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SOFHA EMPLOYMENT SERVICES INC
PRECERT CLERK OUTPT SCHEDULER
Job Description
WHO WE ARE
State of Franklin Healthcare Associates is a physician-led and team member-owned multi-specialty care group headquartered in Johnson City, TN with 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 orGED 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!Career Insights for Scheduler / Operations Coordinator
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Scorecard
Based on Tennessee data
Review key factors to help you decide if this role fits your goals. How is this calculated?
What they do
A Scheduler or Operations Coordinator provides scheduling and logistical support for an office, company or organization. May specialize in scheduling required for production or for administrative work.
$48,959 / year median in Tennessee
+13% projected growth