Patient Access Insurance Coordinator
November 28
Description
• Verify all new patients’ insurance benefits and verify patients out of network deductible. • Responsible for informing all patients what their financial obligation will be for the office visit encounter. • Responsible to document all authorizations, and benefit information in our EMR & Practice Management systems. • Responsible to review all Independent Medical Exams (IME) reports and to alert physicians, physician assistants, and the staff if the patient has reached medical maximum improvement. • Responsible for putting a pop up in our practice management system to alert staff should the patient reach MMI. • The IME determination also needs to be documented in our EMR system. • Responsible to inform the staff if any patient’s benefits or authorizations are denied. • Responds to written and telephone inquiries from patients regarding their insurance authorizations. • Responsible for obtaining authorizations for all diagnostic studies request from our physicians. • Responsible for scheduling procedures in all satellite locations which includes the hospitals and ambulatory surgery centers. • Responsible for preparing surgical packets and booking sheets for the provider and obtaining the necessary medical clearances and or lab results for patients. • Responsible for providing operative reports to surgical centers. • Responsible for updating the physician procedure list. • Responsible for alerting the staff of any changes in worker’s compensation guidelines. • Responsible for updating and following up on cancelled procedures. • Responsible for communicating efficiently with office personnel, administration, hospital representatives, insurance company representatives, referring physician offices, physician assistants, Fedora (billing company) and physicians. • Maintains professionalism with patients, co-workers, and outside medical representatives. • Maintains a file system necessary for proper organization of work. • Maintains detailed knowledge of practice management and EMR and other computer software as it relates to job functions.
Requirements
• High school diploma or general education degree (GED) equivalent. REQUIRED • Minimum of three (3) years of medical insurance coordination/authorizations experience in a multi-provider specialty practice, required. REQUIRED • Ability to maintain complete confidentiality of information at all times. • Excellent verbal and written communication skills. • Ability to understand and demonstrate outstanding customer service skills while maintaining the highest level of patient care at all times. • Excellent organizational/multi-tasking skills with acute attention to details. • Aptitude to apply common sense understanding to carry out instructions furnished in written, oral or diagram form. • Proficient with Microsoft Office Suite (Word, Excel, Power Point, Outlook). • Ability to learn and use new software technologies for electronic patient medical records and practice management scheduling systems.
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