Clinic Scheduling & Insurance Verification Specialist

Pioneers Medical Center; Colorado; On-site; USD 27,290 - 30,996; Full time

Job summary

Pioneers Medical Center is seeking a Full-Time, non-exempt Appointment Scheduler in Colorado. The role involves scheduling procedures, verifying insurance, obtaining pre-authorizations, and explaining benefits to patients.

The ideal candidate has experience in appointment scheduling, knowledge of medical terminology and billing (ICD-10, CPT, HCPCS), and a professional, confidential demeanor. The job emphasizes excellent customer service and adherence to PMC policies and HIPAA.

Qualifications

• Previous experience in appointment scheduling preferred.
• Knowledge of medical terminology and billing practices, including ICD-10, CPT, and HCPCS codes preferred.

Responsibilities

• Receive requests to schedule procedures and schedule them according to department calendars after pre-authorization.
• Verify insurance eligibility and benefits information.
• Obtain pre-authorization information for procedures and fax clinical information as directed.
• Discuss third-party coverage with patients and arrange payment of out-of-pocket amounts.
• Explain insurance benefits, deductibles, and co-insurance to patients.
• Provide an estimate of procedures or services to patients.
• Discuss payment options and billing process with patients.
• Ensure patients have information needed for timely arrival and prepare paperwork for Registration staff.
• Document information on accounts where action has occurred and maintain communication with departments.
• Participate in education activities, staff meetings, and in-services; provide excellent customer service.
• May be cross-trained with other duties; other duties as assigned.

Skills

Appointment scheduling

Medical terminology

Insurance billing

HIPAA compliance

Education

High School Diploma

Job description

Pioneers Medical Center is seeking a Full-Time, non-exempt Appointment Scheduler in Colorado. The role involves scheduling procedures, verifying insurance, obtaining pre-authorizations, and explaining benefits to patients.

The ideal candidate has experience in appointment scheduling, knowledge of medical terminology and billing (ICD-10, CPT, HCPCS), and a professional, confidential demeanor. The job emphasizes excellent customer service and adherence to PMC policies and HIPAA.