Patient Services Coordinator - Truman Health Services

UNM Medical Group•Albuquerque, NM

2d•Onsite

About The Position

The UNM Medical Group, Inc. is seeking an Full-time Patient Services Coordinator to work in our Truman Health Services Team. This candidate must be an excellent communicator with a desire to be part of a great team! The work schedule is Monday - Friday 8am-5pm. The ideal candidate will have experience working in a fast-paced Primary Care Clinic and is familiar with the processes related to verifying insurance, verifying patient eligibility for services, scheduling appointments and handling a multiline phone. This candidate will have experience collecting patient co-pays, maintaining and balancing daily cash collections, and preparing deposits In addition, this role requires someone who is dedicated, reliable and enthusiastic with an overachieving attitude and enhanced work ethic who can coordinate calls and registration while providing superb customer service. Under limited supervision, performs a wide variety of administrative support functions at assigned UNMMG Ambulatory Clinic including but not limited direct service to patients either by phone or in person by scheduling appointments, receptionist duties, verifying demographic and insurance information, obtaining referral and prior authorizations with insurance carriers. Assist with concerns and complaints and serving as a liaison as needed with physicians, other providers and insurance companies.

Requirements

High school diploma or GED.
Experience working in a fast-paced Primary Care Clinic.
Familiar with the processes related to verifying insurance, verifying patient eligibility for services, scheduling appointments and handling a multiline phone.
Experience collecting patient co-pays, maintaining and balancing daily cash collections, and preparing deposits.
Dedicated, reliable and enthusiastic with an overachieving attitude and enhanced work ethic.

Nice To Haves

Experienced providing Community Health Worker services to medically and socially complex populations.
Experienced providing social support services to people living with HIV/AIDS.
Experienced working with the LGBTQ+ community.
Experienced working in a community based multi-disciplinary setting.
Bilingual English/Spanish.

Responsibilities

Responsible for clinic receptionist duties including but not limited to: answer incoming phones, patient check in/out, coordinate and facilitate accurate patient appointment scheduling through electronic and/or manual systems, schedule follow-up appointments as ordered by providers, update and ensure accurate patient schedules and appointments in UNMMG computer systems.
Responsible for registration duties including but not limited to: obtaining copy of insurance card, verifying accuracy of patient demographics and insurance information; updating and ensuring accurate information into UNMMG computer systems.
Responsible for collecting co-pays, collecting upfront payments as well as self-pay down payments; generating patient receipts; referral of patients to financial counseling for funding options, if necessary. Responsible for daily cash reconciliation of cash collections and receipts; following UNMMG established cash management policies and procedures.
Responsible for generating charge document and other billing paperwork at time of patient�s clinic visit to ensure proper billing information is obtained and documented including but not limited to completion of paperwork by provider, written documentation on clinic log, DX and CPT code selection by provider on charge document, prompt submission to UNMMG centralized charge entry.
Responsible for coordinating and processing all referrals and prior authorizations. Interface with insurance companies to verify coverage and obtain prior authorizations; may coordinate multiple authorizations and coverage; compiles medical documentation necessary to ensure prior authorization is obtained; updates computer systems to ensure final prior authorization is documented in UNMMG computer systems.
Maintain ongoing communications and dialog with the centralized UNMMG Practice Coordinator to address staffing issues, ongoing training and support as well as to address problems or issues related to clinic front-end processes and operations.
Maintains record keeping and filing systems; gathers, enters and updates data as required.
Serves as backup support for other administrative personnel as required; cross trains with other personnel for all administrative, customer service and clerical functions