PRECERT CLERK OUTPT SCHEDULER- CENTRAL SERVICES
4.
4 Johnson City, TN Johnson City, TN Full-time Full-time Estimated:
$29.
6K - $37.
5K a year Estimated:
$29.
6K - $37.
5K a year Pre-Cert Clerk/Outpatient Scheduler Seeking a Pre-Cert Clerk/Outpatient Scheduler in Johnson City, TN within our Central Services Team.
WHO WE ARE:
State of Franklin Healthcare Associates is a physician-owned and operated multi-specialty care group of more than 250 providers and 900 team members headquartered in Johnson City, TN with 35 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:
Schedules outpatient diagnostic tests and referrals as ordered by the providers.
Documents the tests and referrals in Referrals Plus.
Maintains knowledge of insurance carrier requirements.
Organizes and provides all necessary information to obtain the necessary authorization or precertification from the insurance carriers.
Works with the referring provider to resolve insurance denials or requests for additional information.
Notifies patients of their scheduled appointments.
Documents their acknowledgement.
Contacts Medicare, BlueCross BlueShield, and other payers daily.
Verifies the ODC order with electronic and paper pre-certification data by matching reports.
Contacts insurance carriers to downgrade or upgrade pre-certs.
Reviews claim denials.
REQUIREMENTS:
High School Diploma or GED.
One-year general clerical experience, preferable in a medical office setting.
Word processing and computer experience.
Familiarity with local insurance policies and their referral requirements.
WHAT WE OFFER:
State of Franklin Healthcare provides a comprehensive and competitive total compensation package designed to meet the needs of our full-time team members including:
Company Provided Life and Accidental Death and Dismemberment Insurance Company Provided Long Term Disability Insurance 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! #SOFHA #SOFHAStrong #jobopportunity #jobsearch #apply #jobs.
Estimated Salary: $20 to $28 per hour based on qualifications.
4 Johnson City, TN Johnson City, TN Full-time Full-time Estimated:
$29.
6K - $37.
5K a year Estimated:
$29.
6K - $37.
5K a year Pre-Cert Clerk/Outpatient Scheduler Seeking a Pre-Cert Clerk/Outpatient Scheduler in Johnson City, TN within our Central Services Team.
WHO WE ARE:
State of Franklin Healthcare Associates is a physician-owned and operated multi-specialty care group of more than 250 providers and 900 team members headquartered in Johnson City, TN with 35 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:
Schedules outpatient diagnostic tests and referrals as ordered by the providers.
Documents the tests and referrals in Referrals Plus.
Maintains knowledge of insurance carrier requirements.
Organizes and provides all necessary information to obtain the necessary authorization or precertification from the insurance carriers.
Works with the referring provider to resolve insurance denials or requests for additional information.
Notifies patients of their scheduled appointments.
Documents their acknowledgement.
Contacts Medicare, BlueCross BlueShield, and other payers daily.
Verifies the ODC order with electronic and paper pre-certification data by matching reports.
Contacts insurance carriers to downgrade or upgrade pre-certs.
Reviews claim denials.
REQUIREMENTS:
High School Diploma or GED.
One-year general clerical experience, preferable in a medical office setting.
Word processing and computer experience.
Familiarity with local insurance policies and their referral requirements.
WHAT WE OFFER:
State of Franklin Healthcare provides a comprehensive and competitive total compensation package designed to meet the needs of our full-time team members including:
Company Provided Life and Accidental Death and Dismemberment Insurance Company Provided Long Term Disability Insurance 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! #SOFHA #SOFHAStrong #jobopportunity #jobsearch #apply #jobs.
Estimated Salary: $20 to $28 per hour based on qualifications.
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