Billing Specialist 3 (Gastro Surgery Counselor)

The-Baton-Rouge-Clinic,-Amc-2; Baton Rouge (LA); On-site; USD 32,000 - 46,000; Full time

Job summary

The Baton Rouge Clinic AMC 2 is seeking a Medical Scheduling Coordinator to manage the coordination of gastroenterology procedures and collaborate with physicians, nurses, and administrative staff.

You will verify insurance eligibility, obtain pre-certifications, communicate patient financial responsibilities, and maintain accurate patient records in a fast-paced outpatient setting.

Qualifications

• 1+ year of experience in medical billing, medical office, or healthcare business office.
• Familiarity with contracted managed care companies, insurance verification, and authorization processes.
• Working knowledge of CPT coding and medical terminology.
• Ability to maintain confidentiality and exercise discretion with sensitive information.

Responsibilities

• Coordinate scheduling of gastroenterology procedures and surgeries with physicians, nurses, and staff.
• Verify patient insurance eligibility, benefits, and coverage for scheduled procedures.
• Obtain required pre-certifications, prior authorizations, and referrals for procedures.
• Review insurance benefits and communicate estimated patient financial responsibility prior to scheduled procedures.
• Collect required patient payments and deposits prior to the scheduled date, including processing credit card payments by phone.
• Communicate with patients regarding scheduling, insurance coverage, financial responsibility, and other administrative needs.
• Collaborate with physicians, nurses, and clerical staff to ensure proper scheduling and coordination.
• Maintain accurate and up-to-date patient accounts, insurance information, authorizations, referrals, and documentation.
• Communicate with insurance companies to obtain coverage and authorization requirements.
• Review CPT codes and payer requirements related to gastroenterology procedures.
• Follow up on outstanding authorizations, referrals, and patient balances to prevent delays.
• Provide professional and compassionate customer service to patients and families throughout scheduling and pre-procedure processes.
• Maintain patient confidentiality and HIPAA compliance.
• Perform accurate data entry, payment processing, and documentation with attention to detail.
• Perform other duties as assigned.

Skills

Medical billing

Insurance verification

CPT coding

Customer service

Data entry

HIPAA compliance

Communication

Organization

Ten-key by touch

Education

High School Diploma / GED

Job description

Description

Essential Duties & Responsibilities:

• Coordinate scheduling of gastroenterology procedures and surgeries in collaboration with physicians, nurses, procedure staff, and outside facilities as appropriate.
• Verify patient insurance eligibility, benefits, and coverage for scheduled gastroenterology procedures.
• Obtain required pre-certifications, prior authorizations, and referrals for procedures and surgical services.
• Review insurance benefits and communicate estimated patient financial responsibility prior to scheduled procedures.
• Collect required patient payments and deposits prior to the scheduled date of surgery or procedure, including processing credit card payments by telephone.
• Communicate with patients regarding procedure scheduling, insurance coverage, financial responsibility, and other administrative needs.
• Collaborate closely with physicians, nurses, medical assistants, and other clinical team members to ensure procedures are appropriately scheduled and coordinated.
• Maintain accurate and up-to-date patient accounts, insurance information, authorizations, referrals, and procedure documentation.
• Communicate with insurance companies and managed care organizations to obtain and clarify coverage and authorization requirements.
• Review and utilize CPT codes, medical terminology, and payer requirements related to gastroenterology procedures.
• Follow up on outstanding authorizations, referrals, insurance requirements, and patient financial obligations to prevent delays or cancellations.
• Provide professional and compassionate customer service to patients and families throughout the scheduling and pre-procedure process.
• Maintain patient confidentiality and comply with HIPAA regulations, organizational policies, and departmental procedures.
• Perform accurate data entry, payment processing, and documentation while maintaining a high level of attention to detail.
• Perform other duties and responsibilities as assigned.

Requirements

Education:

• High School Diploma / GED

Experience:

• Minimum of one (1) year of experience in a medical billing, medical office, or healthcare business office required.
• Prior experience working on the provider or insurance side in a customer service setting preferred.
• Familiarity with contracted managed care companies, insurance verification, and authorization processes.
• Working knowledge of CPT coding and medical terminology.
• Knowledge of gastroenterology procedures and/or surgical scheduling preferred.
• Proficiency in ten-key by touch and basic bookkeeping or financial transaction skills.
• Strong attention to detail and excellent organizational and time-management skills.
• Excellent verbal and written communication and interpersonal skills.
• Ability to explain insurance and financial information clearly and professionally to patients.
• Ability to work effectively in a fast-paced, patient-focused environment while managing multiple priorities.
• Ability to maintain confidentiality and exercise discretion when handling sensitive patient and financial information

Physical Requirements:

• Ability to stand, walk, bend, and reach throughout the workday.
• Ability to lift up to 50 pounds, with or without reasonable accommodation.
• Ability to perform patient care activities and operate standard medical equipment.
• Ability to use computers and standard office equipment.