PRECERT CLERK OUTPT SCHEDULER

Job description

Job DetailsJob Location: 21896 SOFHA PULMONOLOGY - JOHNSON CITY, TN 37604Position 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 expe...