Patient Services Coordinator

Published: 6/14/2022

Healthcare

Patient Services Coordinat

Essential Functions:

Prepare and process work orders accurately and timely
Obtain, review, and coordinate required documentation, including prescriptions, physician notes, and other supporting records needed to move orders forward
Verify patient insurance benefits, confirm coverage criteria, and secure prior authorizations or pre-certifications as required
Ensure data integrity and accuracy of patient account information, including HCPCS and ICD-10 coding, to support proper processing and reimbursement
Communicate with patients regarding insurance coverage, financial responsibility, and next steps in the process
Coordinate with physician offices, practitioners, and internal staff to obtain missing information and ensure orders are ready for delivery
Maintain knowledge of payer-specific rules, documentation requirements, and authorization procedures
Ensure orders are properly documented and meet company and insurance requirements prior to delivery
Provide excellent customer service to patients, referral sources, and coworkers
Document account activity clearly, accurately, and professionally
Help maintain an efficient flow of service from order intake through readiness for delivery
Complete other duties as assigned

Skills & Requirements:

Works independently
Uses good judgment
Makes sound decisions
Communicates professionally with patients, physician offices, insurance representatives, and coworkers
Works effectively in a fast-paced environment
Records information clearly, accurately, and concisely
Handles sensitive and confidential information appropriately
Meets deadlines, prioritizes tasks, and manages multiple accounts at once
Proficient in Microsoft Outlook, Word, and Excel
Organized and detail-oriented
High school graduate
Prior experience with insurance verification, prior authorizations, medical documentation, or patient service in a healthcare setting preferred
Knowledge of anatomy and medical coding is a plus