Office Coordinator-(Insurance Verification)-Full Time Days/Evenings

Mary Washington Healthcare•Fredericksburg, VA

4d•$19 - $25

About The Position

The Office Coordinator obtains and verifies patient insurance and pre-authorization information, performs scheduling functions, and collects self-pay amounts, co-pays, and patient deductibles. The role also provides clerical, reception, and other support to help ensure effective day-to-day operations and communication across Medical Imaging of Fredericksburg (MIF) locations. Duties include answering telephones, greeting patients, entering outpatient imaging orders, maintaining records, and monitoring patient flow. The position works Monday through Friday, 10:30 a.m. to 7:00 p.m., with occasional Saturdays. The compensation range is $18.97–$24.66. The role requires constant sitting and use of arms and hands, occasional standing, walking, bending, and squatting, and the ability to lift, push, and pull up to 10 pounds. There is potential risk of exposure to chemicals.

Requirements

High school diploma or equivalent.
Basic computer skills.
Strong verbal and written communication skills.
Critical thinking and analytical skills; ability to multitask, communicate effectively, and collaborate with a multidisciplinary team.
Ability to meet the stated physical requirements, including constant sitting and use of arms and hands; occasional standing, walking, bending, and squatting; and lifting, pushing, and pulling up to 10 pounds.

Nice To Haves

Two years of related experience in a call center, patient registration, patient accounts, or patient billing.
Experience with third-party insurance, insurance terminology, CPT, and ICD-9 codes.

Responsibilities

Greet customers courteously and professionally, address their needs efficiently and confidentially, and support the facility’s customer service goals.
Answer, screen, and transfer telephone calls promptly and professionally, or take messages as appropriate.
Assist with patient financial matters and collect self-pay amounts, co-pays, and deductibles.
Schedule physician-ordered tests using appropriate scheduling software.
Maintain documentation required for state, federal, and other regulatory compliance; collect insurance cards and valid identification.
Obtain insurance authorization information through insurer websites when applicable.
Monitor scheduling worklists to ensure timely scheduling and insurance verification.
Provide patients and physician offices with instructions for proper pre-procedure preparation.
Communicate with insurance companies to determine benefits and required co-pays, document pre-authorizations, and prorate bills with management approval to secure appropriate reimbursement.
Maintain an organized and efficient work area; monitor patient schedules, workflow, and imaging-section activity to coordinate traffic flow; keep patients, family members, and Associates informed about activities and delays; and follow up on delays.
Monitor appropriate reports and maintain knowledge of CPT and ICD-10 codes to enter orders accurately and efficiently.
Reconcile daily charges and verify CPT codes, ICD-10 codes, referring physicians, and charging information.
Perform closing procedures, including tallying daily charges and procedures against the Epic daily patient log report, reconciling credit card transactions, and submitting total charges, balances, co-pays, and outpatient fees collected.
Prepare and maintain CD and film requests and fax-and-confirm requests in accordance with HIPAA guidelines and departmental processes.
Maintain adequate supplies and materials and keep patient records organized.
Distribute final procedure reports to ordering physicians as appropriate.
Serve as a liaison among patients or guarantors, insurance companies, and physician offices to ensure approvals for services are appropriately documented.
Enter required pre-authorization documentation into Radiology Management Systems (RMS) through the revised schedule information screen to support accurate billing information transfer and follow-up with patients or guarantors and third-party payers.
Review pre-authorization denial reports provided by the billing company for accuracy of the authorization process.
Provide assistance in other MIF departments as needed.
Perform other duties as assigned.