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Patient Services Coordinator

2 months ago

Fredericksburg, Virginia, United States Mary Washington Healthcare Full time

Job Summary

This position is accountable for obtaining and verifying patient insurance and pre-authorization information, performing scheduling functions, and collecting self-pay, co-pay, and patient deductibles. The incumbent in this position is accountable for performing a variety of clerical, reception, and other support functions to ensure timely and effective day-to-day operations and communications throughout the healthcare organization.

Essential Functions & Responsibilities:

  • Greet all customers in a courteous and professional manner, addressing their needs efficiently, effectively, and confidentially.
  • Answer telephones courteously, professionally, and promptly, screening and transferring calls or taking messages as appropriate.
  • Assist in handling various patient financial matters, including scheduling tests as ordered by a physician or their office through appropriate scheduling software.
  • Maintain documentation necessary for compliance with regulatory agency requirements, collecting insurance cards and valid ID cards.
  • Obtain authorization information from insurances via their website as applicable.
  • Monitor scheduling work-lists to ensure timely scheduling and insurance verification.
  • Provide patients and/or physicians' offices with instructions for proper pre-procedure preparation.
  • Communicate with insurance companies to determine appropriate benefits, required co-pays, and prorate bills with management approval.
  • Maintain an organized and efficient work area, monitoring patient schedules, workflow, and activities to ensure a smooth and coordinated traffic flow.
  • Reconcile daily charges, ensuring correct CPT, ICD-10, referring physician, and charging information.
  • Perform closing procedures, including tallying daily charges and procedures, reconciling credit card transactions, and submitting total charges and balances.
  • Prepare and maintain CD and film requests, and fax-and-confirm requests by obtaining appropriate HIPAA guidelines and departmental processes.
  • Maintain adequate inventory of supplies and materials, and keep patient records in an organized fashion.
  • Distribute final reports of all procedures to the ordering doctors as appropriate.
  • Serve as a liaison to the patient/guarantor, insurance company, and physician office to ensure all necessary approvals for services rendered and received are documented appropriately.
  • Enter all necessary pre-authorization documentation into Radiology Management Systems (RMS) via the revised schedule information screen.
  • Review pre-authorization denial reports provided by the billing company to ensure accuracy of the pre-authorization process.
  • Provide assistance in other areas of the healthcare organization as needed.

Qualifications:

  • High school diploma or equivalent.
  • Basic computer skills and strong verbal and written communications skills required.
  • Two (2) years related experience in a call center, patient registration, patient accounts, or patient billing preferred.
  • Experience in third-party insurance and insurance terminology, CPT, and ICD-9 codes preferred.