Patient Care Coordinator

2 days ago

Gilbert, Arizona, United States LA BUSINESS MANAGEMENT SERVICES, LLC Full time
Job Description

As a Patient Care Coordinator with LA Business Management Services, LLC, you will play a vital role in ensuring the smooth operation of our front office. Your primary responsibilities will include:

Key Responsibilities:

  • Verifying patient insurance and collecting appropriate dues
  • Balancing and reconciling money collected during your work shift
  • Scheduling appointments and maintaining the schedule as needed
  • Confirming appointments for providers, aestheticians, and RNs
  • Creating and maintaining patient charts, ensuring up-to-date information at all times
  • Preparing superbills accurately and in a timely manner
  • FOLLOWING ALL HIPAA REGULATIONS, KEEPING PATIENT PERSONAL AND FINANCIAL INFORMATION CONFIDENTIAL
  • Anticipating and responding positively to changing conditions
  • Ability to stay focused on what needs to be accomplished while under pressure
  • Ability to listen and communicate effectively and kindly while listening to patient complaints
  • Keeping the front office neat and orderly to maintain our high standards
  • Maintaining inventory, placing orders weekly as needed
  • Other duties as assigned to assist the overall function of your location

Insurance and Billing:

  • Verify insurance (deductible and copay amounts)
  • Know the difference between an HMO and PPO
  • Ability to know the difference between Blue Cross and Blue Shield
  • Ability to determine Medi-Cal HMO patients requires authorization and should be billed to Medical Group or IPA
  • Ability to read insurance card and input the correct payer ID or payer name and address
  • Ability to know Military Insurance programs require specific policy info (SS# or 11 Digit ID)
  • Ability to multi-task in an expeditious manner
  • Ability to know if the payer is contracted with Tax ID/NPI
  • Verify authorization for HMO commercial and Medi-cal HMO
  • Awareness of completing all patient demographics to avoid claim rejections
  • Ability to post copays into EMA
  • Ability to verify straight Medicare vs Medicare Advantage Plan
  • Distinguish primary insurance vs secondary insurance

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