CLINIC OFFICE COORDINATOR

CLINIC OFFICE COORDINATOR

POSITION OVERVIEW

Coordinates scheduling, registrations, pre-registrations, insurance verification eligibility, and authorizations for hospital services.

The following is a summary of the major essential functions of the job. The incumbent may perform other duties, both major and minor, that are not mentioned below; and specific functions may change from time to time :

Schedules and registrars patients for the outpatient clinic.

Verifies eligibility for patients and ensures all pre-authorizations, referrals, and pre-certifications are obtained as necessary by working closely with the physician offices, Utilization Review and Business Office Departments.

Provides comprehensive financial counseling services and guidance related to complicated medical diagnoses, procedures and pharmaceuticals to patients.

Coordinating financial issues with clinical process by interacting with staff such as Social Work, Nursing, Physicians, Pharmacy and Management.

Coordinates appeals denied for no pre-authorization, assisting the patient, physician office and the insurance company.

Perform other job-related duties as directed by the Supervisor.

EXEMPTION STATUS

Non-exempt

REQUIREMENTS

Education :

High School Diploma or GED preferred.

Associate's Degree or equivalent combination of education and experience preferred.

Experience :

Minimum two years related experience (admitting, business office, scheduling).

Knowledge, skills and abilities required :

Knowledge of basic medical terminology.

Ability to communicate both verbally and in writing.

Ability to type 30 words per minute.

Background of insurance knowledge is required for certain tasks assigned.

Background / knowledge of government / state and patient assistance programs is preferred.

Working knowledge of ICD-10 and CPT coding is preferred.

Ability to comprehend insurance cards

Ability to deal directly with the public.

Strong computer skills. Proficiency in Windows and Microsoft Office preferred.

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