Patient Services Coordinator II
1 week ago
Job Overview
This position is responsible for executing various processes within Patient Access, including scheduling, pre-registration, financial clearance, authorization, and referral validation. The role serves as the initial point of contact for patients and their families, ensuring they understand what to expect and their financial obligations. The individual will manage clinical and financial risks by accurately collecting and documenting patient information, while also providing training and support to team members as needed.
Key Responsibilities:
- Conducts scheduling and pre-registration tasks, ensuring the accuracy of patient demographic data, verifying medical benefits, and obtaining necessary clinical information. Responsible for correcting and updating data to ensure timely billing submissions. (20%)
- Confirms insurance details through direct communication with payors, utilizing online resources or electronic verification systems. Identifies necessary authorizations and referrals, providing documentation and follow-up as required. (20%)
- Assesses patient financial responsibilities, calculates estimates, collects payments, and performs daily reconciliations. Escalates complex financial cases to Financial Counselors when necessary. (20%)
- Ensures a positive experience for patients by fostering strong relationships with patients, leadership, staff, and external partners. Engages in effective communication to facilitate information exchange and collaboration. (10%)
- Maintains productivity standards and suggests innovative strategies to enhance performance and efficiency. (10%)
- Adheres to organizational policies and procedures, completing mandatory training and educational sessions as required. (10%)
- Communicates any operational challenges or productivity issues to the team lead, assisting colleagues with support and training as needed. (10%)
- Performs additional duties as assigned.
Qualifications:
Minimum Requirements:
- High school diploma or GED; or one to three months of related experience and/or training; or an equivalent combination of education and experience.
- At least two years of relevant experience, preferably in a healthcare, financial services, or high-demand customer service environment.
- Proficient in operating a PC and utilizing software applications.
Preferred Qualifications:
- Certification from the Healthcare Financial Management Association or as a Certified Revenue Cycle Representative.
- Experience in a call or service center environment.
Highmark Health and its affiliates are committed to providing equal employment opportunities and prohibit discrimination based on protected characteristics. We strive to create an inclusive environment for all employees.
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