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- Jacksonville, Florida
- Office and Clerical
- 53664
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Overview
Job Description
Reports directly to the assigned manager and/or ambulatory administrator. Directly facilitates coordination of care for patients in the outpatient setting. The Outpatient Services Coordinator manages complex scheduling workflows, handling telephone calls, specialty contract requests, online requests and/or fax requests, as well as internal departmental requests. Communicates effectively with patients regarding the triage process and timeline expectations. Ensures a high degree of accuracy and thoroughness in all patient-related activities. Supports the needs of multiple stakeholders, including patients, referring providers, UF providers, allied health staff, and third party vendors.
Responsibilities
Perform timely processing of all incoming remits on a daily
basis. Conduct daily research to correctly post payments,
applied to Undistributed and/or PLB remit clearing accounts,
during payment posting.
Compare, analyze and report cash received to yearly average
cash amount and prepare reports.
Performing all the above while maintaining your patient's
privacy, confidentiality, safety, and adhering to ethical, legal,
and accreditations/regulatory standards at all times.
Accurately post Insurance payments, which includes
electronic and/or manual keying to the Invoice, according to
The Explanation Of Benefits (EOB) Or Other Back-up Received,
including Insurance denials and zero dollar EOB's.
Accurately Post Self-Pay payments, which includes electronic
and/or manual keying of patient checks, pre-admit cash
sheets, and Collection agency remits
Assess patient health status including state of wellness,
compliance with care plan and determines appropriate
diagnostic and any therapeutic treatment plan.
Post electronic payments as assigned, resolve any unapplied
and/or withhold issues. Track any ongoing issues, to
resolution; while keeping management informed throughout
the process.
Research, by Payor assignment, any payments posted to
unapplied clearing account, due to the inability to identify to a
Patient Invoice or Account. Research may include calling
Insurance companies, Business Groups, Accounting
personnel and/or performing internet research by accessing
Payor websites.
Provide system support to Cash department to assist with the
resolving batches; which includes the retrieval of the
Explanation of Benefits(EOB) from Payor Websites and
scanning documents as needed into OnBase for payment
posting.
Monitor and maintain Cash Management Module for accurate
cash balancing .
Conduct daily review of EPIC Credit WQ transactions, that
resulted from PLB segments found in the electronic file.
Qualifications
Experience Requirements:
2 years Clerical/customer service required
2 years Data entry required
2 years Working in hospital or large physician's office dealing directly with patients preferred
Education: High School Diploma or GED equivalent required
Associates preferred
Certification: Certificate Medical Terminology preferred
Additional Duties: Additional duties as assigned may vary.
