PATIENT CARE COORDINATOR

ESSENTIAL DUTIES

• Ability to fully train and assist New Hires for the Front Office for Mesquite and Fort Apache.
• Courteously check patients in and out according to our Customer Service standards.
• Able to Verify insurances, collect appropriate dues and assist or work together with the Verification Department.
• Ability to complete, modify or identify discrepancies on patients' appointments, demographics, insurances, eligibility, and report this to the proper department to work in compliance for a better flow on a daily basis and on pro to have a more accurate schedule.
• Ability to assist call center, verification department, Medical Records and Referral department.
• Schedule appointments, maintain and update the schedule as needed.
• Confirm appointments for providers, aestheticians and RN’s.
• Create and maintain patient charts, ensure demographics are up to date.
• Prepare superbills accurately and in a timely manner.
• Follow all HIPPA regulations, keep patient personal and financial information confidential.
• Anticipate and respond positively to changing conditions.
• Ability to stay focused on what needs to be accomplished while under pressure.
• Ability to listen and communicate effectively and kindly while listening to patient complaints.
• Keep the front office neat and orderly to maintain our high standards.
• Maintain inventory, place order weekly as needed.
• Other duties as assigned to assist the overall function of your location.
• Know the difference between an HMO and PPO.
• Ability to maintain updated referrals for new and existing patients who need it.
• Ability to know the difference between Blue Cross and Blue Shield
• Ability to determine Medi-Cal HMO patients requires authorization and should be billed to Medical Group or IPA
• Ability to read insurance card and input the correct payer id or payer name and address
• Ability to know Military Insurance programs require specific policy info (SS# or 11 Digit id)
• Ability to multi-task in an expeditious manner
• Ability to know if the payer is contracted with Tax id/NPI
• Verify authorization for HMO commercial and Medi-cal HMO
• Awareness of completing all patient Demographics to avoid claim rejections
• Ability to post copays into EMA
• Ability to verify straight Medicare vs Medicare Advantage Plan
• Distinguish primary insurance vs secondary insurance

Ability to send faxes to the proper department in a timely manner, identifying Medical Records, Prior Authorizations and Referrals.