Note: The job is a remote job and is open to candidates in USA. Randstad Digital Americas is hiring a Pre-Service Scheduling Specialist for a healthcare scheduling contract role. The position schedules and pre-registers patients for Sparrow Health System while verifying insurance, obtaining authorizations, completing financial clearance activities, and collecting patient payments.
Responsibilities
- Scheduling patient appointments, completing pre-registration, verifying insurance eligibility and benefits, obtaining authorizations, collecting patient payments, providing service estimates, entering ICD-10 codes, completing medical necessity checks, and following modality-specific protocols to ensure patients are scheduled appropriately and safely
- Interview patients and/or physician offices to schedule appointments and complete pre-registration
- Collect and accurately document demographic and financial information required for billing
- Enter appropriate ICD-10 codes for registration and billing purposes
- Transcribe verbal physician orders accurately, including relevant medical information needed to schedule procedures
- Provide patients with appropriate test preparation instructions
- Verify physician orders for accuracy and ensure they meet payer and compliance requirements
- Complete medical necessity checks during the scheduling process
- Verify insurance eligibility and covered benefits
- Obtain and verify required insurance authorizations
- Use appropriate resources when scheduling stat, add-on, or unfamiliar procedures
- Respond promptly to patient and provider scheduling requests
- Educate patients regarding their estimated financial responsibility prior to the point of service
- Provide service estimates upon patient request
- Collect prepayments for hospital services not covered by insurance, including copays, deductibles, and prior patient balances
- Process accounts held internally or rejected by payers due to registration, authorization, or financial clearance errors
- Perform additional duties as assigned by leadership
Skills
- Associate degree in healthcare billing, accounting, business, or a related field and at least 1 year of healthcare scheduling and patient registration experience; or
- High school diploma/GED and at least 3 years of healthcare-related experience in scheduling, billing, and/or registration
- Healthcare scheduling
- Medical billing
- Health insurance verification
- ICD-10 coding
- Medical necessity checking
- Insurance authorizations
- Copay and patient payment collections
- Excellent word processing and computer/typing skills
- Strong interpersonal and communication skills
Benefits
- Remote work
- Medical insurance offerings, based on eligibility
- Prescription insurance offerings, based on eligibility
- Dental insurance offerings, based on eligibility
- Vision insurance offerings, based on eligibility
- AD&D insurance offerings, based on eligibility
- Life insurance offerings, based on eligibility
- Short-term disability, based on eligibility
- 401K plan, based on eligibility
Company Overview
Company H1B Sponsorship