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UNM Medical Group, Inc. · 3 weeks ago

Patient Service Coordinator - Patient Access, Scheduling

Albuquerque, NM

Full-time

Onsite

New Grad, Entry Level

$36K/yr - $45K/yr

UNM Medical Group, Inc is seeking a Full-time Patient Services Coordinator to work in their Cancer Center Scheduling Area. The role involves handling all scheduling needs for Cancer Center patients and providing administrative support functions at the clinic, ensuring efficient patient services and communication with healthcare providers and insurance companies.

Hospital & Health Care

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

Qualification

Patient SchedulingInsurance VerificationPrior AuthorizationMedical Records ManagementCustomer ServiceCash ManagementCommunication Skills

Required

High school diploma or GED

Completed degree(s) from an accredited institution that are above the minimum education requirements may be substituted for experience on a year for year basis

Verification of education and licensure (if applicable) will be required if selected for hire