Scheduling Representative at Southeastern Gastroenterology Associates

Columbus, Ohio, United States -

Full Time

Start Date

Immediate

Expiry Date

11 May, 26

Salary

0.0

Posted On

10 Feb, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Clinical Knowledge, Appointment Scheduling, Test Preparation Communication, Authorization Requests Prioritization, Prior Authorization, Payer Website Navigation, CPT Codes, ICD-10 Diagnoses, Adaptability, Flexibility, Verbal Communication, Written Communication, Electronic Medical Records System Skills, Outside Referral Scheduling, Insurance Verification, Medical Terminology

Industry

Hospitals and Health Care

Description

Description Southeastern Cardiology Associates, Southeastern Gastroenterology Associates, and SBD Medical Solutions strive to deliver the best care possible through a team approach. From check-in to check-out, each employee participates in delivering the highest quality of care and attention in the Southeast. Our commitment to our patient is that we will treat them like family. We are compassionate and considerate. We are passionate about advancements in technology and patient care. We are educators and good listeners. We believe that qualified specialty care is not hard to find. However, we think that embedding a world-class group of specialists within a team that is committed to treating the patient and their loved ones is what truly sets us apart. Our job is not done when the condition is diagnosed and treated appropriately. We consider the mission accomplished when we have treated the problem and our team has communicated effectively with the patient and their loved ones. Above all, we are here to serve our patients and their families. Our team of specialized physicians, mid-levels, nurses, technicians, and staff are committed to providing the highest level of service – this team approach truly sets us apart. Responsibilities Effectively utilizes clinical knowledge when determining if the appointment is consistent with the diagnosis/ indications indicated by the provider. Provides accurate, detailed information to patients regarding test preparations, time of patients’ scheduled arrival, and any other directional information needed; Takes appropriate action in responding to questions from patients. Prioritize incoming authorization requests according to the urgency of patients. Confirms patient’s insurance provider and obtains prior authorization via payer website or by phone and follows up regularly on pending cases. Maintain individual payer files to include up to date requirements needed to successfully obtain authorizations dating patient information/ keeping records. Confirm accuracy of CPT codes and ICD-10 diagnoses in the procedure order. Assist other members of the department as needed. Exhibit an ability to adapt to unpredictable situations within the work setting and has the ability to be flexible. Demonstrate excellent communication skills (verbal and written) as well as computer/ electronic medical records system skills. Completes Jelly Beans in eCW. Schedules and follows up on outside referrals to other practices. Schedule CT, MRI, and other testing at outside facilities. Other duties as assigned Requirements Education and Qualifications High School Diploma Required Job knowledge and skills Insurance verification and precertification Communicating procedure instructions to patient Familiar with ICD-10 and CPT codes General medication knowledge and their treatment use(s) Medical terminology Scheduling in outside facilities Excellent written and verbal communication skills Corporate Culture Expectations Demonstrates the office Corporate Culture at all times with colleagues, providers, outside offices/vendors, patients and their family members. Consistently portrays a positive attitude; excels in individual role while creating a culture of teamwork and cooperation; puts the patient/family first and regularly seeks opportunities for self-improvement as well as operational improvement.? Core Competencies Approachability, Compassion, Customer Focus, Dealing with Ambiguity, Decision Quality, Ethics & Values, Integrity & Trust, Motivating Others, Peer Relationships, Drive for Results, Listening? Functional Competencies Communication, Listening, Organizing, Priority, Technical Learning, Time Management, Understanding Others

Responsibilities

The representative must effectively use clinical knowledge to ensure appointments align with provider diagnoses, while providing patients with accurate preparation and directional information. Responsibilities also include prioritizing authorization requests, confirming insurance, obtaining prior authorization, and scheduling external testing like CT and MRI.