Precert Clerk Outpatient Scheduler- Central Services

Pre-Cert Clerk / Outpatient Scheduler

Seeking a Pre-Cert Clerk / Outpatient Scheduler to join our Central Services team. Office hours are typically 8-5, Monday through Friday.

WHO WE ARE:

State of Franklin Healthcare Associates is a physician-led and team member-owned multi-specialty care group of more than 250 providers and 900 team members headquartered in Johnson City, TN with 35 locations in the upper East Tennessee & Southwest Virginia region. Our mission is to improve the health and well-being of our patients and our team members.

PRIMARY RESPONSIBILITIES:

• Schedule outpatient diagnostic tests and referrals as ordered.

• Knowledge of insurance carrier requirements.

• Organize/Provide necessary information to obtain necessary authorizations or precertification from insurance carriers.

• Notify patients of scheduled appointments and document their acknowledgment.

• Counsel patients regarding special preparation for procedures and answer questions.

• Contact insurance payers daily: Medicare, BlueCross BlueShield, and others.

• Review claim denials and appeal when justified.

• Verify the accuracy of coding.

• Compile and prepare reports.

REQUIREMENTS:

• High school diploma or GED

EXPERIENCE:

One year of general clerical experience, preferably in a medical office setting. Word processing and computer experience. Familiarity with local insurance policies and their referral requirements.

WHAT WE OFFER:

State of Franklin Healthcare provides a comprehensive and competitive total compensation package designed to meet the needs of our full-time team members including:

• Company Provided Life and Accidental Death and Dismemberment Insurance

• Company Provided Long Term Disability Insurance

• Employee Stock Ownership Plan

• 401(k) Company Contributions

• Voluntary options for Medical, Dental, Vision, and additional Life Insurance.

• Company match in Health Savings Account Plans (restrictions apply)

• Vacation, Personal, Sick and Holiday Time Off

• An array of team member perks and discounts

• Tuition Assistance Programs

• And more!

Qualifications