What are the responsibilities and job description for the Authorization Coordinator / Medical Receptionist position at Mediabistro?
OverviewVista Community Clinic is a private, non-profit, multi-specialty outpatient clinic providing care in a comprehensive, high quality setting. Located in San Diego, Orange and Riverside counties, we work to advance community health and hope by providing access to premier health services. We are looking for dedicated, motivated, enthusiastic team players who want to make a difference in the community. Our competitive compensation and benefits program includes health, dental, vision, company-paid life, flexible spending accounts and a 403(B) plan, for eligible employees. VCC is an equal opportunity employer.
ResponsibilitiesAuthorization Coordinator
Responsible for the coordination, processing, obtaining prior authorizations, and requesting reports for a variety of referrals requested by VCC clinicians. Collaborate with others to ensure successful tracking and completion of referrals.
Complete all associated paperwork
Organize all necessary information from the patient medical record to accurately complete the referral authorization. Verify insurance information and check eligibility (through phone or insurance portals) as needed for referral purposes.
Submit all appropriate information for referral including cover letters, pertinent progress notes, imaging or labs as related to the referral.
Provide patients with referral information and instructions on how to contact specialist and schedule appointment.
Act as liaison with referral providers and agencies
Document referral information in the Electronic Health Record using NextGen and HealthViewX (HVX)
Use referral tracking system to move the referral through the process of Not Started-Pending-Follow-up and Closed. Documenting progress in patient chart.
Verify receipt of consult, diagnostic and other required reports. Be sure document is scanned into patient chart and forwarded to Clinician PAQ.
Act as liaison with referral clinicians and agencies
Availability to take phone calls and respond to voicemail and Email in a timely manner. Keep phone and Skype status up-to-date.
Interact directly with patients, providing excellent care to all. Remain objective and non-judgmental. Regularly assist patients by answering questions and resolving issues that may arise during the referral process. Document all communication.
Medical Receptionist
Greet and respond to limited inquiries from patients and customers in a professional manner. Perform a variety of clerical functions.
Greet patients in-person and via telephone
Verify insurance eligibility and copy insurance cards
Perform financial and eligibility screening for clinic programs
Print daily schedule and confirm next day’s appointments
Complete appropriate paperwork as needed for patients : school excuses, Head Start forms, etc.
Make follow-up appointments f o r referrals from other sites
Call, reschedule
and mail letters to all N / S patients
Responsible for patients checking in through completing encounters, personal records forms, etc.
QualificationsAuthorization Coordinator
Minimum Qualifications
High school graduate or equivalent
Two years’ experience in medical, social service setting or related field
Preferred Qualifications
Medical assistant certification or equivalent training
Bilingual English / Spanish
Familiarity with CPT an ICD codes
Required Skills / Knowledge / Abilities
Familiar with medical, social service and health insurance terminology
Ability to type and enter data with a high degree of accuracy
Excellent verbal and written skills necessary for communication with patients / clients, clinicians and other staff
Preferred Skills / Knowledge / Abilities
Experience / familiarity with Practice Management and Electronic Medical Records systems, NextGen preferred
Familiarity with Medical terminology and procedures and CPT and ICD codes.
Medical Receptionist
Minimum Qualifications
High school graduate or equivalent
One year customer service experience
Bilingual English / Spanish
CPR Certification (including BLS Child, Infant, Adult with one-time hands-on skills training)
Required Skills / Knowledge / Abilities
Experience / familiarity with Practice Management and Electronic Dental Records systems, NextGen preferred
Ability to interface with all levels of personnel in a professional manner
Excellent customer service skills and commitment to providing the highest level of customer satisfaction
Ability to type minimum 35 WPM
Preferred Skills / Knowledge / Abilities
Experience / familiarity with Practice Management and Electronic Medical Records systems, NextGen preferred
Experience / familiarity with computers, Microsoft Office products, business e-mail communication systems and internet search capabilities
Pay Range
21.00 - $23.00
Salary : $21 - $23
