Patient Services Coordinator

System One has partnered with a client in the Tulsa area that is in search of a Patient Services Coordinator. If you have prior experience working in the medical field and doing insurance verification please apply below! This position is onsite Monday-Friday.

SCOPE:
Under general supervision, is responsible for insurance verification and eligibility, assessment of patient financial requirements, counseling patients on insurance benefits and co-payments. Obtains preauthorization of services. Obtains and maintains accurate patient demographics.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Requires competency in a minimum of (1) Modality of treatment/services rendered in our facility and requiring authorization review (Modalities include: Radiology/Chemotherapy/Radiation/Genetic Testing)
• Ensures all insurance, demographics, and eligibility information obtained is communicated to staff as needed entered into the system in a timely and accurate manner
• Perform insurance verification and benefits using electronic billing system, online portals, and direct dial to insurance carriers
• O btains initial and subsequent preauthorization as required by insurance and enters in the practice management system as needed for flow to billing in addition to scanning hard copy of referral into chart.
• Ensures appropriate signatures are obtained from patients and/or Physicians on all necessary forms.
• Communicate authorization status where applicable to ordering physician, clinical staff and patient
• Utilizes the Summary of Patient Reimbursement and Liability form and Waivers as necessary
• Performs financial counseling process on all patients prior to treatment, which includes patient financial obligations, billing practices and establishing payment arrangements
• Documents costs/benefits/ and all other steps within the orders as dictated by modality
• Assists patients in obtaining financial assistance (i.e. Medicaid, drug replacement), outside assistance (i.e. transportation or other community services), and completing all appropriate forms as needed
• collect co-pays, deductible and other out of pocket amounts by phone/face-to-face as needed
• Communicates both internal and external
• Scheduling FC appointments as needed
• Communication with Account Reps/Business office as necessary to review unpaid claims/denials for services
• Demonstrates an understanding for patient confidentiality to protect the patient and the clinic/corporation.
• Follows policies and procedures to contribute to the efficiency of the patient service department and company
• Assists team with their functions as needed
• Must be able to pass annual competency evaluation
• Other duties within scope as assigned

MINIMUM QUALIFICATIONS:

• High School Diploma or equivalent required.
• Minimum three years of medical business office experience with insurance procedures and patient interaction

KEY COMPETENCIES

• Competent in one Modality of Service rendered at company
• Experience in using practice management system
• Experience in electronic medical records
• Communication Skills- written and verbal
• Planning and organization
• Prioritizing
• Information collecting and monitoring
• Attention to detail and accuracy
• Flexibility
• Teamwork
• Internal and external customer service

Ref: #208-Eng Tulsa