What are the responsibilities and job description for the Ambulatory Patient Service Coordinator-208 position at UNM Medical Group, Inc.?
UNM Medical Group, Inc. (UNMMG) is the practice plan organization for physicians and other medical providers associated with the UNM Health Sciences Center. UNMMG is a New Mexico non-profit corporation and is an equal opportunity employer. UNMMG strives to mitigate health disparities brought about by technology; we aim to reach underrepresented populations, making healthcare more equitable and accessible for all of the people in New Mexico; we have a demonstrated commitment to diversity, equity, inclusion, and student success as well as working with broadly diverse communities
UNMMG is currently seeking an Ambulatory Patient Service Coordinator who will be working in the Patient Financial Services Department of the UNM Cancer Center. This individual will perform a variety of prior authorizations, denials, financial counseling, and activities which require a range of skills and knowledge of organizational policies and procedures.
Must be able to demonstrate attention to detail and key entry accuracy. Will also be required to cross train and provide support to other positions within the Patient Financial Services Division
Summary
Under limited supervision, performs a wide variety of administrative support functions at assigned UNMMG Ambulatory Clinic including but not limited direct service to patients either by phone or in person by scheduling appointments, receptionist duties, verifying demographic and insurance information, obtaining referral and prior authorizations with insurance carriers. Assist with concerns and complaints and serving as a liaison as needed with physicians, other providers and insurance companies.
Duties and Responsibilities
- RECEPTION: Responsible for clinic receptionist duties including but not limited to: answer incoming phones, patient check in/out, coordinate and facilitate accurate patient appointment scheduling through electronic and/or manual systems, schedule follow-up appointments as ordered by providers, update and ensure accurate patient schedules and appointments in UNMMG computer systems.
- REGISTRATION: Responsible for registration duties including but not limited to: obtaining copy of insurance card, verifying accuracy of patient demographics and insurance information; updating and ensuring accurate information into UNMMG computer systems.
- FINANCIAL / CASH MANAGEMENT: Responsible for collecting co-pays, collecting upfront payments as well as self-pay down payments; generating patient receipts; referral of patients to financial counseling for funding options, if necessary. Responsible for daily cash reconciliation of cash collections and receipts; following UNMMG established cash management policies and procedures.
- BILLING: Responsible for generating charge document and other billing paperwork at time of patient’s clinic visit to ensure proper billing information is obtained and documented including but not limited to completion of paperwork by provider, written documentation on clinic log, DX and CPT code selection by provider on charge document, prompt submission to UNMMG centralized charge entry.
- PRIOR AUTHORIZATION: Responsible for coordinating and processing all referrals and prior authorizations. Interface with insurance companies to verify coverage and obtain prior authorizations; may coordinate multiple authorizations and coverage; compiles medical documentation necessary to ensure prior authorization is obtained; updates computer systems to ensure final prior authorization is documented in UNMMG computer systems.
- Maintain ongoing communications and dialog with the centralized UNMMG Practice Coordinator to address staffing issues, ongoing training and support as well as to address problems or issues related to clinic front-end processes and operations.
- Maintains record keeping and filing systems; gathers, enters and updates data as required.
- Serves as backup support for other administrative personnel as required; cross trains with other personnel for all administrative, customer service and clerical functions.
- Performs miscellaneous job-related duties as assigned.
Minimum Job Requirements
High school diploma or GED with at least 2 years of directly related experience acquired working in a medical environment. Verification of education and licensure (if applicable) will be required if selected for hire.
UNMMG offers a competitive salary and an attractive benefit package which includes medical, dental, vision, and life insurance as well as tuition assistance, paid leave and 403b retirement for benefits eligible employees.