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Patient Scheduler

Company: Prime Health Services
Location: Franklin
Posted on: January 9, 2022

Job Description:

Prime Health Services (PHS) is a national medical cost containment company with a noteworthy PPO Network used by insurance carriers, TPA's, self-insureds, and governmental entities. Our tech-focused nature allows clients to take advantage of the flexibility of customization while not compromising on bill processing speed. Since 2001, we have specialized in medical provider network development and offer clients a tailored approach to medical cost containment: quality health care at discounted rates.The Patient Scheduler position reports to the Director of Patient Advocacy and works collaboratively with Prime Health Services' clients and referred patients to ensure timely scheduling of patient appointments consistent with their requests and defined treatment plan. This position refers cases, where in-network providers are not available in the desired geographic area, to the Provider Negotiation Specialist or the Provider Contracting team to secure a single case agreement with an appropriate provider. With a primary focus to deliver quality customer service to the patients and clients served, this position must demonstrate excellent communication, documentation, and follow-up skills throughout the management of each assigned case. Essential Job FunctionsSchedules medical appointments in the PHS scheduling tool as requested and directed by PHS clients and the referred patients in a timely mannerUpdates case status in the PHS scheduling tool with accurate and current information Updates client regarding status (balance of dollars allotted to each case) when patient expenses are nearing the maximum allotment to receive direction as to next steps, i.e. increase allotted dollar amount assigned to the case or close the caseRefers out-of-network providers to the Provider Negotiation Specialist to obtain a single case agreement and to the Provider Contracting team to contract the provider to the PHS network.

High School Diploma or equivalent (GED) and 2 years of experience working in a healthcare, insurance, claims processing, and/or medical billing/pricing settingCertification from a recognized Medical Assistant training program is preferredPrior patient scheduling, billing, and insurance verification experience is preferred Demonstrated proficiency in Microsoft Office - Excel, PowerPoint and WordCompetenciesDetail focused and the ability to multi-task and adhere to established goalsAbility to work in a fast paced, changing environment; flexible to meet business needsResults driven team player Ability to maintain confidential information as requiredExcellent communication skills (oral and written)Superb organizational, problem solving, and time management skillsAbility to maintain a calm and professional demeanor in stressful situationsPM21PI160173134

Keywords: Prime Health Services, Franklin , Patient Scheduler, Other , Franklin, Tennessee

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