PRECERT CLERK OUTPT SCHEDULER at SOFHA EMPLOYMENT SERVICES INC

Kingsport, Tennessee, United States -

Full Time

Start Date

Immediate

Expiry Date

14 Jun, 26

Salary

0.0

Posted On

16 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Scheduling, Diagnostic Tests, Referrals, Insurance Authorization, Precertification, Patient Notification, Patient Counseling, Procedure Preparation, Insurance Payer Contact, Claim Denial Review, Appeals, Coding Verification, Report Compilation, Word Processing, Computer Skills

Industry

Medical Practices

Description

Job DetailsJob Location: 19068 MOUNTAIN REGION FAMILY MEDICINE PRESS BLDING STE 2500 - KINGSPORT, TN 37660Position Type: Full TimeJob Category: ClericalWHO WE ARE: State of Franklin Healthcare Associates is a physician-led and team member-owned multi-specialty care group headquartered in Johnson City, TN with 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: Schedule outpatient diagnostic tests and referrals as ordered. Knowledge of insurance carrier requirements. Organize/Provide necessary information to obtain necessary authorizations or precertification from insurance carriers. Notify patients of scheduled appointments and document their acknowledgment. Counsel patients regarding special preparation for procedures and answer questions. Contact insurance payers daily: Medicare, BlueCross BlueShield, and others. Review claim denials and appeal when justified. Verify the accuracy of coding. Compile and prepare reports. REQUIREMENTS: High school diploma or GED EXPERIENCE: One year of general clerical experience, preferably 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 Employee Stock Ownership Plan 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! Qualifications

Responsibilities

The primary duties involve scheduling outpatient diagnostic tests and referrals, organizing necessary information to obtain insurance authorizations or precertification from carriers. This role also requires notifying patients of appointments, counseling them on special preparations, and contacting insurance payers daily.