Billing Coordinator OB, Business Office, Downtown Nashville

SUMMARY: The OB Billing Coordinator is responsible for benefits verification for obstetrical and surgical patients. Must effectively and professionally manage communication and collection of patient’s financial responsibility by working collaboratively with the OB/GYN Department and Business Office.

 

ESSENTIAL DUTIES AND RESPONSIBLITIES: Other duties may be assigned.

• Greet patients upon arrival, follow sign-in procedures and verify completeness of new/update patient information sheet

• Enter new patient’s information into system or make necessary changes to established patients

• Check for accuracy of insurance status, eligibility, account information, and all vital statistics
• Have patient fill in new patient paper work - sign appropriate eligibility forms

• Receive co-payments and follow department policies for cash management and reporting
• Receive fee-for-service payments; complete receipt for patient
• Answer incoming telephone calls; handle patient concerns or route to appropriate personnel
• Check e-mails periodically daily/respond to any requests
• Check-out patients/collect any outstanding accounts due
• Contact billing department/other facilities on patient’s behalf with questions/concerns regarding billing
• Complete opening/closing of area according to checklist, paying special attention to cash handling technique, and distribution of forms
• Monitor reception area; be able to assist patients with difficulties
• Must have predicable and consistent attendance
• Maintain front office area – free of clutter, expired magazines/materials; ensure HMA approved information is in reception/waiting area

   

  SECONDARY RESPONSIBILITIES:

• Secure building, lock all entrances
• Maintain a clean and orderly work area
• Handle interoffice requests
• Be aware of wait time and communicate delays to patients
• Attend required meetings
• Assist/train new employees
• Obtain (in advance) pre-certifications, PA’s and referrals when mandated by insurance company
• Return patient calls in a timely manner
• Contact pharmacy to order or refill prescriptions as instructed by physician, document appropriately
• Label paperwork with MRC/chart number for physician review; organize paperwork and send to scanning
• Adhere to Quality Control Guidelines
• Adhere to Customer Service Standards
• Perform other tasks as needed in assistance of physician

   

SUPERVISORY RESPONSIBILITES

• This job has no supervisory responsibilities.

   

   

• Ability to cope with busy, challenging office environment.
• Strong customer service skills
• Excellent phone skills
• Pleasant, professional personality
• Good typing and computer skills
• Ability to communicate effectively both written and verbally.
• Two years’ experience or training in office procedures in a medical environment.

   

  EDUCATION and/or EXPERIENCE

• High school education equivalent.
• 3-5 years’ experience office environment, preferably in the medical field.

   

KNOWLEDGE, SKILLS AND ABILITIES

• Skill in establishing and maintaining effective working relationships with patients, medical staff, and the public. Ability to maintain quality control standards. Ability to recognize problems and recommend solutions. Ability to interpret, adapt and apply guidelines and procedures. Ability to work in accord with all departments in order to facilitate smooth overall care for patient’s health and business concerns, as well as remaining in compliance with HMA’s policies to ensure we remain in compliance with all governing laws.

   

CERTIFICATES, LICENSES, REGISTRATIONS

• None required.

   

   

PHYSICAL DEMANDS

• Must be able to stand for 8 to 10 hours a day
• Requires regular walking, bending, pushing, pulling, twisting and lifting
• Must be able to lift at least 10-15lbs
• Ability to delineate between numeric numbers

   

WORK ENVIRONMENT

• Office environment-limited exposure to communicable diseases.
• No exposure to blood-borne pathogens or contaminated body fluids