Scheduler

Townsen Memorial Hospital; Houston (TX); On-site; USD 36,000 - 48,000; Full time

Job summary

Townsen Memorial Imaging - North Loop in Houston seeks a full-time Scheduler to coordinate patient appointments and communicate with patients, providers, and staff. The role includes estimating co-pays, entering insurance data, and managing authorizations.

The Scheduler will prioritize urgent requests, aid with appeals for denied authorizations, and ensure documentation is complete. Strong organization, independent work, and teamwork are essential.

Qualifications

• Knowledge of in-network and out-of-network insurance, as well as patient financial responsibilities.
• Familiarity with ICD-10 and CPT codes and medical procedures.
• Ability to review and comprehend patient medical documentation.
• Ability to independently identify and understand medical necessity requirements.
• Strong task management and organizational skills with the ability to complete tasks in a timely manner.
• Detail-oriented, ensure accuracy and thoroughness in all tasks.
• Ability to work both independently and collaboratively as part of a team.
• Adaptability and flexibility in a dynamic work environment.
• Effective written and verbal communication skills.

Responsibilities

• Coordinate patient appointments and maintain proactive communication with patients via inbound/outbound calls or email.
• Determine patient co-payments and calculate co-insurance and deductibles.
• Enter insurance information into patient records with accuracy.
• Prioritize authorization requests based on urgency and assist with denied authorization appeals.
• Schedule and reschedule follow-ups and procedures; provide essential information before procedures.
• Send prescriptions to pharmacies via fax or email; ensure smooth patient flow through visits.
• Update and maintain accurate patient information in the database; submit information for pre-authorization.

Skills

Task management

Detail-oriented

Written and verbal communication

Independent and team work

Adaptability

Insurance knowledge

ICD-10 & CPT familiarity

Education

High School Diploma or GED

1 year medical facility experience

BLS Certification

Job description

Townsen Memorial Imaging - North Loop is looking for a Full-Time Scheduler to join the team!

Summary: The Scheduler is responsible for coordinating patient appointments while maintaining clear and proactive communication with both new and existing patients through inbound and outbound calls or email.

ESSENTIAL FUNCTIONS

• Determine patient co-payments and calculate co-insurance and deductibles
• Enter accurate insurance information, including co-payments and deductibles, into patient records
• Prioritize incoming authorization requests based on urgency
• Initiate and assist with appeals for denied authorizations
• Communicate effectively with patients, healthcare providers, and relevant parties regarding procedures
• Follow-up to ensure all necessary documentation is obtained and complete
• Schedule and reschedule patient follow-ups and procedures as needed
• Provide patients with essential information and instructions before their procedure date
• Send prescriptions to pharmacies via fax or email
• Ensure patients move through scheduled appointments efficiently
• Answer phone calls and respond to patient inquiries
• Update and maintain accurate patient information in the database
• Submit patient information to the verification department for pre-authorization
• Ensure completeness and accuracy of all patient forms and documentation
• Perform other related tasks as needed

KNOWLEDGE, SKILLS, AND ABILITIES

• Knowledge of in-network and out-of-network insurance, as well as patient financial responsibilities
• Familiarity with ICD-10 and CPT codes and medical procedures
• Ability to review and comprehend patient medical documentation
• Ability to independently identify and understand medical necessity requirements
• Strong task management and organizational skills with the ability to complete tasks in a timely manner
• Detail-oriented, ensure accuracy and thoroughness in all tasks
• Ability to work both independently and collaboratively as part of a team
• Adaptability and flexibility in a dynamic work environment
• Effective written and verbal communication skills

EDUCATION AND EXPERIENCE

• High School Diploma or GED
• One (1) year of experience in a medical facility
• Basic Life Support (BLS) Certified

BENEFITS

• 3 Medical Plans
• 2 Vision Plan
• Employee Assistance Program
• Short and Long Term Disability Plans
• Basic Life and Voluntary Insurance Plans with AD&D
• 401(k) with a 2-year vesting
• PTO + Holidays

Compensation to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data.

Employment for this position is contingent upon the successful completion of a background check and drug screening.