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Prior Authorization, Centralized Scheduler
Amberwell Health. Schedule patients and coordinate centralized scheduling .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient scheduling, financial conversations, and prior authorization processes while ensuring accuracy and confidentiality of patient information. Proficient in coding and utilizing medical necessity software to facilitate approvals and maintain compliance.
Highest-signal resume keywords
Patient Scheduling CoordinationPrior Authorization VerificationMedical Coding ProficiencyCustomer Service ExcellenceCertified Medical Assistant Certification
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical CodingPrior Authorization ProcessesCPT Code ValidationMedical Necessity SoftwareFinancial EstimationData EntryAppointment ConfirmationAdvanced Beneficiary NoticesInsurance VerificationConfidentiality Maintenance
Soft Skills
Effective CommunicationTeam CollaborationCultural Diversity AwarenessIndependent Work AbilityCustomer Interaction
Certifications & Qualifications
Certified Medical Assistant
Industry Keywords
Health Care Office SettingPatient Financial ServicesFinancial CounselingMedical DepartmentsPatient Information Integrity
About the role
Key responsibilities & impact- 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
Requirements
What you’ll need- High school education level is listed
- Minimum required experience in a health care office setting and/or customer service
- Certified Medical Assistant or similar degree with experience
- Ability to work independently and as a member of a team
- Ability to understand and follow safe work practices
- Ability to follow Amberwell procedures and established policies
- Knowledge of cultural diversity
- Communication skills necessary to interact effectively with patients, families, customers, physicians, nurses, staff, and medical departments
- Ability to maintain confidentiality and protect sensitive data
- Preferred: 2+ years of experience
- Preferred: Certified Medical Assistant certification
Benefits
Comp & perks- Full-time employment
- 8-hour day shift
- No travel required
- Employee appreciation events and activities
- Professional environment focused on consistency, collaboration, and patient-first decision making
- Servant leadership modeled and mentored
- Regular appreciation