Scheduling and Billing Specialist

The Scheduling & Billing Specialist supports clinic operations by coordinating scheduling and billing activities, including referral processing, patient communication, insurance verification, authorizations, medical records requests, surgery scheduling, and claim/charge work queue review.

Key responsibilities include:

• Scheduling incoming referrals with patients and referring clinicians
• Managing outgoing referrals and appointment coordination with referral sources
• Verifying insurance eligibility and obtaining required authorizations
• Fulfilling medical records requests and tracking request status
• Scheduling surgeries in pediatric and adult specialty operating rooms
• Coordinating operating room block time and provider schedules
• Arranging surgeon schedules for urgent and routine cases
• Coordinating surgeries with other surgeons and vendors as needed
• Informing patients of scheduled procedures at local and outside facilities
• Preparing clinic records for upcoming appointments
• Ensuring imaging and procedure documentation is complete before follow-up visits
• Working Epic work queues to resolve claim edits and charge review errors
• Scheduling peer-to-peer reviews with insurance companies
• Answering phones, confirming appointments, and addressing patient questions
• Rescheduling appointments as needed
• Verifying patient insurance for upcoming appointments
• Scanning office documents and outside records