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Senior Patient Services Coordinator

Austin Regional Clinic

Austin (TX)

On-site

USD 35,000 - 55,000

Full time

15 days ago

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Job summary

An established industry player in healthcare is seeking a dedicated Patient Service Coordinator to join their team. This role is pivotal in ensuring smooth operations at the front desk, handling patient registrations, and assisting with insurance authorizations. You will be part of a supportive environment that values teamwork and professional growth. With a focus on patient care and operational excellence, this position offers a chance to make a meaningful impact in the community. If you thrive in a dynamic setting and are passionate about healthcare, this opportunity is perfect for you.

Benefits

Medical Insurance
Dental Insurance
Vision Insurance
401(k) Plan
Tuition Reimbursement
Paid Time Off (PTO)
Child Care Assistance
Life Insurance
Long Term Disability
Health & Fitness Programs

Qualifications

  • 6+ months experience in healthcare office settings.
  • Proficient in CBO Site Requests, CRWQ, and Surgery Scheduling.

Responsibilities

  • Perform patient registration and insurance verification.
  • Assist with surgery scheduling and patient communication.
  • Resolve patient account issues and maintain compliance.

Skills

Verbal and written communication skills
Knowledge of medical terminology
Familiarity with ICD-10 and CPT coding
Keyboarding ability
Interpersonal skills
Problem-solving skills
Ability to manage competing priorities

Education

High School Diploma or GED

Tools

Epic
Windows environment

Job description

ARC South OB
4315 James Casey St
Austin, TX 78745, USA

ARC South OB
4315 James Casey St
Austin, TX 78745, USA

Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years! We are one of central Texas’ largest professional medical groups with 35+ locations and we are continuing to grow. We offer the following benefits to eligible team members: Medical, Dental, Vision, Flexible Spending Accounts, PTO, 401(k), EAP, Life Insurance, Long Term Disability, Tuition Reimbursement, Child Care Assistance, Health & Fitness, Sick Child Care Assistance, Development and more. For additional information visit https://www.austinregionalclinic.com/careers/

PURPOSE

Performs advanced Patient Service Coordinator functions and serves as a resource for other business office staff. May train entry level business office staff. Carries out all duties while maintaining compliance and confidentiality and promoting the mission and philosophy of the organization.

ESSENTIAL FUNCTIONS

  • Performs all of the tasks of the Patient Service Coordinator as needed or assigned.
  • Assists other Business Office staff with front desk duties, which include but are not limited to answering phones, booking appointments, greeting patients, check-in/check-out, end of day processing & documentation, including deposit, etc.
  • Performs full patient registration functions which include collecting and entering all patient insurance and demographic information necessary to set up insurance coverage and patient accounts.
  • Generates and processes referrals and authorizations.
  • Responsible for opening front office and all duties associated with this function.
  • Responsible for end of day processing and documentation, including deposit.
  • Assists with the initiation of prior authorizations for medications.
  • Verifies scheduling accuracy of MyChart appointments.
  • Researches and resolves problems with patient accounts in work queues.
  • Processes claim denial adjustments to patient accounts.
  • Using reports, audits tickets in work queue for missed charges, completeness, accurate coding, etc.
  • Performs charge entry functions.
  • Communicates with providers regarding coding issues.
  • Serves as a resource for other Business Office staff.
  • Assists with training of entry level Business Office staff.
  • Adheres to all company policies, including but not limited to, OSHA, HIPAA, compliance and Code of Conduct.
  • Regular and dependable attendance.
  • Follows the core competencies set forth by the Company, which are available for review on CMSweb.
  • Works holiday shift(s) as required by Company policy

Must be trained and provide backup coverage in one or more of the following duties:

CBO Site Requests:

  • Researches and resolves problems with patient accounts from site requests.
  • Works with the providers to communicate coding issues and submit adjustment journals as needed.

CRWQ:

  • When working in the charge review work queue, responsible for following workflows consistent with the policies of the Compliance Plan.

Surgery Scheduling:

  • Schedules surgeries for physicians at local surgery centers and hospitals.
  • Creates and maintains surgery schedules for physicians and notifies them of their schedules.
  • Updates EPIC with physician schedules and opens up office time slots when applicable.
  • Confirms all surgeries with patients and facilities.
  • Works closely with physicians to help keep schedule flowing smoothly throughout the day.
  • Obtains authorization with the insurance companies and verifies benefits for in office procedures.
  • Performs patient registration functions by collecting and entering demographic and insurance related information into computer system in order to set up patient accounts.

Referrals and/or Prior Authorizations:

  • Maintains current knowledge of insurance authorization and/or referral requirements
  • Obtains authorizations from insurance carriers in a timely manner.
  • Acts as a resource for patients and staff with authorization and/or referral related questions/problems requiring resolution.
  • Communicates authorization and/or referral information to patients and specialist offices in a timely manner.
  • Serves as a liaison between Primary Care and Specialty offices.
  • Responsible for coordinating medical record information for transmission to specialist’s office.
  • Responsible for maintaining access to online resources.
  • Ensures authorization and/or referral information is properly documented in Epic.
  • If aware, informs physician of patient compliance with referral plan.
  • Maintains authorizations and/or referrals to ensure that specialty visits are covered (Specialty Offices).
  • Coordinates with Primary Care Offices as needed (Specialty Offices).
  • Informs physicians and management of any issues causing a delay in authorization process.

OTHER DUTIES AND RESPONSIBILITIES

  • Responsible for coordinating surgery details and appointments if applicable.
  • Obtains insurance eligibility and benefit details.
  • Performs other duties as assigned.

QUALIFICATIONS

Education and Experience

Required: High school diploma or GED. Six or more months of experience working in the office of a healthcare related facility. Experience using a PC in a Windows environment. Proficient in at least one of the following areas: CBO Site Requests, CRWQ, Surgery Scheduling, Hospital Tickets or Referrals.

Preferred: Experience working with ICD-10 and CPT coding.

Certificate/License

If work in the charge review work queue, then must attend and complete all work queue training and successfully pass all tests based on the guidelines listed in the Compliance Plan.

Knowledge, Skills and Abilities

  • Excellent verbal and written documentation and communication skills.
  • Knowledge of medical terminology,
  • Familiarity with procedural and diagnostic coding.
  • Familiarity with ICD and CPT coding methodology.
  • Knowledge of medical insurance, collections, and appointments.
  • Keyboarding ability.
  • Excellent computer and keyboarding skills, including familiarity with Windows.
  • Excellent interpersonal and problem solve skills.
  • Ability to work in a team environment.
  • Ability to manage competing priorities.
  • Ability to engage others, listen and adapt response to meet others’ needs.
  • Ability to perform job duties in a professional manner at all times.
  • Ability to align own actions with those of other team members committed to common goals.
  • Ability to understand, recall, and communicate, factual information.
  • Ability to understand, recall, and apply oral and/or written instructions or other information.
  • Ability to organize thoughts and ideas into understandable terminology.
  • Ability to apply common sense in performing job.

Work Schedule: Monday-Friday 8:00am-5:00pm

Qualifications
Skills
Behaviors

:

Motivations

:

Education
Experience
Licenses & Certifications

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.

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