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Medical Training Coordinator

2 months ago

Ventura, California, United States Guidehouse Full time
Job Summary

The Pre-Admitting Coordinator is a key member of the healthcare team, responsible for ensuring seamless patient access and revenue cycle management. This role requires strong analytical and communication skills, with the ability to work effectively in a fast-paced environment.

Key Responsibilities
  • Authorization and Registration
    • Obtain precertification and validate prior authorization statuses for commercial, government, and other payors.
    • Collect and record demographic and insurance information to ensure accurate authorization and financial clearance.
  • Data Analysis and Quality Assurance
    • Analyze and interpret data to maintain high levels of authorization accuracy and quality assurance.
    • Identify and resolve issues related to patient access and revenue cycle management.
  • Collaboration and Communication
    • Interact and collaborate with physician practices, hospital departments, and other stakeholders to resolve issues and ensure hospital reimbursement.
    • Communicate effectively with patients, payers, and other parties to provide clear and concise information.
  • Compliance and Regulatory Knowledge
    • Maintain a working knowledge of applicable Federal, State, and local laws and regulations, as well as organizational policies and procedures.
    • Ensure adherence to HIPAA confidentiality and security regulations, as well as other relevant standards.
Requirements
  • Education and Experience
    • High school graduate or equivalent.
    • One year of experience in Patient Access/Revenue Cycle/Medical Billing/Financial Counseling or Customer Service.
  • Skills and Knowledge
    • Basic understanding of Microsoft Office suite offerings (Word, PowerPoint, Excel).
    • Ability to analyze and interpret data.
    • Team-oriented, open-minded, flexible, and willing to learn.
    • Ability to maintain Quality Assurance, Productivity, and other Key Performance Indicator (KPI) expectations/standards.
About Guidehouse

Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. We are committed to creating a diverse and supportive workplace that values and respects all employees. If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity.