Appointment Scheduler - Medical Office Coordinator

Summary: This role involves obtaining and verifying demographic, clinical, financial, and insurance information to facilitate appointment scheduling for patient tests and procedures. Responsibilities include pre-registering patients, ensuring financial clearance, and validating medical necessity for Medicare and non-Medicare cases. The scheduler also processes signed physician orders to maintain accurate clinical documentation and performs insurance eligibility verification, pre-certification, referral clearance, and financial education for patients.

Major Responsibilities:

• Schedule outpatient appointments for various modalities, excluding biopsy and special procedures, coordinating resources such as equipment, staff, and rooms.
• Manage add-on and same-day appointments, ensuring proper sequencing to minimize patient delays.
• Conduct insurance eligibility and benefit verification using multiple methods and document findings accurately.
• Pre-register patients and provide appointment reminders, including preparation instructions and financial responsibility information.
• Collect patient co-payments, co-insurances, deductibles, deposits, and outstanding balances during pre-registration.
• Educate patients, families, and physician offices about scheduling and preparation for diagnostic testing.
• Confirm appointments with referring offices and reconcile daily charge reports, addressing any discrepancies.

Education: High school diploma or equivalent required. College coursework in Business, Health Care Administration, or Computer Technology is preferred. Medical terminology knowledge is required within the first year of employment.

Experience: One to two years of insurance or clerical experience in a hospital or medical office setting is preferred.

Skills and Abilities: Must pass pre-employment and post-training testing. Strong knowledge of insurance processes and payment collection is essential. Proficiency with Microsoft software and excellent verbal and written communication skills are required. The ability to handle complex situations and stress with professionalism is important. Flexibility to work varying shifts and days off as needed.

Physical Requirements: Ability to communicate effectively, see, and hear to collect information. Dexterity to operate office equipment. Work environment is office-based, well-lit, temperature controlled, and low to moderate noise level. Frequent use of computer and telephone. Ability to lift or move items up to 50 pounds occasionally.

This position serves a regional healthcare network in the Southeastern United States, supporting a diverse patient population with a commitment to quality and patient-centered care.