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St. Joseph's/Candler

Office Coordinator

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Job Description

Position Summary The Office Coordinator provides secretarial support to clinical staff. Coordinates patient scheduling, internal and external. Collects co-payments and other required documentation.s for the visit. Obtains pre-certification as required by healthcare insurers and/or managed care providers. Answer telephone, screen and route callers, retrieve and relay messages. Education High School Diploma - Preferred Experience 1-2 Years General Medical office - Preferred License & Certification None Required Core Job Functions Verification of patient demographics, insurance and other vital statistical information required to identify and submit insurance claims for services rendered. Collect information required by government and the health system for analysis as necessary. Scan required documentation to support necessary insurance and healthcare claim processing. Coordinate various forms of communications to ensure messages and correspondences are delivered to the appropriate person. Respond timely to inquiries according to protocol. Prioritize messages and follow up to assure response to urgent messages has occurred. Perform patient and provider scheduling activities according to SOPs to include but not be limited to clinic visits, referral visits, diagnostic and other treatment visits. Maintain clinical schedule to assure appropriate patient flow per medical staff's expectations and guidelines. Review daily authorization status with insurance representative for all patients coming to the service. Process mail and packages to include opening and/or delivering to the designated location per the instructions of the medical staff and management. Deliver document via fax, mail or other forms of communications as required and by the deadline required. Acquire documentations via multiple methods by the deadline required. Review and update the electronic authorization system for current authorization status, new authorization numbers, dates and other vital data. Coordinate with insurance representative to assure appropriate authorizations are obtained and any errors noted with authorizations are resolved. Coordinate calls between payer, management companies and clinical staff to assure appropriate authorizations are obtained and recorded.