Position: Patient Coordinator
The purpose of the Patient Coordinator is to insure that patient treatment, services and supply reimbursement is optimized, anticipated, and presented to the patient in good faith in a clear professional manner.
Observe new patient consultations and document treatment plan(s).
Investigate and discuss with patient financial implications of the treatment plan.
Serve as a resource and advocate to patients with regard to insurance coverage.
Develop financial plan estimates for recommended treatment and present to patients.
Conduct timely prior authorizations, benefit determination estimates as outlined by insurers, and other required tasks and processes to determine optimal payment for services.
Streamline insurance prior authorizations, medical determinations, and benefit estimate processes.
Promotion and explanation of available services to patients
Track and manage patient lists of future and/or current activity in order to insure that pre-treatment requirements and follow up is conducted in a timely manner.
Responsible to manage, order, distribute and collect for medical products sold to patients including but not limited to compression stockings.
Determine and collect patient responsibility for medical products.
Investigate, research, and advocate for the patient and clinic in order to be paid for services rendered.
Schedule ablations for patients with a formal financial plan in place, while keeping ablation schedule maximized.
Educate staff regarding appropriate and acceptable scheduling of sclerotherapy and other services.
Work with team members to optimize scheduling of patients.
History of successful (preferably 5 year’s experience) performance of all or most of the above listed job responsibilities and/or similar functions.
Evidence of a successful completion in a course related to one or more of the responsibilities above (i.e. Health Information Management, Medical Billing and Coding, Medical Assisting, Medical Office Administration, etc.)
In depth knowledge of major insurer (i.e. BCBS, HealthPartners, Preferred One, Medica, Cigna, and UHC) processes and policies that drive maximal reimbursement.
Working knowledge of CPT and ICD coding to adequately interface with insurers and recommended patient treatment plans.
Possess a math aptitude and calculator capability adequate to accurately develop financial agreements and project co-insurance, deductibles and out of pocket expenses.
Knowledge of and adherence to HIPAA rules and regulations.
Bonded or willing to be bonded.
Indeed - 23 months ago
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