Patient Financial Coordinator - Patient Access

About the position

The Patient Financial Coordinator is responsible for managing patient access and ensuring timely authorization for medical services. This role requires superior knowledge of insurance payers and medical terminology, including clinical documentation, ICD-10 codes, and CPT codes. The coordinator will proactively complete assigned patient authorizations, communicate with case management and physician practices, and maintain detailed documentation of all patient interactions. The position supports multiple locations within McLeod Health and emphasizes excellent customer relations and professional image.

Responsibilities

• Superior knowledge of insurance payers and medical terminology including clinical documentation, ICD-10 code(s) and CPT code(s).
• Proactively completing assigned pool of patients initiating and finalizing the authorization with the patient payer(s).
• Proactive and frequent communication with Case Management, physician practices, etc. to ensure the patient is worked timely.
• Detailed documentation of all patients worked including Caller ID, if applicable, validity dates, the authorization number, if pending/explanation or denied/explanation.
• Should authorization be denied, proactive outreach to procedural Scheduling and/or facility Financial Counselor so patient can be rescheduled and/or financial terms discussed.
• Excellent follow through ensuring that patients with pending authorizations are checked again next business day and thereafter until the authorization is secured.
• Willingly assists others to ensure all patients are worked in a timely manner at least 5 business days prior to date of service.
• Proactively investigates and researches issues at a high level to ensure the patient has been financially vetted thereby ensuring patient satisfaction and hospital reimbursement.
• Engages the physician practices, when needed, if peer-to-peer is required or additional clinical documentation is needed by payer.
• Maintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and co-workers in accordance with our Service Excellence Standards and Core Values.
• Scope of work supports McLeod Health Florence, Cheraw, Clarendon, Dillon, Loris, Seacoast, and Carolina Forest.

Requirements

• Advanced knowledge of Windows based computer systems.
• Written and verbal communication skills with persons of all ages and diverse backgrounds.
• Preferred 2 years' experience in call center, medical office, or insurance related field.
• Problem solving and performance improvement skills.
• Revenue Cycle knowledge and the understanding of how this work impacts such.