To coordinate and schedule appointments for surgeries and follow-up appointments for multiple physicians at multiple sites (VCUHS ACC, Main OR, Stony Point and Southside Regional). Responsible for preauthorization/precertification of all surgeries for assigned physicians at all patient locations. Responds to all inquiries from patients, insurance carriers and PC P’s by telephone and/ or written correspondence using quality customer service. Works with department billing staff to investigate all denials, and with assistance from providers, resubmits appeals as necessary.

Level and type of experience REQUIRED
Minimum of two (2) years experience in a medical office/acute care setting to include the use of medical terminology, customer service and appointment scheduling

Minimum of three (3) years experience with third party medical insurance, HMO and managed care

Level and type of experience PREFERRED
Four (4) years previous experience in surgery scheduling
Previous experience with C PT and ICD-9 coding for medical claims processing
Work experience using GE/IDX, Cerner

Education/training REQUIRED
High School Diploma or equivalent

Education/training PREFERRED
Associate Degree in Business Management or closely related field from an accredited program