Office Coordinator

St. Joseph's/Candler; Statesboro (GA); On-site; USD 32,000 - 42,000; Full time

Job summary

St. Joseph's/Candler Office Coordinator provides essential secretarial support to clinical staff, handling telephone calls, routing messages, and verifying patient information for registration and insurance.

You will coordinate scheduling and ensure timely precertification with insurers, while scanning documents into the EMR to substantiate care and claims. The role emphasizes accurate data entry, prompt communication across departments, and adherence to SOPs to maintain patient flow and billing

Qualifications

• Verification of patient demographics, insurance and other vital information required to identify and submit insurance claims for services rendered.
• Coordinate communications to ensure messages reach the appropriate person and respond to inquiries per protocol.
• Monitor precertification needs and communicate with departments to resolve denials.
• Assist in fiscal compliance related to patient billing and coding, including documentation to support charges.

Responsibilities

• Answers telephone, screens calls, routes and relays messages.
• Verifies patient information for registration and insurance verification.
• Coordinates patient scheduling internally and externally.
• Obtains pre certification as required by insurers and/or managed care.
• Scans and enters documentation into EMR to substantiate patient treatment and claim submission.
• Participates in unit activities to promote patient satisfaction and performance improvement.

Skills

Telephone etiquette

Patient communication

Time management

Multitasking

Education

High School Diploma General Studies - Preferred

Tools

EMR system

Insurance verification software

Job description

• The Office Coordinator provides secretarial support to clinical staff. Answers telephone, screens calls, routes appropriately, retrieves and relays messages. Verifies patient information for registration and insurance verification. 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 General Studies - Preferred
• Experience
• 1-2 Years General Medical Office - 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.