
Patient Scheduling Representative
Posted 2 days ago

Posted 2 days ago
This is a fully remote position, open to applicants in Alabama, +13 more states.
• Verify and gather patient demographic and insurance details through direct data entry into the electronic medical record during scheduling and referrals.
• Conduct face-to-face or inbound/outbound telephone interviews with patients or their authorized representatives.
• Record discussions and referral/scheduling activities in the encounter, schedule book, and patient chart.
• Navigate web-based products and system applications for registration and scheduling purposes.
• Accurately identify patients and enter clinical, demographic, and insurance information.
• Provide explanations of scheduled procedures and necessary patient instructions.
• Document patient visits, provider communications, orders, insurance verification, financial education, and payments.
• Clarify legal forms and obtain required signatures.
• Identify insurance carriers and record eligibility, benefits, and authorization requirements.
• Submit notifications and secure authorizations for medical services, surgical procedures, and inpatient/observation stays.
• Educate patients regarding insurance eligibility, coverage, and medical financial assistance programs.
• Collect patient financial liabilities and perform payment entry along with cash reconciliation.
• Execute PBX switchboard functions, handle calls, page codes and fire alarms, and manage assigned call volumes.
• Assist clinical departments with registration, scheduled-service data entry, provider orders, insurance coverage, and financial-assistance inquiries.
• Report safety incidents using the Midas/RDE tool and monitor the workplace for safety concerns.
• Ensure compliance with relevant regulations, statutes, and company policies.
• Complete mandatory modules and job-specific training.
• High School Diploma or GED — Required.
• Coursework in Medical Terminology — Preferred.
• Basic computer skills, including keyboarding at a speed of 25–35 words per minute — Preferred.
• One year of experience in a call center or customer service role, or one year of experience in a medical facility — Preferred.
• Proficiency in Microsoft Applications, including Excel, Word, and PowerPoint — Preferred.
• Ability to navigate web-based products or system applications for registration and scheduling.
• Basic understanding of EMTALA and HIPAA-Privacy regulations regarding patient confidentiality.
• Foundational knowledge of CPT and ICD-10 diagnosis coding documentation.
• Basic understanding of Medicare, AHCCCS/Medicaid, Workers Comp, and commercial payer requirements.
• Competence in using computers and basic software programs.
• Must maintain required certifications and/or licenses current if necessary for the role.
• Must complete mandatory modules and job-specific training within the allocated timeframe.
• Residence in one of NAH's eligible remote-hiring states: Alabama, Arizona, Florida, Georgia, Idaho, Indiana, Kansas, Michigan, Missouri, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee, or Texas.
• Regular Full-Time position, 40 hours per week.
• Opportunity for remote work / telecommuting.
• Access to company-mandated modules and job-specific training.
• Safety-related training programs available.
• Medical financial assistance programs discussed with patients.
The Cigna Group
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