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Colonial Management Group Careers
Patient Access Coordinator
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Based on Florida data
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What they do
A Clinical Coordinator coordinates operations and oversees medical assisting staff in a clinic or medical department. Responsibilities include supervision of day-to-day operations, management of business aspects, HR duties within the team.
$63,917 / year median in Florida
+23% projected growth
Job Description
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Search Results Patient Access Coordinator Location:
MAITLAND, FL, United States Zip Code:
32751Job ID:
2236Share:
Share with Email Share on Twitter share to twitter Share on Facebook share to facebook Share on LinkedIn share to linkedin Apply Now Save Job Saved DescriptionPATIENT ACCESS COORDINATOR I
Job Description New Season Employee Name:
Reports to:Patients Access Supervisor Job Code:
Department:
Revenue Cycle Management FLSA:
Non-Exempt Direct Reports:
0Job Summary:
The Patient Access Coordinator I plays a critical role in ensuring a smooth and efficient patient experience by obtaining necessary authorizations and referrals and facilitating compliance between patients, payers, and clinical teams. This position requires a detailed-oriented professional who can manage tasks related to front-end revenue cycle operations and clinic functions, ens uring adherence to established policies and procedures.Essential Functions:
- Obtain and process the appropriate authorizations and referrals from third-party payers to ensure compliance with payer requirements.
- Provide detailed, timely communication to payers and clinical partners regarding benefits, authorizations, and referrals.
- Act as a liaison between patients, clinical teams, and third-party payers to facilitate effective care and resolve any issues related to benefits or authorizations.
- Ensure submission of clean claims and reduction in payer denials by adhering to both organizational and departmental policy and procedures.
- Perform special projects and other duties as needed. Assist with special projects by utilizing Excel/Google spreadsheets and communicate results.
- Use, protect and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
- Other duties as assigned by the management team.
Periodic Functions:
- Provide coverage for our facilities that do not have a Patient Registration Coordinator (i.e. position open, on PTO, call-ins, etc).
- Verify patient insurance coverage and benefits, ensuring accurate information is obtained and documented.
Essential Qualifications:
Experience Required:
This position requires a minimum of 2+ years experience in healthcare third party insurance verification and authorizations.Education/Licensure/Certification Required:
High School Diploma or GED Education/Licensure/Certification Preferred:
- CPC or CPC-A, or equivalent
Skills Required:
- Strong knowledge of insurance policies, CPT and ICD10, payer requirements, and authorization processes.
- Excellent communication and interpersonal skills, with the ability to interact effectively with patients, payers, and clinical staff.
- Detail-oriented with strong organizational and problem-solving skills.
- Strong understanding of and ability to use software and systems, including but not limited to electronic medical record systems, Microsoft Office, and Google Docs/Sheets; daily use of laptop for email, note taking, and other tasks required.