Job Details

PRECERT CLERK OUTPATIENT SCHEDULER

  2025-12-12     State of Franklin Healthcare Associates     Kingsport,TN  
Description:

WHO WE ARE:
State of Franklin Healthcare Associates is a physician-led and team member-owned multi-specialty care group headquartered in Johnson City, TN with 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!


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