About The Position

Reports directly to the assigned manager and/or ambulatory administrator. Directly facilitates coordination of care for patients in the outpatient setting. The Outpatient Services Coordinator manages complex scheduling workflows, handling telephone calls, specialty contract requests, online requests and/or fax requests, as well as internal departmental requests. Communicates effectively with patients regarding the triage process and timeline expectations. Ensures a high degree of accuracy and thoroughness in all patient-related activities. Supports the needs of multiple stakeholders, including patients, referring providers, UF providers, allied health staff, and third party vendors

Requirements

  • 2 years Clerical/customer service required
  • 2 years Data entry required
  • High School Diploma or GED required

Nice To Haves

  • 2 years Working in hospital or large physician's office dealing directly with patients preferred
  • Associates preferred
  • Certificate Medical Terminology preferred

Responsibilities

  • Perform timely processing of all incoming remits on a daily basis. Conduct daily research to correctly post payments, applied to Undistributed and/or PLB remit clearing accounts, during payment posting.
  • Compare, analyze and report cash received to yearly average cash amount and prepare reports.
  • Performing all the above while maintaining your patient's privacy, confidentiality, safety, and adhering to ethical, legal, and accreditations/regulatory standards at all times.
  • Accurately post Insurance payments, which includes electronic and/or manual keying to the Invoice, according to the Explanation of Benefits (EOB) or other back-up received, including Insurance denials and zero dollar EOB's.
  • Accurately Post Self-Pay payments, which includes electronic and/or manual keying of patient checks, pre-admit cash sheets, and Collection agency remits
  • Assess patient health status including state of wellness, compliance with care plan and determines appropriate diagnostic and any therapeutic treatment plan.
  • Post electronic payments as assigned, resolve any unapplied and/or withhold issues. Track any ongoing issues, to resolution; while keeping management informed throughout the process.
  • Research, by Payor assignment, any payments posted to unapplied clearing account, due to the inability to identify to a Patient Invoice or Account. Research may include calling Insurance companies, Business Groups, Accounting personnel and/or performing internet research by accessing Payor websites.
  • Provide system support to Cash department to assist with the resolving batches; which includes the retrieval of the Explanation of Benefits(EOB) from Payor Websites and scanning documents as needed into OnBase for payment posting.
  • Monitor and maintain Cash Management Module for accurate cash balancing .
  • Conduct daily review of EPIC Credit WQ transactions, that resulted from PLB segments found in the electronic file
  • All other duties as assigned
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