Surgical Scheduler / Financial Clearance Representative

Vitruvian-Health; Cleveland (TN); On-site; USD 32,000 - 46,000; Full time

Job summary

Vitruvian Health in Cleveland, TN seeks a Front Office Representative to verify patient demographics, schedule appointments, and assist with registration and check-in. You will help patients understand financial responsibilities and collect information for prior authorizations.

The role requires strong communication, familiarity with CPT-4/ICD-10 concepts, and proficiency in Outlook, Word, and Excel; prior hospital billing or medical office experience is preferred, with HIPAA compliance

Qualifications

• Completion of a high school diploma required; college level courses preferred.
• Experience in meeting and communicating with the public is preferred.
• 1–2 years in a hospital billing office or medical office setting preferred.
• Strong oral and written communication skills and knowledge of medical terminology.

Responsibilities

• Verify demographic and financial information and explain estimated out-of-pocket costs.
• Schedule appointments, handle check-in/check-out, and assist with registration.
• Obtain prior authorizations from payers and review chart documentation for policy guidelines.
• Ensure HIPAA compliance and provide front office coverage as needed.

Skills

Communication skills

Customer service

Medical terminology

CPT-4 / ICD-10 understanding

Education

High school diploma

College coursework preferred

Tools

Microsoft Outlook

Microsoft Word

Microsoft Excel

Job description

Who We AreAt Vitruvian Health, we serve with compassion. As the leading healthcare system for northwest Georgia and southeast Tennessee, we are committed not only to strengthening the health of our communities, but also to supporting the growth, success, and well‑being of every team member.Our LegacyFormerly Hamilton Health Care System, Vitruvian Health is built on a legacy of trust, innovation, and exceptional care. With more than 80 access points across the region—including Hamilton Medical Center and Bradley Medical Center—you’ll have the opportunity to be part of something bigger: a connected, mission‑driven team making a difference every day.Our ValuesOur core values— Professionalism, Respect, Integrity, Diversity, and Excellence (PRIDE) —guide every interaction and decision. We believe in empowering our people, celebrating what makes us unique, and delivering care that reflects the heart of our mission.Your Career With UsJoin us and build a meaningful career where you’re valued, inspired, and supported to make a real impact.Excellence. Every person. Every time.JOB SUMMARYUnder the direct supervision of the Front Office Supervisor and Practice Manager, the representative verifies demographic and financial information. Seeks to help patients understand their financial responsibilities by providing estimated out-of-pocket costs and payment options, while delivering exceptional customer service to set the tone for the patient's journey of care and manage financial expectations prior to clinic appointments or surgery. Provides information to patients regarding when and where to report for appointments and procedures. Schedules appointments in response to recalls on procedures.Responsible for performing all tasks related to obtaining prior authorizations from payers for services. Reviews chart documentation to ensure patients meet medical policy guidelines. Prioritizes incoming prior authorization requests according to urgency and follows up regularly on pending cases and denied authorizations. Contacts patients regarding authorization status and scans all related documentation into the patient's medical record. Complies with all HIPAA policies and procedures.Serves as a cross-trained resource and provides front office coverage as needed to support patient access, maintain workflow efficiency, and ensure continuity of operations during periods of high patient volume, staff absences, or other coverage needs. Assists with front desk responsibilities, including patient check-in/check-out, appointment scheduling, registration, and other administrative functions as required to support clinic operations and maintain a positive patient experience.JOB QUALIFICATIONSEducation: Completion of a high school diploma required. College level courses preferred.Licensure: N/AExperience: Prefer previous work experience in a position of meeting and communicating with the public. Prefer 1 to 2 years' experience in a hospital billing office, medical office registration, medical billing office or other health care setting.Skills: Excellent oral and written communication skills in order to effectively interact with internal and external customers. Knowledge of medical terminology and third-party payer terminology. At least a minimal understanding of how CPT-4 and ICD-10 codes are used in health care billing. Intermediate proficiency in Microsoft Outlook, Word and Excel.