Patient Administrative Coordinator

National Jewish Health•Denver, CO

16h•Onsite

About The Position

The Patient Administrative Coordinator serves as the initial contact for patients and staff regarding the administrative aspects of an Out of State (OOS) and Program patient visit. This role coordinates registration, financial verification and clearance, and physician visit assignments. The coordinator is the primary patient contact for non-clinical questions and scheduling status updates, referring clinical issues to the Executive Patient Ambassador or clinical staff. They maintain a general understanding of major insurance plans and medical terminology to assist patients with referrals and insurance authorizations. The role involves communicating with external referring providers about authorization requirements, reviewing authorizations for accuracy, checking insurance eligibility and benefits, and advising patients on coverage. The coordinator prepares for patient visits, ensuring the completion of their standard schedule and maintaining financial integrity. They provide patients with program information, notify the patient care team of obstacles, and report on OOS availability, alerting management to issues impacting scheduling. Additionally, the role is responsible for working reports to ensure timely and accurate billing of services.

Requirements

High school diploma or equivalent required.
A minimum of 2 years experience in the daily administrative operations, that may include scheduling, insurance verification etc, in a healthcare setting required.

Nice To Haves

Bachelor’s degree in administrative, healthcare, communications, or other related field preferred.
Experience in healthcare third party insurance plans, coverage and benefits preferred.

Responsibilities

Serve as the initial contact for patients and staff regarding administrative aspects of an Out of State (OOS) and Program patient visit.
Coordinate registration, financial verification and clearance, and physician visit assignments.
Contact patient and family to complete/verify registration, update insurance information, and establish a relationship.
Serve as the primary patient contact for all non-clinical questions and scheduling status updates, referring clinical issues to the Executive Patient Ambassador or clinical staff.
Maintain a general understanding of major insurance plans and medical terminology for assisting patients with referrals and insurance authorizations.
Communicate with external referring providers about authorization requirements, providing a list of CPT codes necessary to facilitate the authorization process.
Review authorizations to ensure accuracy, making necessary corrections, and obtaining support documentation prior to scheduling patients.
Check insurance eligibility and benefits, advise patients on coverage issues or limitations, and refer to Financial Counseling as needed.
Coordinate the administrative aspects in preparation of a patient visit and completion of their standard schedule in an appropriate manner, while maintaining the financial integrity of the visit.
Provide each patient specific and relevant program information including length of visit, basic travel requirements, and name of assigned Executive Patient Ambassador.
Notify the patient care team and/or patient of obstacles and facilitate their resolution.
Report key factors of OOS availability and alert manager of issues, both internal and external, which may impact scheduling efforts.
Work reports on correction of demographic errors, claim error exceptions, and daily discharge reports to ensure timely and accurate billing of services.
Serve as a back-up to staff absences and vacancies.
Perform other miscellaneous duties, as assigned.

Benefits

Comprehensive Medical Coverage: Multiple Cigna health plans for Colorado, regional office and remote employees.
Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) available to pair with some plans.
Paid Time Off: Generous PTO accruals to use for vacation and sick days.
Six paid holidays, all compliant with Colorado state sick leave regulations.
Dental & Vision Plans: Coverage effective the first of the month after hire.
Retirement Savings: 403(b) plan with employer contributions after two years.
Wellness Incentives: Earn up to $200 annually for preventive health activities.
Tuition Reimbursement: Up to $5,250 annually for full-time and part-time employees.
Child Care Assistance: Childcare Flex Spending Account (FSA) with annual employer contribution.
Loan Forgiveness: Public Service Loan Forgiveness (PSLF) eligible employer.
Disability & Life Insurance: Employer-paid plans and optional buy-up choices.
Voluntary Benefits: Full suite of coverage options such as Accident, Hospital Indemnity and Legal Plan.
Exclusive Discounts: Savings on local services, insurance, and RTD bus passes.