Patient Services Coordinator I - Decatur, United States - Emory Healthcare

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    Description
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    JOB DESCRIPTION:

    • This position contains technical aspects, but requires high-level customer service skills, excellent interpersonal and communication skills, and a high degree of independent decision-making.
    • This position also plays a key role in the charge capture and revenue cycle process.
    • Greets and welcomes all customers utilizing the EHC customer service model.
    • Participates as a key contributor to the Press Ganey patient satisfaction initiatives within the department.
    • Reviews all appointments prior to patients arrival for appropriateness and completeness and resolve any issues.
    • Sorts and distributes reports daily.
    • Arrives patient appointments in IDX and presents appropriate paperwork to patient.
    • Verifies the accuracy of patient demographics and insurance information, updating IDX when applicable.
    • Reviews insurance eligibility and primary care provider information via online insurance verification system and/or contact insurance carrier to obtain eligibility and benefits and takes appropriate action.
    • Collects all payments according to guidelines and enters into IDX.
    • Identifies and processes case specific special billing requirements; or company billing.
    • Notifies clinical staff of patient arrival status per section guidelines.
    • Checks out patients ensuring all TEC financial and service requirements have been fulfilled.
    • Enters outpatient and inpatient charges into IDX.
    • Schedules all walk-in or add-on appointments and prepares necessary paperwork. Registers any new patients not pre-registered including those requiring specialized registration such as transplants, student health and occupational medicine.
    • Verifies and processes referrals, authorizations, and links to appointment.
    • Balances and closes all charge and payment batches by the end of each day.
    • Schedules ancillary services.
    • Complies with all clinic and section policies and procedures.
    • Reviews schedules periodically throughout the day to ensure all appointment status are correct in IDX.
    • Completes productivity reports; i.e., patient count, copay, and collection reports. Facilitates resolution of patient concerns.
    • Assists with patient flow by tracking and monitoring patient wait times.
    • Answers and directs incoming calls according to section guidelines.
    • Arranges transportation for ambulatory patients.
    • Attends training classes and meetings as scheduled.
    • Prepares all source documents for imaging.
    • Performs other related duties as assigned or requested by any member of leadership.
    • Prepares encounter forms for inpatient and nursing home billing.

    MINIMUM QUALIFICATIONS:

    • High school diploma/GED preferred or equivalent and twelve (12) months experience in healthcare or customer service OR a Bachelor's degree.

    PHYSICAL REQUIREMENTS: 1-10 lbs 0-33% of the work day (occasionally), negligible 34-66% of the workday (frequently), negligible 67-100% of the workday (constantly). Lifting 10 lbs max, carrying of small articles such as dockets, ledgers, files, small tools, occasional standing & walking, frequent sitting, close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.

    ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure, Bio-hazardous waste. chemicals/gases/fumes/vapors, communicable diseases, electrical shock, floor surfaces, hot/cold temperatures, indoor/outdoor conditions, latex, lighting patient care/handling injuries, radiation, shift work, travel may be required, use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.