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Scheduler-1-Fulltime Days

Cape Fear Valley Health · US

Facility Hoke Hospital Location Raeford, North Carolina Department Centralized Scheduling Job Family Clerical Work Shift Days (United States of America) Summ...

Job description

Facility Hoke Hospital Location: Raeford, North Carolina Department: Centralized Scheduling Job Family: Clerical Work Shift: Days (United States of America) Summary: Obtains and/or verifies demographic, clinical, financial, and insurance information in the process of appointment making for patient tests and procedures, pre-registering and financial clearing for service delivery. Validates medical necessity (LMRP/LCD review) of Medicare and Non-Medicare cases to ensure clinical and financial clearance. Additionally, the incumbent obtains and processes signed physician orders to ensure clinical documentation for care delivery. The incumbent conducts online insurance eligibility/benefit verification, pre-certification/authorization, referral clearance and financial education on designated cases. As appropriate, the incumbent notifies patient/guarantor and collects patient liabilities, and refers appropriate cases to resource counseling for follow-up and consultation. Major Job Functions The following is a summary of the major essential functions of this job. The incumbent may perform other duties, both major and minor, that are not mentioned below. In addition, specific functions may...