Scheduler - KATY

Townsen Memorial; Katy (TX); On-site; USD 35,000 - 55,000; Full time

Job summary

An established industry player is seeking a dedicated Scheduler to join their team in Katy, TX. This role involves scheduling patient appointments, verifying insurance coverage, and ensuring effective communication with patients. The ideal candidate will possess strong organizational skills, attention to detail, and the ability to work both independently and collaboratively. If you are passionate about providing compassionate care and thrive in a dynamic environment, this opportunity is perfect for you. Join a team that values diversity and inclusiveness while delivering exceptional healthcare services to the community.

Benefits

Short and Long Term Disability Plans

Basic Life and Voluntary Insurance Plans

401(k) with a 2-year vesting

Qualifications

• 1 year of experience in a medical facility and insurance verification.
• Knowledge of insurance processes and ability to communicate effectively.

Responsibilities

• Schedule patient appointments and verify insurance coverage.
• Communicate with patients and manage authorization processes.
• Ensure accuracy of patient records and follow up on documentation.

Skills

Insurance verification

Patient communication

Detail-oriented

Organizational skills

Effective communication skills

Education

High School Diploma or GED

BLS Certification

Job description

Townsen Memorial Imaging is looking for a Scheduler to join our facility in Katy, TX!

Job Overview: The Scheduler is responsible for scheduling patient appointments and verifying insurance coverage with carriers. The Scheduler will ensure positive and proactive communications with prospective and existing patients via inbound/outbound calls and/or email.

ESSENTIAL FUNCTIONS:

1. Verify insurance eligibility for upcoming appointments by utilizing online websites or by contacting the carriers directly.
2. Determine patient co-payments and calculate co-insurance and deductibles.
3. Enter insurance information (co-payments, deductibles, etc.) accurately into patient records.
4. Prioritize incoming authorization requests according to urgency.
5. Generate, verify, and oversee the complete authorization/referral process.
6. Initiate and assist with appeals for denied authorizations.
7. Communicate with all appropriate parties regarding patient and procedure.
8. Follow-up and ensure all documentation is obtained.
9. Verify if all authorizations have been obtained prior to scheduling procedures.
10. Schedule and/or reschedule patient follow-ups and procedures.
11. Inform and provide patients with necessary information and instructions prior to procedure date.
12. Send prescriptions to pharmacy via fax or e-mail.
13. Move patients through appointments as scheduled.
14. Answer telephone and deal with inquiries.
15. Update patients’ information into database.
16. Submit information to verification department for pre-authorization.
17. Ensure completeness and accuracy of patients’ forms.
18. Other duties as assigned.

KNOWLEDGE, SKILLS, AND ABILITIES:

1. Knowledge of in and out of network insurances, insurance verification, patient responsibility, and process for prior authorization.
2. Familiarity with ICD-10 and CPT codes and procedures.
3. Ability to review and understand patient medical documentation.
4. Ability to independently identify and understand medical necessity requirements.
5. Task-oriented and organizational skills; ability to complete tasks timely.
6. Detail-oriented focus; being careful about detail and thorough in completing work tasks.
7. Ability to work independently and as a team.
8. Ability to adapt with flexibility.
9. Effective communication skills (written/verbal).

EDUCATION AND EXPERIENCE:

1. High School Diploma or GED.
2. One (1) year of experience in a medical facility.
3. One (1) year of insurance verification experience.
4. Basic Life Support (BLS) Certification.

BENEFITS:

1. Short and Long Term Disability Plans.
2. Basic Life and Voluntary Insurance Plans with AD&D.
3. 401(k) with a 2-year vesting.

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.

Please visit our website for more information: townsenmemorial.com

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.