Precert-Clerk/ Out Patient Scheduler

Pre-Cert Clerk / Outpatient Scheduler

Seeking a Pre-Cert Clerk / Outpatient Scheduler to join our SOFHA OB/GYN team. Office hours are typically 8-5, Monday through Friday.

WHO WE ARE:

State of Franklin Healthcare Associates is a physician-led and team member-owned multi-specialty care group of more than 250 providers and 900 team members headquartered in Johnson City, TN with 35 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!