Patient Service Coordinator - Primary Care

Job Description

Job Description

Job Summary:

The Patient Service Coordinator is responsible for welcoming patients by greeting them in a pleasant manner, updating their patient file and directing them appropriately throughout their visit; ensuring that their visit is a pleasant experience.

For the exceptional and motivated, successful candidate, you will have the opportunity to cross-train on basic medical assistant responsibilities and how to perform introductory lab protocols & tests in our on-site diagnostic laboratory to aid in patient care and compliance.

Duties:

Front Desk Coordination

• Greets patients in waiting area and receives all requisite registration/visitation information and forms to ensure proper care.
• Performs patient check-in procedures, including but not limited to collecting demographic and insurance information for verification and updates; assuring proper completion of registration forms; scanning of insurance card(s)/photo IDs.
• Collects co-pays, deductibles and/or other fees and balances due; sets up payment plans in accordance with APC policy. Assist patients with insurance and billing questions.
• Answers all telephone calls, ensuring that patient inquiries are handled, transferred, and/or closed properly.
• Checks all administrative messages (voicemails, emails, etc.) in a timely manner and completes system tasks as assigned; including replying to email & voicemail inquiries, managing clinical inboxes, and sending information to referring providers.
• Performs patient check-out procedures, including but not limited to scheduling provider noted follow-up/procedural appointments; issuing appointment reminder cards; collecting co-pays and/or deductibles; and recording payment notes.

Insurance Coordination

• Obtains and verifies patient demographics, insurance information, and other pertinent details in new and current patient charts to guarantee accurate claim payments; correctly updating the system with any account changes. 
• Prior to every appointment, contacts appropriate primary and secondary insurance carriers for patient eligibility and benefits details; documenting deductible amount, co-pay information, and referral/preauthorization requirements in accordance with APC policy. Completes electronic insurance verifications and appropriately notifies each patient of eligibility status.
• Obtains insurance carrier authorizations and provider referrals as required; ensures the existence of proper system documentation three days prior to each patient appointment (with the exception of add-ons).
• Obtains Workers Compensation authorizations and approvals from applicable case managers/adjusters.
• Monitors appointment add-ons to complete insurance verifications by updating and reviewing assigned schedules/physicians/offices.

Additional Functions

• Assists in ensuring that all work, breakroom and patient spaces are organized, clean and professional.
• Understands, complies with, and enforces all APC policies, procedures, codes of conduct, and OSHA and HIPAA privacy rules.
• Adhere to and uphold all applicable federal and state compliance regulations as well as APC's Employee Handbook, compliance policies and procedures, and applicable healthcare fraud, waste and abuse laws.
• All other duties as assigned.

Qualifications:

• High school diploma or general education degree (GED), required.
• Medical Office Training Certificate preferred or equivalent medical office experience.
• One year experience in customer service preferred.
• One year experience with medical terminology preferred.
• Must have good organizational skills.
• Must have the ability to work independently and in a team environment.
• Must have strong communication skills.
• Proficient in computers and keyboarding.
• Ability to manage multiple tasks simultaneously.
• Must have a service-oriented personality, great customer service skills required.

Physical and Environmental Requirements:

• Extended periods of time sitting and walking.
• Bending and stooping may be required.
• Ability to do repetitive work, i.e., keyboarding and writing.
• Ability to work on a computer for extended periods of time.
• Ability to lift and move 15 pounds.
• Vision and hearing corrected to normal limits.

Appalachian Primary Care is an equal opportunity and affirmative action employer.

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance