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Luminis Health · 4 weeks ago

Medical Coordinator-Cardiology Specialists

Annapolis, MD

Full-time

Onsite

Senior Level

$23/hr - $30/hr

5+ years exp

Luminis Health is a multi-faceted surgery center seeking a Medical Coordinator for their Cardiology Specialists department. The role involves coordinating medical care for surgery patients, providing clinic office support, managing financial processes, and ensuring a smooth patient navigation experience.

Health CareMedicalNon Profit

Responsibilities

Coordinates the required activities of a high volume multi-faceted surgical center to ensure a smooth and efficient patient navigation process on a continuum

Provides clinic office support including coverage for other office staff members

Establishes rapport with patients scheduling surgical procedures and works closely with patients to set up payment plans and monitors compliance

Responds to patient billing and insurance inquiries and facilitates resolution of financial issues promptly

Provides patient education in regards to insurance requirements and patient financial obligations

Demonstrates competence with the collection process

Coordinates the financial process to include, insurance submission/authorization, documentation of specific requirements packaged for submission to multiple insurers

Daily contact with third party payers for authorization, approvals, denials and appeals

Provides continual patient contact by guiding the patient comfortably through the surgical process

Gathers and interprets data in situations in which the information or problems are relatively routine

Exchanges information on factual matters, obtains pertinent information from a variety of sources, explains medical center policies, and/or relays messages to appropriate personnel

Demonstrates competence with the collection process

Collects and maintains the required documentation of insurance/center requirements prior to the insurance submission

Answers and screens office calls, manages high call volume activities, greets patients in a professional and timely manner, and projects proper telephone etiquette

Demonstrates basic knowledge in interpreting and understanding billing slips and the Athena workflow dashboard

Advanced knowledge of medical terminology, CPT and ICD-10 coding, fee for service and third party reimbursements

Maintains productivity without direction, prioritizing work assignments appropriately

Complies with the processes and procedures governing health records and understands when it is acceptable to release patient’s protected health information

Qualification

Medical terminologyCPTICD-10 codingInsurance authorizationPatient consultationFinancial coordinationClerical supportHigh call volume managementCommunication skills

Required

High School Diploma or GED

At least 5 years of experience in a medical setting with experience preferably in a patient consultation or sales/account management role

Demonstrates basic knowledge in interpreting and understanding billing slips and the Athena workflow dashboard

Advanced knowledge of medical terminology, CPT and ICD-10 coding, fee for service and third party reimbursements

Maintains productivity without direction, prioritizing work assignments appropriately

Complies with the processes and procedures governing health records and understands when it is acceptable to release patient's protected health information