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Scheduling Coordinator in Olympia, WA at Capital Medical Center

Date Posted: 11/28/2018

Job Snapshot

  • Employee Type:
    Part-Time
  • Location:
    Olympia, WA
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    11/28/2018

Job Description

Position Summary:
The Referral Coordinator must be friendly, cheerful and professional with a strong work ethic and excellent communication and people skills. The Referral Coordinator is a fast learner, able to quickly and clearly understand clinic guidelines and procedures relating to patient service and telephone management. The Referral Coordinator is responsible for accurate data entry. The Referral Coordinator follows all federal and state laws regarding the Health Insurance Portability and Accountability Act (HIPAA) with special regards to patient privacy. The Referral Coordinator must communicate well and have the ability to listen to patient requests and provide assistance. The Referral Coordinator looks professional by adhering to the clinic dress code. The Referral Coordinator must follow and adhere to Capital Physician Services mission statement and Values. The Referral Coordinator may access the patient electronic medical record (EMR) to the extent of viewing and printing patient demographic and medical records for the purpose of locating files, answering patient inquiries, printing records and scanning records.

Job Requirements

Position Qualifications:
1. Ability to meet minimum hospital hiring standards.
2. High School Diploma or equivalent.
3. Minimum 3-5 years referral or medical billing experience.
4. MS Word and Excel required

Essential Job Functions*:
1. Process incoming and outgoing referrals.
2. Process/Obtain prior-authorizations for various procedures in Office, OR, and or Surgical Center.
3. Performs insurance verification, eligibility and benefits with various payers
4. Enter referrals/authorizations into EHR system.
5. Follow up when needed with the patients or providers.
6. Updates provider lists for referrals
7. Works assigned buckets to ensure referrals and authorizations are processed timely
8. Answers phone calls and helps patients with referral and authorization questions
9. Ability to run reports in PM system as needed.
10. Works closely with physicians, medical assistants and other staff to ensure proper handling of referrals and authorizations.
11. Implement quality improvement requests, Identify system breakdowns regarding practices, policies, and procedures.
12. Utilize resources efficiently, Recommend additions of new equipment or staffing to Office Manager, Meet regularly with Office Manager to improve workflow.
13. Keep current changes in laws/guidelines and clinic policies and procedures, Answers questions appropriately and/or directs questions to the appropriate person, Displays professional and courteous telephone etiquette (AIDET). Identifies clinic and self. Takes accurate messages.
14. Utilize email system Outlook for communication with all internal and external clients. Maintains outlook calendar for meetings and time off requests.
15. Follows RCCH revenue cycle process and workflow guidelines.

Essential Physical, Mental and/or Environmental Working Conditions:
1. Must be able to meet the physical/mental demands of position with or without accommodation. See checklist (page 2) for specific physical, mental and environmental working conditions.
2. Must be able to utilize good judgment, demonstrate patience, and maintain a professional demeanor at all times.
3. Must be able to work in a busy and stressful environment.
 Since it is difficult to identify all essential functions of a job because of changes in the workplace, this job description will be reviewed periodically to ensure that it is accurate and up-to-date.

Skills & Knowledge set:

Minimum Required:
ICD-9, ICD-10, CPT and HCPCS experience.
Knowledge of Prim/2ndary and Tertiary billing practices.
Knowledge of payor specifics: Medicare, Medicaid and Commercial Plans.
Knowledge of payor specific billing forms. (ABN’s/ Waivers)
Ability to read and interpret EOB’s
Strong problem solving skills
Pays attention to details
Ability to Multi task
Dependable
Team player

Preferred + (but not required)
Knowledge of Chart Auditing process
Knowledge of the following computer programs:
AthenaNet
Outlook
Meditech
Microsoft Office
Knowledge of the following billing types and/ or Multi-specialty billing:
Neurology
Urology
ENT
Family Practice
Infectious Disease
Internal Medicine
GYN
Pediatrics
Sport Medicine
In patient/Outpatient and Surgery
Knowledge of Medical Terminology
Knowledge of modifiers