Invasive Scheduling and Prior Authorization Specialist
About the Company
CardioOne partners with independent cardiologists to provide innovative solutions that improve patient outcomes and reduce costs. Our value-based cardiology care solutions help our physician partners thrive in the shift to value-based care. CardioOne offers a magnificent work environment, good working conditions, and competitive pay.
We take pride in creating a culture of employee engagement that translates into an exemplary patient experience. Join us in our mission to positively impact US cardiology.
About the Job
Cardiovascular Specialists of New England is seeking a detailed Invasive Scheduler/Prior Authorization Specialist. You will perform various duties along with arranging operative and/or invasive procedural appointments for multiple hospital departments carefully coordinating services to ensure timely access to care. With Prior Authorizations, you will be responsible for obtaining prior authorization from payers for Cardiology services. You will report directly to the Office Manager.
What you’ll do:
- Schedules all outpatient surgeries and procedures as requested by the cardiologist or office staff
- Obtains and adds patient demographics and insurance information into the billing system
- Contacting payers to verify patient benefits and obtain necessary authorization
- Prepares and distributes the daily surgery schedule to staff
- Confirms and documents the need (or lack of) for an authorization and takes the appropriate actions to ensure the authorization is obtained.
- Verify the basic patient/service information is available.
- Prioritizes the urgency of the authorization by anticipating the approximate time it may take to obtain the authorization from the insurance company, the complexity of the procedure and the scheduled date of service; follows up with insurance company to accelerate responses and expedite urgent authorizations.
- Solid understanding of insurance verification, insurance registration workflows, and prior authorization requirement.
What you’ll need:
- Prior experience in a fast-paced hospital or clinic based in cardiology preferred
- High school diploma or GED required
- Minimum one (1) year scheduling experience in an ambulatory surgery facility, acute-care hospital, or doctors office
- Strong verbal and written communication skills
- Ability to maintain patient confidentiality in all areas.
- Able to work independently in high pressure situations.
Work Location:
You will work out of Manchester, New Hampshire or Londonderry, NH office based on needs of the offices.
Additional Information
Full-time base hourly rate of $21.00 to $24.00 per hour plus medical, dental, and vision.
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