Job Location : Tulsa,OK, USA
System One has partnered with a client in the Tulsa area that is in search of a Patient Services Coordinator. If you have prior experience working in the medical field and doing insurance verification, please apply below! This position is onsite Monday-Friday.
SCOPE:
Under general supervision, this position is responsible for insurance verification and eligibility, assessment of patient financial requirements, counseling patients on insurance benefits and co-payments. Also, obtains preauthorization of services as well as obtaining and maintaining accurate patient demographics.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Requires competency in a minimum of (1) Modality of treatment/services rendered in the facility and requiring authorization review (Modalities include: Radiology/Chemotherapy/Radiation/Genetic Testing)
Ensures all insurance, demographics, and eligibility information obtained is communicated to staff as needed and are entered into the system in a timely and accurate manner
Perform insurance verification and benefits using electronic billing system, online portals, and direct dial to insurance carriers
O btains initial and subsequent preauthorization as required by insurance and enters in the practice management system as needed for flow to billing in addition to scanning hard copy of referral into chart.
Ensures appropriate signatures are obtained from patients and/or physicians on all necessary forms.
Communicates authorization status where applicable to ordering physician, clinical staff and patient
Utilizes the Summary of Patient Reimbursement and Liability form and waivers as necessary
Performs financial counseling process on all patients prior to treatment, which includes patient financial obligations, billing practices and establishing payment arrangements
Documents costs/benefits/ and all other steps within the orders as dictated by modality
Assists patients in obtaining financial assistance (i.e. Medicaid, drug replacement), outside assistance (i.e. transportation or other community services), and completing all appropriate forms as needed
Collect co-pays, deductible and other out-of-pocket amounts by phone or face-to-face as needed
Communicates both internally and externally
Scheduling FC appointments as needed
Communication with Account Reps/Business office as necessary to review unpaid claims/denials for services
Demonstrates an understanding for patient confidentiality to protect the patient and the clinic/corporation.
Follows policies and procedures to contribute to the efficiency of the patient service department and company
Assists team with their functions as needed
Must be able to pass annual competency evaluation
Other duties within scope as assigned
MINIMUM QUALIFICATIONS:
High School Diploma or equivalent required.
Minimum three years of medical business office experience with insurance procedures and patient interaction
KEY COMPETENCIES:
Competent in one Modality of Service rendered at company
Experience in using practice management system
Experience in electronic medical records
Communication skills - written and verbal
Planning and organization
Prioritizing
Information collecting and monitoring
Attention to detail and accuracy
Flexibility
Teamwork
Internal and external customer service
Ref: #208-Eng Tulsa
System One, and its subsidiaries including Joulé, ALTA IT Services, CM Access, TPGS, and MOUNTAIN, LTD., are leaders in delivering workforce solutions and integrated services across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible full-time employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.
System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.