What are the responsibilities and job description for the Outpatient Services Coord position at University of Florida Health?
Job Family: Office and Clerical
Full/Part Time: Full Time
Shift/Days: Days - C1
FTE: 1.00
Department: Surgery Business Services
Organization: Jacksonville Physicians, Inc.
Overview
Reports directly to the assigned manager and/or ambulatory administrator. Directly facilitates coordination of care for patients in the outpatient setting. The Outpatient Services Coordinator manages complex scheduling workflows, handling telephone calls, specialty contract requests, online requests and/or fax requests, as well as internal departmental requests. Communicates effectively with patients regarding the triage process and timeline expectations. Ensures a high degree of accuracy and thoroughness in all patient-related activities. Supports the needs of multiple stakeholders, including patients, referring providers, UF providers, allied health staff, and third party vendorsResponsibilities
• Perform timely processing of all incoming remits on a daily basis. Conduct daily research to correctly post payments, applied to Undistributed and/or PLB remit clearing accounts, during payment posting. .
• Accurately post Insurance payments, which includes electronic and/or manual keying to the Invoice, according to the Explanation of Benefits(EOB) or other back-up received, including Insurance denials and zero dollar EOB's.
• Accurately Post Self-Pay payments, which includes electronic and/or manual keying of patient checks, pre-admit cash sheets, and Collection agency remitsAssess patient health status including state of wellness, compliance with care plan and determines appropriate diagnostic and any therapeutic treatment plan.
• Post electronic payments as assigned, resolve any unapplied and/or withhold issues. Track any ongoing issues, to resolution; while keeping management informed throughout the process.
• Research, by Payor assignment, any payments posted to unapplied clearing account, due to the inability to identify to a Patient Invoice or Account. Research may include calling Insurance companies, Business Groups, Accounting personnel and/or performing internet research by accessing Payor websites.
• Provide system support to Cash department to assist with the resolving batches; which includes the retrieval of the Explanation of Benefits(EOB) from Payor Websites and scanning documents as needed into OnBase for payment posting.
• Monitor and maintain Cash Management Module for accurate cash balancing .
• Conduct daily review of EPIC Credit WQ transactions, that resulted from PLB segments found in the electronic file.
• Compare, analyze and report cash received to yearly average cash amount and prepare reports.Performing all the above while maintaining your patient’s privacy, confidentiality, safety, and adhering to ethical, legal, and accreditations/regulatory standards at all times.
Qualifications
Experience Requirements:2 years-Clerical/customer serviceRequired Experience - 1:2 years-Data entryRequired Experience - 2:2 years-Working in hospital or large physician's office dealing directly with patients