Practice Coordinator - Colon and Rectal

Principal Duties And Responsibilities

• Oversees and coordinates all facets of day-to-day operation of the reception area of the department, including reporting, policy development, procedure development, workflow, staffing, and equipment and supply maintenance.
• Assists with processing payroll and with accounts payable issues.
• Assists with analyzing budget variances on a monthly basis and implements action plans to correct negative variances.
• Assists with the development of the annual operational and capital budget.
• Affirms the manager in fostering a positive work environment as evidenced by staff morale, turnover rates and/or vacancy rates.
• Maintains multifaceted computerized scheduling and billing system.
• Schedules patient appointments and performs (pre) registration duties.
• Ensures completeness of physician charge sheets, verifies patient insurance information, and ensures appropriate CPT & ICD9 codes are on charge slips.
• Schedules diagnostic tests and therapeutic procedures according to restrictions of HMO’s, PPO’s, etc., working in cooperation with physicians, patients and other hospital departments.
• Ensures that patients are notified and receive appropriate information regarding scheduled tests and procedures.
• Codes lab requisitions with necessary patient data for proper processing and charging of lab work.
• Enters chart and billing information into computer system and assumes responsibility for all Part A, Invision and or Part B billing functions in SMS Signature within 24 hours from date of service.
• Conducts monthly chart audits to ensure compliance with various regulatory agencies.
• Collects patient co-payments and/or outstanding debts.
• Reconciles all cash collected, deposits, and maintains records of same.
• Maintains the current status of letters of Permit Exception; Center for Medicare and Medicaid; Certificate of Waiver (waived tests); Certificate of PPMP (waived tests).

Qualifications

• High School or GED equivalency.
• 3 years related experience in a medical office.
• Previous experience as a team or project leader highly desired.

Skills

• Knowledge of all HMO’s, PPO’s, Medicare, BC/BS and commercial restrictions in addition to department carve outs.
• Working knowledge of capitated verses fee for service restrictions.
• Knowledge of CPT & ICD9 codes and medical terminology.
• Skill in using computerized medical record system, (scheduling, registration, billing) and personal productivity applications.
• Skill in written and oral communication.
• Skill in performing non-complex arithmetic calculations.
• Ability to manage multiple tasks and deadlines.

Benefits

Equal Employment Opportunity
GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.