Appointment Scheduler

38 Ortho Quarry Lake

2700 Quarry Lake Dr

Baltimore, MD 21209, USA

Position Summary / Scope of Responsibility

The Centers for Advanced Orthopaedics LLC (CAO) is one of the nations largest Orthopaedics practices, owned and operated by physicians, with over 60 locations across Maryland, Northern Virginia, and the District of Columbia. With approximately 2,000 employees, working in 28 Divisions, CAO is a growing business with revenues of approximately $250 Million. CAO is committed to be the Orthopaedics provider of choice for our patients; partner of choice for payors and health systems; and employer of choice by attracting and retaining a talented workforce.

The Scheduler and Authorization Specialist is responsible for performing a variety of patient registration, scheduling, and insurance verification duties. Answers phone calls from patients with professionalism and efficiency to get them registered and scheduled. Responds to routine inquiries regarding online and in office scheduling. Drives requests, tracking, and obtaining of pre-authorization from insurers within time allotted for medical and therapy services being performed. Significant understanding of benefits and prior authorization as well as excellent multi-taking skills and attention to detail are paramount to complete the many aspects of this role.

Duties include, but are not limited to :

• Contribute to the achievement of excellence in health care to fulfill the mission of the unit.
• Exhibit strong and care-focused customer service skills in daily interaction with the public, patients, staff, and physicians in the performance of job duties.
• Scheduling, changing, and updating patient appointments.
• Interview patients for demographic information, evaluate eligibility, collect co-pays, deductibles, including but not limited to insurance verification.
• Contact insurance carriers to verify patients insurance eligibility, benefits, and requirements.
• Request, track and obtain pre-authorization from insurance carriers within time allotted for medical and Therapy services.
• Process insurance authorizations and update patient records.
• Research referrals to deny or approve based on information obtained and appropriately identify diagnosis (CPT and ICD-10 coding).
• Operate online insurance verification websites.
• Communicate any insurance changes or trends among team.
• Respond to patient inquiries, questions, and scheduling requests.
• Participate in department's Performance Improvement activities.
• Clearly document all communications and contacts with providers and personnel in standardized documentation requirements, including proper format.
• Educate patients and coworkers on preauthorization process and assist with understanding coverage information.
• Utilize computer software programs, as needed, to communicate and understand patient needs (i.e. scheduling, EMR, etc.)
• Report all necessary information and / or unusual occurrences in accordance with established policies and procedures.
• Participate in orientation programs.
• Ensures consistent compliance with all regulatory and CAO guidelines, policies, and procedures.
• Performs other duties as assigned.

Required Education & Experience

Physical Demands

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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