Office Coordinator (Scheduling)-Full Time Days/Evenings
Mary Washington Healthcare
- Fredericksburg, VA
- Permanent
- Full-time
- Greets all customers in a courteous and professional manner. Addresses customers’ needs efficiently, effectively, and confidentially. Provides excellent customer service and supports the facility annual customer service goals.
- Answers telephones courteously, professionally, and promptly. Screens and transfers telephone calls or takes messages as appropriate.
- Assists in the handling of various patient financial matters.
- Schedules tests as ordered by a physician or their through appropriate scheduling software.
- Maintains documentation necessary for compliance with state, federal and other regulatory agency requirements. Collects insurance cards and valid ID card.
- Obtains authorization information from insurances via their website as applicable.
- Monitors scheduling work-lists to ensure timely scheduling and insurance verification.
- Provides patients and/or physicians’ offices instructions for proper pre-procedure preparation.
- Communicates with insurance companies to determine appropriate benefits, required co-pays, documents pre-authorizations, and prorates bills with management approval, to accurately secure proper reimbursement from insurance companies and patients.
- Maintains an organized and efficient work area. Monitors patient schedules, workflow, and activities of all imaging sub-sections to assure a smooth and coordinated traffic flow. Ensures patients, family members, and Associates are kept informed of activities and delays. Provides ongoing follow-up regarding delays for affected patients.
- Monitors appropriate reports. Maintains knowledge of CPT and ICD-10 codes, ensuring orders are entered accurately and efficiently.
- Reconciles daily charges. Ensures correct CPT, ICD-10, referring physician, and correct charging information.
- Performs closing procedures to include tallying daily charges and procedures vs. Epic daily patient log report, reconciles credit card transactions; submits total charges and balances, and collected co-pays and outpatient fees.
- Prepare and maintain CD and film requests and fax-and-confirm requests by obtaining appropriate HIPAA guidelines and departmental processes.
- Maintain adequate inventory of supplies and materials and keep patient records in an organized fashion.
- Distributes final reports of all procedures to the ordering doctors as appropriate.
- Serves as a liaison to the patient/guarantor, insurance company, and physician office to ensure all necessary approvals for services rendered and received are documented appropriately.
- Enters all necessary pre-authorization documentation into Radiology Management Systems (RMS) via the revised schedule information screen to ensure correct transfer of information for billing, and efficient follow-up with patients/guarantors and third-party payers.
- Reviews pre-authorization denial reports provided by the billing company to ensure accuracy of the pre-authorization process.
- Provides assistance in other areas of the MIF departments as needed.
- Performs other duties as assigned.
- High school diploma or equivalent.
- Basic computer skills. Strong verbal and written communications skills required.
- Two (2) years related experience in a call center, patient registration, patient accounts, or patient billing preferred.
- Experience in third party insurance and insurance terminology, CPT, and ICD-9 codes preferred