PRECERT CLERK OUTPT SCHEDULER

Pre-Cert Clerk / Outpatient Scheduler Seeking a Pre-Cert Clerk / Outpatient Scheduler to join our Interventional Pain Management 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!