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Company: MedStar Medical Group

Location: Washington, DC

Career Level: Associate

Industries: Not specified

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Description

General Summary of Position
Coordinates all the front-end functions and activities related to patient access in the ambulatory practice including, but not limited to, customer service, patient registration, on-site insurance verification and financial counseling, accurate Time-of-Service (TOS) payment collections, and the balancing of all TOS payments. The person in this position ensures all scheduling, registration, and payment collection activities are staffed appropriately each day and oversees scheduling and front desk staff in conjunction with the ambulatory practice leadership team. Performs all master scheduling functions including development and maintenance of master schedules and daily scheduling edits.

Primary Duties and Responsibilities

Coordinates the patient registration process, including staff adherence with all established policies and procedures related to querying the Enterprise Access Directory (EAD) and obtaining complete demographic and insurance information for each patient appointment.

Assists with coordinating personnel activities, including interviews, orientation and training, scheduling, work sampling, quality assurance and performance management.

Coordinates the patient appointment scheduling process, including staff adherence with all established policies and procedures related to determining and accurately documenting the appropriate appointment type, provider, referral and/or authorization requirements, procedure orders, and other appointment specific requirements. May also coordinate scheduling surgical cases and procedures, as appropriate.

Coordinates the maintenance of the approved organization electronic scheduling and billing system patient scheduler system, including triaging referrals and/or orders to the appropriate physician for care. Performs or ensures the performance of all master scheduling functions including development and maintenance of master schedules. Performs or ensures the performance of daily scheduling edits as necessitated by provider schedule changes.

Coordinates the patient check-in and check-out process for practice including patient reception, validation of patient identity, scanning of patient documents to the appropriate system, resolution of all alerts for missing or inaccurate information prior to patient arrival, insurance verification, collection and electronic posting of time of service (TOS) payments, appropriate and timely status of all appointments, collections and review of all encounter forms, daily deposits of TOS payments, and preparation of charge batches.

Coordinates the daily batching process, including encounter form completion and reconciliation to optimize charge capture and reimbursement. Reports to the Ambulatory Practice Manager or designee on daily activity and process improvement initiatives.

In conjunction with the Ambulatory Practice Manager or designee, ensures accurate review, follow up and completion of custom reports, including past pending, missing charge, charge lag and rejection reports. Recommends and implements corrective actions as appropriate.

Coordinates the referral, pre-certification and authorization process for department including staff adherence to all Managed Care Department requirements and contracts to ensure all patient appointments have required approvals in advance of the appointment. Coordinates documentation of referrals and authorizations. Obtains insurance referrals and pre-authorizations, as needed. Assists with pre-authorizations of hospital admissions, procedures, medications and medical equipment.

Participates in the training and education of staff on managed care contracts and processes, system utilization of the approved organization electronic scheduling and billing system, Joint Commission (JC) standards, and privacy guidelines and compliance issues.

Educates and informs patients and families regarding verification status and issues related to deductibles, co-payments and balances. Responds to hospital staff and/or patient inquiries regarding referrals, authorizations and scheduling in an efficient manner.

Monitors clinical facility needs and environment of care to ensure a clean, safe environment for patients. Ensures work spaces are neat, clean, and free of debris at all times. Maintains competency in all electronic systems required for job functions. Reports computer malfunctions, software issues and/or problems to the Help Desk or appropriate staff.

Maintains current knowledge of technical and business developments and communicates relevant information to the work group.

CUSTOM.PRIMARY.DUTIES.RESPONSIBILITIES.ADDENDUM

Minimum Qualifications
Education

Associate's degree required
Relevant MedStar Washington Hospital experience (minimum of three years) may be substituted for degree.

Experience

3-4 years of progressively more responsible job related experience required

Licenses and Certifications

Successful completion of the IDX Master Scheduler training within 180 Days required

This position has a hiring range of $48,235 - $84,468

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Coordinator Patient Service Job Listing at MedStar Medical Group in Washington, DC (Job ID req46929)

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Coordinator Patient Service Job Listing at MedStar Medical Group in Washington, DC (Job ID req46929)

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