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Job Summary

Novant Health Orthopedics & Sports Medicine is seeking a Patient Services Coordinator IV. The PSC IV is responsible for processing referrals at least 50% of the time and/or performing Dimensions super-user functions such as practice support with EPIC or working the miscellaneous work queues. The position is fast pace, answering phones, check in/out.

+ Communicates complete and accurate information to the patient. Responsible for resolving Work Queues in Epic including, but not limited to: Follow Up; Claim Edit; Charge Review (Audit and Review); Missing Guarantor. Resolves work queue errors & denials through research and analysis by reviewing chart and office notes, pre-authorizations, hospital documents, etc. Researches and analyzes denials, corrects errors to ensure charges captured and processed and goals for site errors is met or exceeded. Responds to patients and staff for billing and insurance questions. Ensures charges drop for claims processing. Works closely with practice coder in resolution process.

+ Enters necessary patient demographics if new patient; verifies information if established patient, when scheduling appointments. Chooses appointment time based on patient request, physician/provider availability and urgency of appointment. Generates a hard copy of appointment schedules.

+ Works within a team to achieve patient and team goals. Shares and initiates regular and professional communication with co-workers. Participates in regular staff meetings. Works as a team member to identify areas of improvement and actively participates in the improvement process.

Responsibilities

+ Processes referrals, obtains all necessary information from the patient and provider to ensure accuracy and completeness of referral. Explains, if necessary, insurance carrier guidelines for referrals to patient. Schedules the referral appointment or gives the patient the information necessary so they can schedule the appointment at the referring physician’s office. Communicates complete and accurate information to the patient.

+ Works within a team to achieve patient and team goals. Shares and initiates regular and professional communication with co-workers. Participates in regular staff meetings. Works as a team member to identify areas of improvement and actively participates in the improvement process.

Qualifications

+ Education: High School Diploma or GED, required.

+ Experience: Three years of experience in a medical office setting, required. Other related experience may be considered in lieu of medical office experience.

+ Additional Skills Required: Knowledge of medical office software for the following: updating patient demographic information, posting charges, copays, and scheduling patient appointments. Requires understanding of CPT and ICD9-CM coding processes. Requires excellent verbal communication skills. Must be able to work with changing priorities. Requires excellent organizational, problem solving and critical thinking skills. Must be able to interact with individuals of all cultures and levels of authority. Requires the ability to maintain confidentiality. Must be able to function as part of a team. Must possess initiative. Basic medical terminology required, knowledge can be obtained through formal classes or work experience. High level of working knowledge of EPIC systems. Detailed knowledge of multiple payors billing requirements. Familiarity of coding requirements for practice specialty.

+ Additional Skills Preferred: Proficient in the use of all computer software utilized in the practice.

Job Opening ID

111422