Office Coordinator

The Office Coordinator provides administrative 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 precertifications, or assists in the precertification process, 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

Associates of Healthcare- 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.

PI260710348