Note: The job is a remote job and is open to candidates in USA. Novant Health is seeking a Patient Services Coordinator III to support its Mediful virtual pharmacy service. The role provides operational support through patient scheduling, clerical work, Epic charge-entry auditing, billing and insurance issue resolution, and teamwork focused on improving patient and team outcomes.
Responsibilities
- Scheduling: When scheduling appointment, enter necessary patient demographics if new patient; verifies information if established patient. Chooses appointment time based on patient request, physician/provider availability and urgency of appointment
- General Clerical Duties: File. Make Copies. Answer the telephone, provide accurate follow up, take and communicate messages
- EPIC and Charge Entry Audit: Responsible for resolving Work Queues in Epic including, but not limited to: Follow Up; Claim Edit; Charge Review (Audit and Review); Missing Guarantor. Research and analyze denials, correct errors to ensure charges captured and processed and goal for site errors is met or exceeded. Respond to patients and staff for billing and insurance questions. Resolve work queue errors & denials through research and analysis by reviewing chart and office notes, pre-authorizations, hospital documents, etc. Ensure charges drop for claims processing. Work closely with practice coder in resolution process. Respond to requests from practice Revenue Cycle Advocate. Serve as resource for front desk registration to ensure accuracy on insurance information. Resolve patient billing concerns. Assist providers in charge capture when necessary
- Teamwork and Communication: Work within a team to achieve patient and team goals. Share and initiate regular and professional communication with co-workers. Participate in regular staff meetings. Works with team to identify opportunities of improvement and actively participates in the improvement process
Skills
- • High-volume call experience
- • Understanding of medical terminology and abbreviations
- • Experience with managing high volumes of patient scheduling
- • Customer service oriented
- • Highly motivated and adaptable individual who is self-directed and able to execute tasks and utilize critical thinking in a quickly changing environment
- • Ability to multi-task, prioritize essential tasks and meet deadlines
- • Maintains patient confidentiality; complies with HIPAA and compliance guidelines established by Novant Health
- • Education: High School Diploma or GED, required
- • Experience: One year of clerical experience in medical office setting, required
- Other related experience may be considered in lieu of medical office experience
- • Additional Skills (required): Knowledge of medical office software for the following: updating patient demographic information, posting charges, copays, and scheduling patient appointments
- Requires excellent verbal communication skills
- Must be able to work with changing priorities
- Requires excellent organizational, problem solving and critical thinking skills
- Must be able to interact with individuals of all cultures and levels of authority
- Requires the ability to maintain confidentiality
- Must be able to function as part of a team
- Must possess initiative
- Basic medical terminology required, knowledge can be obtained through formal classes or work experience
- High level of working knowledge of EPIC systems
- Detailed knowledge of multiple payors billing requirements
- Familiarity of coding requirements for practice specialty
- • Experience with EPIC electronic medical record preferred
- • Additional Skills (preferred): Proficient in use of all computer software utilized in practice
Benefits
- Monday-Friday, 8am-5pm - hybrid
- Remote opportunity within our approved hiring footprint. Will need to come on-site as needed.
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