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precert clerk outpatient scheduler

2 weeks ago

Kingsport, Tennessee, United States State of Franklin Healthcare Associates Full time

WHO 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 experience. Familiarity with local insurance policies and their referral requirements.

WHAT WE OFFER:

State of Franklin Healthcare provides a comprehensive and competitive total compensation package designed to meet the needs of our full-time team members including:

  • Company Provided Life and Accidental Death and Dismemberment Insurance
  • Company Provided Long Term Disability Insurance
  • Employee Stock Ownership Plan
  • 401(k) Company Contributions
  • Voluntary options for Medical, Dental, Vision, and additional Life Insurance.
  • Company match in Health Savings Account Plans (restrictions apply)
  • Vacation, Personal, Sick and Holiday Time Off
  • An array of team member perks and discounts
  • Tuition Assistance Programs
  • And more