Office Coordinator (Scheduling)-PRN Weekends

Mary Washington Healthcare; Virginia; Presencial; USD 26.000 - 34.000; Jornada completa

Descripción de la vacante

Mary Washington Healthcare is seeking a patient access specialist to obtain and verify patient insurance and pre-authorization information, perform scheduling, and collect self-pay, co-pays, and deductibles across the Medical Imaging of Frederickburg locations. The role includes clerical and reception support, answering calls, greeting patients, and entering outpatient imaging orders.

You will monitor workflow, ensure compliance with HIPAA, and coordinate with insurance companies and

Formación

• High school diploma or equivalent.
• Strong verbal and written communications skills.
• Two (2) years related experience in a call center, patient registration, patient accounts, or patient billing preferred.
• Experience in third party insurance and insurance terminology, CPT, and ICD-9 codes preferred

Responsabilidades

• Greets all customers in a courteous and professional manner.
• Answers telephones courteously, professionally, and promptly; screens and transfers calls or takes messages as appropriate.
• Assists in handling various patient financial matters.
• Schedules tests as ordered by a physician or through appropriate scheduling software.
• Maintains documentation necessary for compliance with state, federal and other regulatory agency requirements; collects insurance cards and valid ID.
• Obtains authorization information from insurances via their website as applicable.
• Monitors scheduling work-lists to ensure timely scheduling and insurance verification.
• Provides patients and/or physicians’ offices instructions for proper pre-procedure preparation.
• Communicates with insurance companies to determine benefits, co-pays, pre-authorizations, and prorates bills for reimbursement.
• Maintains organized work area and monitors patient schedules, workflow, and imaging sub-sections for smooth operations.
• Monitors reports; maintains CPT and ICD-10 codes accuracy.
• Performs closing procedures including tallying charges and reconciles transactions.
• Prepare and maintain CD and film requests; HIPAA compliance.
• Maintain adequate inventory of supplies and keep patient records organized.
• Distributes final reports to ordering doctors as appropriate.
• Liaison to patient/guarantor, insurance company, and physician offices to secure necessary approvals.
• Enters pre-authorization documentation into RMS to ensure proper data transfer and billing follow-up.
• Reviews pre-authorization denial reports for accuracy.
• Assist in other areas of MIF departments as needed.
• Performs other duties as assigned.

Conocimientos

Customer service

Verbal communication

Written communication

Call center experience

Educación

High school diploma or equivalent

Descripción del empleo

Start the day excited to make a difference…end the day knowing you did. Come join our team.

Every Other Saturday-Hours Vary

Job Summary:

This position is accountable to obtain and verify all patient insurance and pre-authorization information, perform scheduling functions, and collect self-pay, co-pay, and patient deductibles. The incumbent in this position is accountable to perform a variety of clerical, reception, and other support functions that will ensure timely and effective day-to-day operations and communications throughout the Medical Imaging of Frederickburg (MIF) locations. This includes, but is not limited to, answering telephones, greeting patients, entering outpatient imaging orders, maintaining records, and monitoring flow.

Essential Functions & Responsibilities:

• Greets all customers in a courteous and professional manner. Addresses customers’ needs efficiently, effectively, and confidentially. Provides excellent customer service and supports the facility annual customer service goals.
• Answers telephones courteously, professionally, and promptly. Screens and transfers telephone calls or takes messages as appropriate.
• Assists in the handling of various patient financial matters.
• Schedules tests as ordered by a physician or their through appropriate scheduling software.
• Maintains documentation necessary for compliance with state, federal and other regulatory agency requirements. Collects insurance cards and valid ID card.
• Obtains authorization information from insurances via their website as applicable.
• Monitors scheduling work-lists to ensure timely scheduling and insurance verification.
• Provides patients and/or physicians’ offices instructions for proper pre-procedure preparation.
• Communicates with insurance companies to determine appropriate benefits, required co-pays, documents pre-authorizations, and prorates bills with management approval, to accurately secure proper reimbursement from insurance companies and patients.
• Maintains an organized and efficient work area. Monitors patient schedules, workflow, and activities of all imaging sub-sections to assure a smooth and coordinated traffic flow. Ensures patients, family members, and Associates are kept informed of activities and delays. Provides ongoing follow-up regarding delays for affected patients.
• Monitors appropriate reports. Maintains knowledge of CPT and ICD-10 codes, ensuring orders are entered accurately and efficiently.
• Reconciles daily charges. Ensures correct CPT, ICD-10, referring physician, and correct charging information.
• Performs closing procedures to include tallying daily charges and procedures vs. Epic daily patient log report, reconciles credit card transactions; submits total charges and balances, and collected co-pays and outpatient fees.
• Prepare and maintain CD and film requests and fax-and-confirm requests by obtaining appropriate HIPAA guidelines and departmental processes.
• Maintain adequate inventory of supplies and materials and keep patient records in an organized fashion.
• Distributes final reports of all procedures to the ordering doctors as appropriate.
• Serves as a liaison to the patient/guarantor, insurance company, and physician office to ensure all necessary approvals for services rendered and received are documented appropriately.
• Enters all necessary pre-authorization documentation into Radiology Management Systems (RMS) via the revised schedule information screen to ensure correct transfer of information for billing, and efficient follow-up with patients/guarantors and third-party payers.
• Reviews pre-authorization denial reports provided by the billing company to ensure accuracy of the pre-authorization process.
• Provides assistance in other areas of the MIF departments as needed.
• Performs other duties as assigned.

Qualifications:

• High school diploma or equivalent.
• Basic computer skills. Strong verbal and written communications skills required.
• Two (2) years related experience in a call center, patient registration, patient accounts, or patient billing preferred.
• Experience in third party insurance and insurance terminology, CPT, and ICD-9 codes preferred

MWHC will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status (EOE). We are also committed to equitable and transparent compensation practices and comply with all applicable pay transparency and pay equity laws.

Required

Physical Requirements:

Constant (67-100% of workday) sitting and use of arms and hands; occasional (0-33% of workday) standing, walking, bending, squatting; ability to lift, push, and pull up to 10 lbs.; auditory and visual skills.

Mental Requirements:

Possesses critical thinking and analytical skills. Ability to multi-task. Ability to communicate effectively and collaborate with a multi-disciplinary team.

Environmental Requirements and Exposure Hazards:

Potential risk of exposure to chemicals.

“It is the policy of Mary Washington Healthcare to provide reasonable accommodations to qualified individuals with a disability who are applicants for employment or Associates.”

Compensation Pay Range:

$18.97 - $24.66