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Scheduling/Billing Specialist

3 months ago

Kingsport, United States BHMA Urology Kingsport Full time
Scheduling/Billing Specialist (FT) Urology - Kingsport, TN

Job ID: 004GCW

WMA

Office/Clerical - BHMA Urology Kingsport

Full-time (scheduled 72 hrs or more per pay period) - Day

Job Description

SCOPE OF POSITION
The Scheduling & Billing Specialist is responsible for various aspects of scheduling and billing in the clinic. Specific duties may include:
  • Scheduling incoming referrals with the patient and referring clinician, working the electronic referral, and mailing the patient new patient paperwork.
  • Managing outgoing referrals appointment for patients at referral source, verifying insurance eligibility, obtaining authorization for certain outgoing procedures and/or visits, and obtaining documentation following the patient's referral appointment.
  • Fulfilling Medical Records Requests- whether it be urgent requests in the offices or sending them to STAT and following up with the status of requests for patients/companies.
  • Scheduling surgeries in the pediatric and adult specialty operating rooms. Working closely with the OR team in utilizing block time and scheduling procedures within providers schedules.
  • Obtaining pre-authorizations for procedures that we schedule within our practice and local facilities for our providers.
  • Arranging surgeon schedule to accommodate urgent surgeries vs. routine surgeries.
  • Coordinating surgeries scheduled with other surgeons as needed.
  • Coordinating with appropriate vendors to make them aware of surgeries scheduled.
  • Informing patients of scheduled procedures at local and outside facilities with our surgeons.
  • Preparing/prepping clinic records for upcoming appointments and ensuring that patients have all imaging/procedures completed prior to following up with our office.
  • Working work queues within Epic to fix claim edits and charge review errors.
  • Scheduling peer to peer with insurance company and arranging time on providers schedule to complete.
  • Answer phones, confirm appointments and address patient questions.
  • Help with rescheduling appointments as needed.
  • Verifying patient insurance for upcoming appointments.
  • Scanning in all office documents and outside records.
    REPORTING RELATIONSHIP
    See Table of Organization.
    EDUCATION EXPERIENCE
    Required - High School Graduate and 2 years' experience in the medical field. Successful completion of a medical terminology course or must complete within one year of assuming position.
    Excellent multi-tasking and attention to detail. Must have ability to communicate clearly and kindly with patients, clinicians, and co-workers. Ability to maintain confidentiality and observe HIPAA compliance.
    Preferred:
    Completion of Medical Secretary or Medical Assistant Program.


Requirements
No additional requirements from any stated in the above description.