Office Coordinator - St. Josephs Candler

• Position Summary
  • The Office Coordinator is responsible for coordinating the patient flow from the front office to the clinical area and providing secretarial support to clinical staff. Answers telephone, screens calls, routes appropriately, retrieves and relays messages. Verifies and enters patient information for registration and insurance verification. Collects co-pays and other patient payments and processes appropriately. Coordinates patient scheduling internally & externally. Obtains pre certification as required by healthcare insurers and/or managed care. Scans & enters documentation to EMR to substantiate patient treatment & claim submission. Participates in unit activities to promote patient satisfaction and performance improvement.
• Education
  • High School Diploma - Preferred
• Experience
  • 1-2 Years General Medical Office - Required
  • Pre-certification experience required and physical therapy pre-certification experience preferred.
• License & Certification
  • None Required
• Core Job Functions
  • Verification of patient demographics, insurance and other vital statistical information required to identify and submit insurance claims for services rendered. Collect information required by government and the health system for analysis as necessary. Scan required documentation to support necessary insurance and healthcare claim processing.
  • Coordinate various forms of communications to ensure messages and correspondences are delivered to the appropriate person. Respond timely to inquiries according to protocol. Prioritize messages and follow up to assure response to urgent messages has occurred.
  • Monitor various reports for precertification need. Perform initial review prior to date of service and concurrent review until precertification obtained. Communicate and collaborate with other departments to eliminate precertification denials.
  • Assures fiscal compliance related to patient billing and coding. Correctly bill patients for services and accurately document to support charges.
  • Perform patient and provider scheduling activities according to SOPs to include but not be limited to clinic visits, referral visits, diagnostic and other treatment visits. Maintain clinical schedule to assure appropriate patient flow per medical staff's expectations and guidelines. Review daily authorization status with insurance representative for all patients coming to the service.
  • Collects, orders and maintains inventory of practice supplies. Follows appropriate schedule templates.

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