What are the responsibilities and job description for the PRECERT CLERK OUTPT SCHEDULER position at SOFHA EMPLOYMENT SERVICES INC?
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!
