Patient Services Coordinator IV

Responsibilities

• Process referrals at least 50% of the time and/or perform Dimensions super-user functions such as practice support with EPIC or work miscellaneous work queues.
• Schedule surgeries with surgeons, operating rooms, hospitals, and ambulatory surgery centers.
• Verify insurance benefits and obtain required prior authorizations/referrals.
• Communicate with patients about surgery dates, arrival times, preparation instructions, and required paperwork.
• Coordinate with surgical teams, including surgeons, nurses, anesthesia, hospitals, and other medical offices.
• Prepare and maintain surgical documentation, including consent forms, orders, medical records, and scheduling information.
• Confirm patient eligibility and procedure details before surgery.
• Reschedule or cancel procedures when necessary and communicate changes to all involved parties.
• Track surgical cases and ensure required information is received before the procedure.
• Handle patient questions regarding scheduling, pre-op requirements, and logistics, while directing clinical questions to appropriate medical staff.
• Maintain accurate electronic health records (EHR) and scheduling systems.
• Follow HIPAA and organizational policies when handling patient information.
• Manage physician and facility calendars to maximize operating-room and provider availability.
• Work with billing/coding or financial departments when authorization, deposits, or payment issues affect scheduling.

Requirements

• Education: High School Diploma or GED, required.
• Experience: Three years of experience in a medical office setting, required. Other related experience may be considered in lieu of medical office experience.
• Knowledge of medical office software for updating patient demographic information, posting charges, copays, and scheduling patient appointments.
• Understanding of CPT and ICD-9-CM coding processes.
• Excellent verbal communication skills.
• Ability to work with changing priorities.
• Excellent organizational, problem solving and critical thinking skills.
• Ability to interact with individuals of all cultures and levels of authority.
• Ability to maintain confidentiality.
• Ability to function as part of a team.
• Possess initiative.
• Basic medical terminology required (knowledge can be obtained through formal classes or work experience).
• High level of working knowledge of EPIC systems.
• Detailed knowledge of multiple payors billing requirements.
• Familiarity of coding requirements for practice specialty.