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
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Greets patients in waiting area and receives all requisite registration/visitation information and forms to ensure proper care.
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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.
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Collects co-pays, deductibles and/or other fees and balances due; sets up payment plans in accordance with EPM policy. Assist patients with insurance and billing questions.
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Answers all telephone calls, ensuring that patient inquiries are handled, transferred, and/or closed properly.
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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.
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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
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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.
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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 EPM policy. Completes electronic insurance verifications and appropriately notifies each patient of eligibility status.
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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).
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Obtains Workers Compensation authorizations and approvals from applicable case managers/adjusters.
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Monitors appointment add-ons to complete insurance verifications by updating and reviewing assigned schedules/physicians/offices.0
Additional Functions
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Assists in ensuring that all work, breakroom and patient spaces are organized, clean and professional.
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Understands, complies with, and enforces all EPM policies, procedures, codes of conduct, and OSHA and HIPAA privacy rules.
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Adhere to and uphold all applicable federal and state compliance regulations as well as EPM's Employee Handbook, compliance policies and procedures, and applicable healthcare fraud, waste and abuse laws.
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All other duties as assigned.
Qualifications:
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High school diploma or general education degree (GED), required.
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Medical Office Training Certificate preferred or equivalent medical office experience.
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One year experience in customer service preferred.
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One year experience with medical terminology preferred.
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Must have good organizational skills.
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Must have the ability to work independently and in a team environment.
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Must have strong communication skills.
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Proficient in computers and keyboarding.
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Ability to manage multiple tasks simultaneously.
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Must have a service-oriented personality, great customer service skills required.
Physical and Environmental Requirements:
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Extended periods of time sitting and walking.
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Bending and stooping may be required.
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Ability to do repetitive work, i.e., keyboarding and writing.
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Ability to work on a computer for extended periods of time.
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Ability to lift and move 15 pounds.
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Vision and hearing corrected to normal limits.
Envision Pain Management is an equal opportunity and affirmative action employer.
