Medical Coordinator

Position Objective:

Coordinates the medical care of surgery patients in a high volume multi-faceted surgery center which job duties include clinical support, clerical support, financial coordination, and management contact.

Essential Job Duties:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

1. Coordinates the required activities of a high volume multi-faceted surgical center to ensure a smooth and efficient patient navigation process on a continuum. Provides clinic office support including coverage for other office staff members.
2. Establishes rapport with patients scheduling surgical procedures and works closely with patients to set up payment plans and monitors compliance.  Responds to patient billing and insurance inquiries and facilitates resolution of financial issues promptly.
3. Provides patient education in regards to insurance requirements and patient financial obligations. Demonstrates competence with the collection process. 
4. Coordinates the financial process to include, insurance submission/authorization, documentation of specific requirements packaged for submission to multiple insurers. Daily contact with third party payers for authorization, approvals, denials and appeals.
5. Provides continual patient contact by guiding the patient comfortably through the surgical process. Gathers and interprets data in situations in which the information or problems are relatively routine.
6. Exchanges information on factual matters, obtains pertinent information from a variety of sources, explains medical center policies, and/or relays messages to appropriate personnel.
7. Demonstrates competence with the collection process. Collects and maintains the required documentation of insurance/center requirements prior to the insurance submission.
8. Answers and screens office calls, manages high call volume activities, greets patients in a professional and timely manner, and projects proper telephone etiquette.
9. Demonstrates basic knowledge in interpreting and understanding billing slips and the Athena workflow dashboard.  Advanced knowledge of medical terminology, CPT and ICD-10 coding, fee for service and third party reimbursements.
10. Maintains productivity without direction, prioritizing work assignments appropriately. Complies with the processes and procedures governing health records and understands when it is acceptable to release patient’s protected health information.

Educational/Experience Requirements

Minimum Required Education:  High School Diploma or GED

Minimum Required Experience: At least 5 years of experience in a medical setting with experience preferably in a patient consultation or sales/account management role.

Required License/Certifications:

Working Conditions, Equipment, Physical Demands:

There is a reasonable expectation that employees in this position will not be exposed to blood-borne pathogens.

Physical Demands -

The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act.

The above job description is an overview of the functions and requirements for this position.  This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary.

The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or