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Patient Scheduling
2 months ago
Come join our growing team We have a rare full-time position open in our scheduling department at Urology Specialists We are looking for a detail oriented individual who is organized and ready to be a team player.
Experience in the healthcare industry is preferred, but not required.
This position is full-time, full benefit package eligible.
Hours are flexible between 8am-5pm Monday-Thursday, and 8am-4pm on Fridays. No nights, weekends, holidays or call are required, PLUS a half day off each week This position reports to the Director of Nursing and Clinical Operations.
Works with patients in person and via the telephone, and with local health systems, to accept
outpatient diagnostic orders from physicians for hospital or surgical procedures; interprets
physician request for diagnostic testing and schedules single to multiple tests according to
required patient care protocols. Determines medical necessity validation and handles medical
information along with transpiring medical orders into the electronic medical record. Takes
direction from physicians, physician assistants and administration. .
The Insurance Authorization Specialist evaluates and performs all surgery, radiology and medication pre-authorizations prior to services performed and claim submission. Responsible for ensuring that the authorization matches the services performed. Communicates high deductible and denial information to the appropriate Billing staff. Reviews requests and forms for accuracy and completeness. Processes referral requests. Reviews patient demographics. Scans
authorizations into the EMR system and documents communication appropriately. Serves as
the primary contact for referring providers, insurance carriers, clinic and surgical staff and
patients regarding pre-certification/pre-authorization. Other duties as assigned by direct
supervisor.
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