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.
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
