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Summary: responsible for the coordination of the authorization/scheduling process, including but not limited to submitting clinical documentation, tracking approvals, initiating appeals for denials, and scheduling appointments. Prepare up-front collection documentation and enter patient information into scheduling and registration system, including pre-registration, and insurance authorization documentation.

Scheduler/Authorization Coordinator Summary: responsible for the coordination of the authorization/scheduling process, including but not limited to submitting clinical documentation, tracking approvals, initiating appeals for denials, and scheduling appointments.Essential Duties and Responsibilities<ul><li style="text-align:left">Submit, review, and process pre-authorization requests via insurance portals or phone.</li><li style="text-align:left">Collect and send necessary clinical documentation and medical necessity notes.</li><li style="text-align:left">Monitor the status of submitted requests and managing denials, including filling appeals.</li><li style="text-align:left">Acquire and verify insurance benefits and precertification as required by insurance.</li><li style="text-align:left">Obtain and review physician orders for scheduling of outpatient testing.</li><li style="text-align:left">Schedule required outpatient testing and procedures for Surgery, Cardiology, and other Outpatient procedures.</li><li style="text-align:left">Acquire medical necessity for all Medicare patients and perform net compliance for Medicare patients to adhere to Medicare guidelines.</li><li style="text-align:left">Prepare up-front collection documentation and enter patient information into scheduling and registration system, including pre-registration, and insurance authorization documentation.</li><li style="text-align:left">Other duties as assigned.</li></ul> ****MMH is an equal opportunity employer****Minimum Qualifications: High school diploma or GED required. Previous hospital, medical scheduling/billing office or collections, or prior authorization experience required. Prior clinical experience preferred.

Scheduler Jobs in Mayfield, KY

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Scheduler Jobs in Mayfield, KY

Scheduler/Authorization Coordinator Massac Memorial Hospital

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