Outpatient Procedural Coordinator - Financial Clearance (Hybrid Remote | Galveston)

About the role

This position facilitates access to UTMB Procedural Services for new and returning patients, coordinates financial arrangements including financial screening, and communicates with patients, referral sources, and the Care Team regarding patient access and financial issues. The role will financially clear outpatient procedures and perform scheduling functions for all required appointments including pre- and post-procedure services. It also serves as a liaison and information resource for physicians, revenue cycle staff, nursing support, coworkers, admissions, peri-op, ancillary services, and patients or guarantors.

Responsibilities

• Coordinate financial clearance and patient registration activities and schedule outpatient procedures.
• Perform procedural scheduling tasks including verifying benefits, securing authorizations, updating information in EPIC, creating patient estimates, and communicating with patients about out-of-pocket costs and financial assistance.
• Schedule tasks for assigned providers and services, including understanding physician preferences and scheduling patterns.
• Obtain and verify patient demographics, insurance coverage and benefits, secure authorization and/or PCP referral, and obtain patient estimates for all services.
• Secure payment of patient liability prior to patient’s arrival for scheduled service.
• Facilitate communication with patients regarding procedure information, benefit information, financial responsibility, and other financial details related to scheduled procedures.
• Triage and accurately document telephone calls from patients including complaints, general information inquiries, and urgent healthcare concerns, and promptly deliver this information to appropriate providers or designees.
• Serve as an information resource for patients, physicians, nurses, and other healthcare professionals by providing accurate and current information regarding planned or scheduled services to support patient satisfaction and maximum reimbursement.
• Maintain Registration Quality Assurance (Q/A) as defined by the department, measured monthly and annually on performance review, including scoring for errors reported via internal and external sources.
• Provide high-quality customer service to external and internal customers that meets or exceeds healthcare industry service standards, including prompt and professional communication, face-to-face customer contact, flexible coverage of internal service needs, and continuous application of process improvement methods.

Education & Experience

• Associate degree and three years of related experience in admissions, patient access, or revenue cycle registration; or
• Five years of related experience in billing, financial screening/clearance, insurance verification, collections, or procedural scheduling.
• An equivalent combination of education and experience relevant to the role may be considered.

Preferred Qualifications: Infusion authorization experience.

Knowledge / Skills / Abilities

• Ability to maintain Registration Quality Assurance (Q/A) and meet productivity expectations.
• Ability to manage multiple priorities, prioritize workload, meet deadlines, and address urgent patient, physician, and system needs.
• Demonstrates excellent customer service skills.

Working Environment / Equipment

Standard hospital, clinical, laboratory, and/or office environments.

Schedule

Hybrid position (mostly remote with occasional on-site meetings as needed), 8-hour shifts, Monday through Friday.