Patient Service Coordinator & Prior Authorization Specialist

INSIGHT Surgical Hospital•Coldwater, MI

20d

About The Position

This position performs diversified administrative support functions vital to the department’s day-to-day clinical operations and revenue integrity. The employee uses strong interpersonal and communication skills to respond to internal and external inquiries in a timely, professional manner. The role combines general secretarial and office support with patient registration, insurance verification, therapy scheduling, plan-of-care routing, point-of-service collections, and billing charge reconciliation. The listed accountabilities describe the general nature and level of work and are not exhaustive.

Requirements

High school diploma or equivalent.
Three to five years of secretarial experience.
Typing skills and ability to use a calculator and personal computer.
Proficiency in Microsoft Word, Excel, PowerPoint, and Teams.
Knowledge of established filing systems and office procedures.
Ability to compose letters and memorandums and demonstrate phone etiquette and event-coordination skills.
Strong interpersonal skills to positively represent the department and system to callers and visitors.
Ability to work calmly and efficiently under stress in a busy environment.
Self-directed, detail-oriented approach with attention to accuracy.
Ability to multitask and prioritize competing needs.
Able to move between offices or work areas; occasionally lift up to 25 pounds and bend or reach; able to sit and/or stand for extended periods.
Use personal protective equipment as required by infection prevention and control policies.

Responsibilities

Prepare memorandums, policies, committee minutes, manuals, letters, forms, procedures, technical papers, and other documents and correspondence.
Maintain departmental policies, procedures, administrative manuals, meeting-minute books or binders, and financial and administrative reports.
Process and maintain confidential staff personnel files, human resource information, and administrative correspondence.
Open and sort incoming mail and distribute correspondence and materials for Directors, Managers, and Coordinators.
Calculate and tally survey results, perform data entry, and create statistical and other reports.
Complete administrative forms, including check refunds, mileage and expense vouchers, and departmental payroll timecards and tracking.
Assist Directors, Managers, and Coordinators with special projects.
Arrange interviews and coordinate the hiring process with Human Resources.
Order and maintain facility supply inventory.
Answer phones, record and forward messages, and greet customers in a polite and timely manner.
Register patients in the system and rehab-specific EMR (Insight Care), including pre-registration and re-registration every 30 days when necessary, to support accurate billing.
Verify insurance coverage for rehabilitation services using electronic insurance portals and phone systems, and document coverage details in the EMR.
Maintain accurate clinical schedules and schedule initial and recurring therapy visits in the rehabilitation EMR.
Ensure therapy plans of care are completed and routed promptly to meet regulatory requirements and system-wide quality standards.
Collect point-of-service payments, including co-pays and deductibles, and record and process collections according to system policies.
Process daily billing charges, reconcile charges for accuracy, and identify and help correct billing errors.
Provide general office support, including typing, data entry, filing, copying, scanning, and assisting with reports and data collection.
Perform other duties as assigned.