Description
SHIFT: Days (rotating weekends)
SCHEDULE: PRN/ PART TIME/ AS NEEDED
River City Imaging Centers
New Braunfels, Texas
Scheduler/Insurance Verification Representative.
Benefits:
River City Imaging Centers provide excellent total compensation package, including competitive salary, excellent benefit package and growth opportunities. Your benefits include 401k, PTO medical, dental, flex spending, etc.
Seeking an Scheduler/Insurance Verification Representativewho is responsible for verifying eligibility and benefits of health insurance, government programs and/or workers compensation insurance prior to a patient having an examination. The process also includes verification of the insurance company claims billing address. Must also verify as to whether procedure that has been scheduled requires pre-certification or an authorization number in order to be performed and reimbursed.
Job duties:
1. Verifies policy and group number, as well as guarantor and dependents information with insurance company; verifies eligibility and benefits with insurance company; verifies claim mailing address of insurance company.
2. Annotates all scheduling changes appropriately in the patient’s history notes.
3. Verifies whether pre-certification or pre-authorization is required for exam to be performed and reimbursed.
4. Contacts referring physician office if required to obtain additional information regarding exam to send to insurance company for authorization of exam.
5. Notifies referring physician office, patient and/or imaging center if exam is not authorized or if exam will not be covered.
6. Interviews patients or representative of the patient for patient demographic and insurance information to begin the scheduling process.
7. Schedules the exams accurately and on the date and time that is convenient to the patient or representative of the patient.
8. Processes STAT and URGENT requests immediately and notifies appropriate departments.
9. Provides general information regarding tests, clinic location, preps and services provided by location as well as direction to all locations.
10. Orients new personnel and assists in their transition to the work environment as assigned.
11. Provides backup assistance to other associates in the department upon completion of duties or as assigned by supervisor.
12. Excellent customer service skills and familiar with service recovery.
13. All other duties assigned.
Qualifications
Minimum Education and Experience:
High School Graduate or GED required. Must have excellent phone etiquette and communication skills. Must demonstrate proficiency in operating modern telephone, computer and office equipment. Must have a working knowledge of medical terminology. Must possess a working knowledge of health insurance, government programs and worker’s compensation.
Minimum License and Certificates Required:
Must type a minimum of 35 Net Words Per Minute (NWPM).
Job Types: Part-time, Temporary
Expected hours: 5 – 40 per week
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible schedule
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
- Weekends as needed
Ability to Relocate:
- New Braunfels, TX 78130: Relocate before starting work (Required)
Work Location: In person