Patient Services Coordinator - Patient Access, Medical Records

Job Summary

Required Qualifications

• •High school diploma or GED
• •Ability to verify demographic and insurance information
• •Ability to obtain referral and prior authorizations with insurance carriers
• •Ability to serve as a liaison with physicians, other providers and insurance companies
• •Ability to process new patient referrals
• •Ability to verify insurance coverage and benefits
• •Ability to act as a frontline registrar for Medical or Radiation Oncology
• •Ability to perform appointment scheduling
• •Ability to manage medical records
• •Ability to act as a PBX Operator
• •Ability to answer incoming phones
• •Ability to perform patient check in/out
• •Ability to coordinate and facilitate accurate patient appointment scheduling through electronic and/or manual systems
• •Ability to schedule follow-up appointments as ordered by providers
• •Ability to update and ensure accurate patient schedules and appointments in UNMMG computer systems
• •Ability to obtain copy of insurance card
• •Ability to verify accuracy of patient demographics and insurance information
• •Ability to update and ensure accurate information into UNMMG computer systems
• •Ability to collect co-pays
• •Ability to collect upfront payments as well as self-pay down payments
• •Ability to generate patient receipts
• •Ability to refer patients to financial counseling for funding options
• •Ability to perform daily cash reconciliation of cash collections and receipts
• •Ability to follow UNMMG established cash management policies and procedures
• •Ability to generate charge document and other billing paperwork at time of patient clinic visit
• •Ability to ensure proper billing information is obtained and documented
• •Ability to complete paperwork by provider
• •Ability to provide written documentation on clinic log
• •Ability to select DX and CPT code by provider on charge document
• •Ability to submit to UNMMG centralized charge entry
• •Ability to coordinate and process all referrals and prior authorizations
• •Ability to interface with insurance companies to verify coverage and obtain prior authorizations
• •Ability to coordinate multiple authorizations and coverage
• •Ability to compile medical documentation necessary to ensure prior authorization is obtained
• •Ability to update computer systems to ensure final prior authorization is documented in UNMMG computer systems
• •Ability to maintain ongoing communications and dialog with the centralized UNMMG Practice Coordinator
• •Ability to address staffing issues, ongoing training and support
• •Ability to address problems or issues related to clinic front-end processes and operations
• •Ability to maintain record keeping and filing systems
• •Ability to gather, enter and update data as required
• •Ability to serve as backup support for other administrative personnel
• •Ability to cross train with other personnel for all administrative, customer service and clerical functions
• •Ability to work in the UNM Medical Group, Inc Cancer Center Medical Records Area
• •Ability to work at the University of New Mexico Comprehensive Cancer Center (UNMCCC)
• •Ability to work 1.0 FTE (full time equivalent) or 40 hours per week