Facility

CFV Gastro QC - Building

Location

Fayetteville, North Carolina

Department

CFV Gastroenterology Quiet Cove

Job Family

Clerical

Work Shift

Days (United States of America)

Summary

Obtains and/or verifies demographic, clinical, financial, and insurance information in the process of appointment making for patient tests and procedures, pre-registering and financial clearing for service delivery. Validates medical necessity (LMRP/LCD review) of Medicare and Non-Medicare cases to ensure clinical and financial clearance. Additionally, the incumbent obtains and processes signed physician orders to ensure clinical documentation for care delivery. The incumbent conducts online insurance eligibility/perk verification, pre-certification/authorization, referral clearance and financial education on designated cases. As appropriate, the incumbent notifies patient/guarantor and collects patient liabilities, and refers appropriate cases to resource counseling for follow-up and consultation.

Major Job Functions





The following is a summary of the major essential functions of this job. The incumbent may perform other duties, both major and minor, that are not mentioned below. In addition, specific functions may change from time to time:

Receive orders and schedule outpatient appointments for all modalities except biopsy and special procedures and all radiology outpatient facilities
Determines proper scheduling requirements and/or limitations according to requested tests/procedures and schedules resources (equipment, staff, room, etc.)
Coordinates add-on and same-day appointments as required
Ensures proper test sequencing with minimal patient delays, when multiple testing is required.
Performs insurance eligibility/benefit verification, utilizing a variety of mechanisms (EDI transactions, web access and by calling payers) and documenting information within the appropriate registration system; supporting with reference number.
Pre-registers the patient for upcoming

📌 Scheduler Full Time Days Ratlam
🏢 Cape Fear Valley Health
📍 Ratlam