Medical Coordinator-MultiSpec DCSA GI Lanham

Essential Job Duties

• Covers for other office staff members and provides clinic office support.
• Schedules surgical procedures and works closely with patients to set up payment plans and monitors compliance.
• Responds to patient billing and insurance inquiries and facilitates resolution of financial issues promptly.
• Provides patient education regarding insurance requirements and patient financial obligations.
• Coordinates the financial process, including insurance submission/authorization, documentation of specific requirements, and daily contact with third-party payers for authorization, approvals, denials, and appeals.
• Gathers and interprets data during the surgical process and guides patients through the process.
• Exchanges information on factual matters, obtains pertinent information from various sources, explains medical center policies, and relays messages to appropriate personnel.
• Demonstrates competence with the collection process and maintains required documentation of insurance/center requirements prior to insurance submission.
• Answers and screens office calls, manages high call volume activities, greets patients professionally and promptly, and projects proper telephone etiquette.
• Interprets and understands billing slips and the Athena workflow dashboard. Demonstrates advanced knowledge in medical terminology, CPT and ICD-10 coding, fee for service, and third-party reimbursements.
• Maintains productivity without direction, prioritizing work assignments appropriately. Complies with processes and procedures governing health records and understands when it is acceptable to release patient’s protected health information.

Educational/Experience Requirements

• High School Diploma or GED
• At least 5 years of experience in a medical setting, preferably in a patient consultation or sales/account management role.

Required License/Certifications

• Not specified

Working Conditions, Equipment, Physical Demands

• Reasonable expectation of exposure to blood-borne pathogens.
• Physical demands and work environment: The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act.

Luminis Health Benefits Overview

• Medical, Dental, and Vision Insurance
• Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year)
• Paid Time Off
• Tuition Assistance Benefits
• Employee Referral Bonus Program
• Paid Holidays, Disability, and Life/AD&D for full-time employees
• Wellness Programs
• Employee Assistance Programs and more

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Lanham, MD

Find out what it’s like to live and work in this family-friendly community.

About the Role

Position Objective: Coordinates the medical care of surgery patients in a high volume multi-faceted surgery center. Essential Job Duties: Provides clinic office support, schedules surgical procedures, responds to patient billing and insurance inquiries, provides patient education, coordinates the financial process, gathers and interprets data, exchanges information, demonstrates competence with the collection process, answers and screens office calls, interprets and understands billing slips, maintains productivity, complies with processes and procedures governing health records, and releases patient’s protected health information. Educational/Experience Requirements: Minimum Required Education: High School Diploma or GED. Minimum Required Experience: At least 5 years of experience in a medical setting, preferably in a patient consultation or sales/account management role. Required License/Certifications: Not specified Working Conditions, Equipment, Physical Demands: There is a reasonable expectation that employees in this position will not be exposed to blood-borne pathogens. Physical Demands - The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act. The above job description is an overview of the functions and requirements for this position. This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary.

Benefits

• Medical, Dental, and Vision Insurance
• Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year)
• Paid Time Off
• Tuition Assistance Benefits
• Employee Referral Bonus Program
• Paid Holidays, Disability, and Life/AD&D for full-time employees
• Wellness Programs
• Employee Assistance Programs and more

Contact Information

Lanham, MD
Find out what it’s like to live and work in this family-friendly community.