Urology Patient Care Coordinator

2 weeks ago

West Columbia, South Carolina, United States Prisma Health Full time

Inspire health. Serve with compassion. Be the difference.

Job Overview

The role involves managing various aspects of the front office operations within a Physician Practice. Responsibilities may encompass a range of front office tasks as outlined below.

Key Responsibilities

  • Ensure thorough and precise patient registration, pre-certification, and charge capture, while accurately coding diagnoses as provided by physicians. Responsible for posting payments and reconciling with daily computer reports. This position demands exceptional public interaction and interpersonal skills. Facilitate patient pre-payments and uphold financial agreements prior to service delivery. Collect charge information, code it, enter it into the database, complete the billing process, and distribute billing information. File insurance claims and assist patients in completing necessary insurance forms. Manage unpaid accounts by reaching out to patients and third-party payers. - 20%
  • Act as a liaison between patients and medical support personnel. Welcome patients and visitors in a prompt, courteous, and helpful manner. Check in patients, verify and update insurance information in the patient accounting system. Obtain required signatures on all necessary forms and documents. Assist patients with mobility challenges. Maintain the appointment schedule and adhere to office scheduling protocols. Provide front office phone support as needed. Screen visitors and respond to routine inquiries. Gather, accurately code, and post outpatient charges. Process vouchers and private payments, updating registration screens as needed. Research address verification as necessary. Assist with processing returned mail statements and outgoing statements. Collect billing information for all physicians for patients seen in practice. Perform cashiering duties, including monitoring and balancing the cash drawer daily. Prepare daily cash deposits. Receive payments from patients and issue receipts. Code and post payments while maintaining required records, reports, and files. Collaborate with patients to secure prepayment sources or financial agreements prior to service. Work with other staff to achieve account resolution. Assist with outpatient coding and error resolution. Process edits and customer service requests for resolution within specified timeframes. Identify trends and communicate issues to management. Update the patient account database. Maintain current information on physician schedules. Schedule surgeries, ancillary services, and follow-up outpatient appointments as requested. Address inquiries regarding patient appointments and testing. Assemble patient charts for upcoming visits. Update patient profiles, ensuring completeness and accuracy. Oversee the waiting area, coordinate patient movement, and report any irregularities. - 20%
  • Assist patients with inquiries related to insurance claims, disability benefits, home healthcare, medical equipment, and surgical care. Process benefit correspondence, signatures, and insurance forms to expedite the payment of outstanding claims. Aid patients in completing necessary forms for hospitalization or surgical pre-certification from insurance companies. Follow up with insurance providers to ensure coverage approval. Document all actions and maintain permanent records of patient accounts. Address patient questions and inquiries regarding their accounts. Confirm all workers' compensation claims with employees. Prepare disability claims promptly. Follow up with insurance companies to ensure claims are paid as directed. Maintain files containing referral slips, medical authorizations, and insurance documentation. - 20%
  • Research all necessary information to complete the outpatient billing process, including obtaining charge information from physicians. Code information regarding procedures performed and diagnoses. Enter charge information into the online entry program. Process and distribute copies of billings according to clinic policies. Assist with outpatient coding and error resolution. Retrieve charts for scheduled appointments in advance. Manage the delivery, transportation, sorting, and filing of returned charts. Collect lab reports, dictations, X-rays, and correspondence. Regularly check for misfiled charts and refile according to the established system. Maintain organized files. File all medical reports. Purge obsolete records and files in storage. Destroy outdated records following established retention and destruction procedures. Create new patient charts. Repair damaged charts. Assist in locating and filing records. Collaborate with medical assistants and other staff to route patient charts to the appropriate locations. Adhere to medical records policies and procedures. - 20%
  • Collect payments at the time of service for outpatient visits. Review each account via computer to ensure timely payments. Perform collection actions, including contacting patients by phone and resubmitting claims to third-party payers. Assess patient financial status and establish budget payment plans. Review accounts for potential assignment to collection agencies and make recommendations to management. Identify and resolve patient billing complaints. Collaborate with other staff to follow up on accounts until a zero balance is achieved or the account is turned over for collection. Participate in educational activities. Gather and verify superbills for specified practices daily. Enter all charge and same-day payment information for patient visits and hospital patients, ensuring accuracy in coding, charging, and patient insurance status. Print daily reports to verify charge entry balancing at the end of the day. Back up and close computer files daily, logging appropriately. Register new patients after verifying their status on computer inquiries. Update financial information as indicated. Maintain strict confidentiality. Participate in educational activities. Perform related duties as required. As a representative of Prisma Health, maintain a neat and professional appearance, demonstrate a commitment to service, and uphold the guidelines set forth in the office manual. - 20%

Supervisory/Management Responsibility

This position is non-management and reports to a supervisor, manager, director, or executive.

Minimum Qualifications

High School diploma or equivalent OR Post-high school diploma.

No prior experience required.

Preferred Skills and Experience

  • Associate's Degree in a technical specialty program of at least 18 months in length.
  • Experience in a multi-specialty group practice setting.
  • Basic understanding of ICD-9 and CPT coding.

Work Schedule

Day shift.

Facility

Urology Practice Operations.

Share your talent with us. Our vision is to transform healthcare for the benefit of the communities we serve. The transformation of healthcare requires talented individuals in every role at Prisma Health.

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