Practice Coordinator - Center for Preoperative Assess

Job Overview

This position rotates one week in the Chart Room/Operating Room triaging the phones and setting up the OR charts and one week in the Clinic setting up appointments and working with the Anesthesia NPs and RNs.

Job Description

Preferred Qualifications:

1. High school diploma

2. One (1) year of medical office, insurance, physician's office practice, or hospital. registration experience.

3. Bilingual.

Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned.

****High level: This position rotates one week in the Chart Room/Operating Room triaging the phones and setting up the OR charts and one week in the Clinic setting up appointments and working with the Anesthesia NPs and RNs.

1. Conducts Pre-Registration tasks for specified inpatients and outpatients prior to their date of service including: collects demographic, financial, and clinical information necessary for financial clearance of scheduled patients; obtains missing insurance information via patient's family or physician offices; and completes insurance verification using online electronic verification system or contacting payor directly.

2. Obtains consent for treatments and authorizations as necessary. Explains signature requirements to patients and patient's representatives in a manner that is easily understood by the patient or their representative.

3. Verifies the validity of insurance coverage via eligibility tools. Ensures the appropriate plan codes has been added to registration based on the information provided in the eligibility response. Educated on different insurance plans and coordination of benefits. Able to identify if any concerns with coverage after checking insurance eligibility.

4. Collects the appropriate information for auto and worker's compensation registrations including information collected from the responsible party including the auto or worker's compensation carrier, agent and/or employer. If full information is not collected, notes are properly documented as to why the information was not collected or available.

5. Notifies patient of financial liabilities as determined by insurance benefits, coverage limits, and appointment/procedure-specific charges.

6. Takes an active role in the collection of patient payments. Understands all collection policies and procedures that pertain to time of service collections. Communicates these policies effectively to patients following prescribed scripting. Understands the use of credit card devices in regard to payments and credits. Is aware of all types of credit cards accepted by the organization.

7. Posts collected payments in system of record and verifies appropriate dollar amount and volume are posted in compliance with department guidelines.

8. Provides Financial Counselor contact information to patients qualifying for state-sponsored financial assistance. Documents patient's financial state and related information in system of record for reference of hospital administration and billing.

9. Obtains authorization, pre-certification, referral, and/or notification as necessary. Attaches verification to patient's account and documents information in the system of record for reference of hospital administration and billing.

10. Takes personal responsibility to provide excellent customer service and delivers exceptional professional courtesy to all patients.

11. Interacts with physicians, nursing units, and office staff in a courteous and professional manner.

12. Maintains and hospital financial information confidentially in accordance with all hospital policy and any state or federal regulations such as the HIPAA Privacy & Security Standards.

13. Meets the requirements of area specific benchmarks related to productivity and customer service such as wait times, call monitoring score card scores, number of registrations or calls processed, etc.

Physical Requirements:

1. Frequent sitting, occasional standing or working, and lifting of 10-15 points.

2. May be exposed to dust and other typical office-like discomforts.

3. Manual dexterity using fine hand manipulations for computer keyboard operation.

4. Requires ability to see computer screen and read reports.

5. Requires ability to hear instructions from physicians and other clinical or nursing staff.

Skills & Abilities:

1. Computer literacy required including familiarity with word processing programs and electronic spreadsheets and facility in learning new applications. Ability to perform accurate data entry.

2. Strong customer service skills including excellent interpersonal and telephone skills.

3. High degree of tact is necessary due to frequent interaction with patients, physicians, and insurance companies.

4. Experience using computer-based, patient registration systems.

4. Thorough understanding of private insurance, Medicare, and Medicaid programs.

5. Knowledge of medical terminology.

6. Excellent organizational skills required with attention to detail. Ability to prioritize work and be flexible with work assignments.