Amberwell Health

Scheduler

• Schedule patients and coordinate centralized scheduling
• Obtain and verify prior authorizations
• Create estimates of services
• Conduct financial conversations with patients and/or guardians
• Assist patients, guardians, and provider offices courteously and professionally
• Ensure accuracy and integrity of patient information and test orders
• Coordinate with physicians, nurses, staff, patients, and medical departments
• Confirm appointments, prior authorizations, and medical orders
• Validate prior authorization CPT codes against ordered tests and troubleshoot discrepancies
• Verify medical necessity and obtain procedure-related diagnoses
• Assign diagnosis codes using a computerized encoding system
• Enter codes into medical necessity software to obtain approval
• Contact providers to validate or obtain additional diagnoses
• Create and process Advanced Beneficiary Notices when applicable
• Verify insurance benefits, copays, deductibles, and coinsurance
• Inform patients or departments of financial responsibilities
• Direct patients to Financial Counselors for payment arrangements or financial assistance
• Troubleshoot computer-system issues and perform table maintenance if designated as a Super User
• Maintain confidentiality and protect sensitive data
• Provide exceptional customer service
• Perform other duties within the Patient Financial Services department as requested

Prior Authorization, Centralized Scheduler