Job Description:
• Schedule patients and coordinate centralized scheduling
• Obtain and verify prior authorizations
• Create estimates of services
• Conduct financial conversations with patients and/or guardians
• Assist patients, guardians, and provider offices courteously and professionally
• Ensure accuracy and integrity of patient information and test orders
• Coordinate with physicians, nurses, staff, patients, and medical departments
• Confirm appointments, prior authorizations, and medical orders
• Validate prior authorization CPT codes against ordered tests and troubleshoot discrepancies
• Verify medical necessity and obtain procedure-related diagnoses
• Assign diagnosis codes using a computerized encoding system
• Enter codes into medical necessity software to obtain approval
• Contact providers to validate or obtain additional diagnoses
• Create and process Advanced Beneficiary Notices when applicable
• Verify insurance benefits, copays, deductibles, and coinsurance
• Inform patients or departments of financial responsibilities
• Direct patients to Financial Counselors for payment arrangements or financial assistance
• Troubleshoot computer-system issues and perform table maintenance if designated as a Super User
• Maintain confidentiality and protect sensitive data
• Provide exceptional customer service
• Perform other duties within the Patient Financial Services department as requested
Requirements:
• High school education level is listed
• Minimum required experience in a health care office setting and/or customer service
• Certified Medical Assistant or similar degree with experience
• Ability to work independently and as a member of a team
• Ability to understand and follow safe work practices
• Ability to follow Amberwell procedures and established policies
• Knowledge of cultural diversity
• Communication skills necessary to interact effectively with patients, families, customers, physicians, nurses, staff, and medical departments
• Ability to maintain confidentiality and protect sensitive data
• Preferred: 2+ years of experience
• Preferred: Certified Medical Assistant certification
Benefits:
• Full-time employment
• 8-hour day shift
• No travel required
• Employee appreciation events and activities
• Professional environment focused on consistency, collaboration, and patient-first decision making
• Servant leadership modeled and mentored
• Regular appreciation