Patient Services Coordinator - Patient Access, Medical Records

UNM Medical Group•Albuquerque, NM

23h•Onsite

About The Position

The UNM Medical Group, Inc is seeking an Patient Services Coordinator to work in our Cancer Center Medical Records Area. This position performs a wide variety of administrative support functions at assigned UNMG Ambulatory Clinic. The role involves direct service to patients either by phone or in person by scheduling appointments, receptionist duties, verifying demographic and insurance information, and obtaining referral and prior authorizations with insurance carriers. The coordinator will also assist with concerns and complaints and serve as a liaison as needed with physicians, other providers, and insurance companies. This position is located at the University of New Mexico Comprehensive Cancer Center (UNMCCC), which is a statewide provider of cancer care and is influential in the cancer field throughout New Mexico and the nation. It is the only academic healthcare facility dedicated to both cancer research and patient care and is also the only Cancer Center in New Mexico designated by the National Cancer Institute (NCI), and one of just sixty-six (66) premier NCI-designated centers nationwide.

Requirements

High school diploma or GED.
Completed degree(s) from an accredited institution that are above the minimum education requirements may be substituted for experience on a year for year basis.
Verification of education and licensure (if applicable) will be required if selected for hire.

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.