assists with front desk responsibilities, including patient check-in/check-out, appointment scheduling, registration, and other administrative functions as required to support clinic operations and maintain a positive patient experience.

Requirements

• Completion of a high school diploma required.
• Excellent oral and written communication skills in order to effectively interact with internal and external customers.
• Knowledge of medical terminology and third-party payer terminology.
• At least a minimal understanding of how CPT-4 and ICD-10 codes are used in health care billing.
• Intermediate proficiency in Microsoft Outlook, Word and Excel.

Nice To Haves

• College level courses preferred.
• Previous work experience in a position of meeting and communicating with the public.
• 1 to 2 years' experience in a hospital billing office, medical office registration, medical billing office or other health care setting.

Responsibilities

• Verifies demographic and financial information.
• Helps patients understand their financial responsibilities by providing estimated out-of-pocket costs and payment options.
• Provides information to patients regarding when and where to report for appointments and procedures.
• Schedules appointments in response to recalls on procedures.
• Performs all tasks related to obtaining prior authorizations from payers for services.
• Reviews chart documentation to ensure patients meet medical policy guidelines.
• Prioritizes incoming prior authorization requests according to urgency and follows up regularly on pending cases and denied authorizations.
• Contacts patients regarding authorization status and scans all related documentation into the patient's medical record.
• Complies with all HIPAA policies and procedures.
• Serves as a cross-trained resource and provides front office coverage as needed.
• Assists with front desk responsibilities, including patient check-in/check-out, appointment scheduling, registration, and other administrative functions.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED