William Newton Hospital · 3 days ago
Centralized Scheduling/Pre-cert Specialist
Winfield, KS
Full-time
Onsite
Entry Level
1+ years expWilliam Newton Hospital is seeking a Centralized Scheduling/Pre-cert Specialist to enhance the operation of their Ancillary Services while ensuring high standards in patient care. The role involves coordinating patient appointments, managing insurance verifications, and facilitating communication between patients and healthcare providers.
Health CareHospitalMedical
Responsibilities
Effectively manage and coordinate patient appointments, ensuring that schedules are optimized to maximize resource utilization and minimize patient wait times
Act as a liaison between patients, physicians, and healthcare staff to schedule appointments, relay information, and handle any necessary changes
Verify patient insurance coverage using tools like TruBridge, Availity, Phone calls, and Payer Portals
Obtain necessary prior authorizations for services, ensuring accuracy and compliance with insurance guidelines
Maintain accurate and detailed records of patient appointments, including cancellations and rescheduling
Ensure that all relevant patient data is properly documented
Provide top-tier customer service by answering patient inquiries, addressing concerns, resolving scheduling conflicts, and accommodating urgent appointment requests
Work closely with other departments, Radiology, Respiratory, Billing, Admissions, Outside Clinics, Lab, and clinical and administrative teams to ensure the smooth coordination of patient care and services
Utilize scheduling software to effectively manage appointments, update patient data, and keep track of scheduling needs
Maintain the confidentiality of patient information at all times in accordance with HIPAA regulations
Attend department meetings and training sessions to stay informed about new procedures, tools, and protocols relevant to your role
Answer phone calls, manage inquiries from patients, insurance companies, and healthcare providers, and ensure accurate and efficient communication that supports patient care
Contribute to team efforts by using spreadsheets and other tools to assist in communication and tracking of patient care
Assist with any other tasks that support the team’s goal of delivering superior patient care, such as helping to schedule patients, up-front collections, no-show calls/rescheduling, reminder calls/texts and Good Faith estimates
Qualification
Required
High school diploma or equivalent
Familiarity with medical terminology, healthcare procedures, and the insurance verification process is required
Ability to read and communicate effectively in English, both verbally and in writing
Proficient in using scheduling software, electronic health record (EHR) systems, and Microsoft Office applications, including Excel, Outlook, Teams/Zoom and Word
Strong verbal and written communication skills are essential for interacting professionally with patients, healthcare providers, and internal teams
Excellent attention to detail and organizational abilities are crucial in this fast-paced environment
The ability to troubleshoot scheduling conflicts, manage patient requests, and resolve issues promptly
Preferred
Knowledge of CPT/HCPCS codes and ICD -10 codes
Experience: Minimum 1 year prior experience in a medical office environment, particularly in scheduling, administration, or customer service
Knowledge of platforms such as TruBridge, Availity, other Payer-specific Provider Portals for insurance verification
Company
William Newton Hospital
William Newton Hospital is a not-for-profit community general hospital dedicated to providing safe and quality patient care.
201-500 employees
H1B Sponsorship
William Newton Hospital has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (1)
2023 (1)
2022 (3)
2021 (2)
2020 (4)
Funding
Current Stage
Growth StageLeadership Team
Kara Goff
Chief Financial Officer
Brandy Cuevas, MHA, RN
Chief Operating Officer
Company data provided by crunchbase