Scheduler

Townsen Memorial Health System, LLC; Humble (TX); On-site; USD 34,000 - 52,000; Full time

Benefits offered by this job

Medical Plans

Vision Plan

Employee Assistance Program

Disability Plans (Short/Long Term)

Life Insurance

AD&D

401(k)

Paid Time Off

Holidays

Job summary

Townsen Memorial Imaging - Spring is seeking a Full-Time Scheduler to join the team. The Scheduler coordinates patient appointments and communicates with patients via calls or email, ensuring smooth scheduling and accurate records.

The role requires attention to insurance details, pre-authorization processes, and collaboration with providers. A high school diploma and at least one year in a medical facility are expected, with BLS certification preferred.

Qualifications

• Knowledge of in-network and out-of-network insurance
• 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
• Detail-oriented and thorough in all tasks
• Ability to work both independently and in a team
• Adaptable in a dynamic environment
• Effective written and verbal communication skills

Responsibilities

• Coordinate patient appointments and maintain proactive communication via calls or email.
• Determine co-payments, co-insurance and deductibles and enter insurance data.
• Prioritize authorization requests and assist with denials/appeals.
• Assist with pre-authorization processes and submit required documents.
• Schedule and reschedule procedures and follow-ups as needed.
• Provide patients with information and instructions before procedures.
• Submit patient information for verification and pre-authorization.
• Respond to patient inquiries and maintain accurate patient records.

Skills

Insurance knowledge

ICD-10 CPT codes

Medical documentation

Medical necessity

Task management

Attention to detail

Independent & teamwork

Adaptability

Written & verbal communication

Education

High School Diploma or GED

Job description

Townsen Memorial Imaging - Springis 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

Please visit our website for more information:

Townsen Memorial Hospital is an accredited network of facilities with an emphasis on emergency care, outpatient surgery, and diagnostics and imaging. Our core mission is to provide compassionate, evidence-based patient care to those we serve. At Townsen Memorial, we encompass diversity, dignity, and inclusiveness as a reflection of our core values. Townsen Memorial is committed to driving cutting edge healthcare to our patients, our communities and each other.

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.