Centralized Scheduler

Center for Orthopaedics LLC.; Lake Charles (LA); On-site; USD 32,000 - 46,000; Full time

Job summary

Center for Orthopaedics LLC. is seeking a Patient Access Representative- Centralized Scheduler. This role serves as a multi-line operator and centralized scheduler, reporting to the Office Manager.

The position involves handling incoming calls, scheduling, and coordinating with insurance verification to ensure proper coverage. Key duties include verifying demographics, informing patients of balances, and ensuring accurate scheduling per physician preferences.

Qualifications

• Knowledge of different insurance carriers.

Responsibilities

• Answers calls at the operator desk and routes them appropriately.
• Takes hospital consultations and relays information to the physician.
• Schedules appointments per patient need or provider referral.
• Verifies patient demographics and insurance data for billing purposes.
• Monitors delinquent balances prior to scheduling.
• Reschedules appointments as needed, coordinating with the scheduling team.
• Coordinates with insurance verification to ensure in-network coverage or authorization.
• Obtains out-of-network authorizations when necessary for new patients.
• Assists callers in problem solving and directs to the correct contact.
• Keeps up-to-date knowledge of insurance carriers.

Skills

Insurance knowledge

Job description

JOB TITLE: Patient Access Representative- Centralized Scheduler

GENERAL SUMMARY OF DUTIES: Serves as multi-line operator and centralized scheduler.

SUPERVISION REQUIRED: Office Manager

SUPERVISION EXERCISED: None

ESSENTIAL FUNCTIONS:

1. Answers all incoming calls to the operator desk and transfers them accordingly.
2. Takes consultations from the hospitals and get the information to the physician.
3. Answers all incoming calls to the scheduling department. Schedules appointments as requested by patients or based on incoming referral from another provider.
4. Confirms that all patient demographic data is correct and screens patient insurance data for billing purposes. Monitors patient accounts for credit status of delinquent accounts prior to scheduling appointment.
5. Works closely with all CFO physicians to ensure that patients are scheduled appropriately and accurately according to each physicians' preferences.
6. Ensures that patients are given accurate information prior to their appointment regarding necessary information required.
7. Advise patients of delinquent or outstanding balances prior to scheduling appointment.
8. Reschedules patients when necessary.
9. Works closely with the insurance verification specialist to ensure that all patients scheduled have insurance that we are in network with or in some cases that we have an out of network authorization.
10. Obtain out of network authorizations if necessary for new patients.
11. Assists callers in problem solving and finding the correct person to resolve any issues they may have other than appointment needs.
12. Must have a knowledge of the different insurance carriers.