Scheduling/Billing Specialist (FT) Outpatient Clinic Johnson City, TN

Job Title:

Scheduling/Billing Specialist (FT) Outpatient Clinic Johnson City, TN

Job Code:

MSHA000BDX

Location:
CARDIOVASCULAR ASSOCIATES, Johnson City, TN

Position Type:

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

Job Definition
Job DescriptionSCOPE 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.

Compensation

Job Type: Full-time