Specialty Account Coordinator - Urology Clinic OKC

About the role

The Specialty Account Coordinator is responsible for multiple facets of patient account coordination including insurance/benefit verification, denials management, and collections. They are also responsible for knowing what assistance programs patients may qualify for, assisting them in enrolling, monitoring services rendered, and billing the assistance programs for applicable funds.

Responsibilities

• Insurance/Benefit Verification
• Denials Management
• Collections
• Awareness of Assistance Programs and Enrollment Support
• Billing Assistance Programs
• Monitoring Insurance Company Regulations for Changes
• Claims Procedures and Insurance Company Regulations Knowledge
• Ophthalmology Coding and Billing Understanding
• Accuracy, Attention to Detail, and Effective Communication Skills
• Resource for Other Staff and Patients
• Consistent Accuracy and Problem Identification
• Effective Written and Oral Direction
• Dealing with VBO Management and Co-workers in Demanding Situations

Requirements

A thorough understanding of claims programs for the applicable funds, claims procedures and insurance company regulations, ophthalmology coding and billing, and monitoring of insurance company regulations for changes in pre-certification, documentation, or claims submission requirements.

Qualifications

• Some college hours in Business, Finance and/or Accounting related courses preferred.
• A minimum of 3 years related experience required.

Skills & Knowledge

• Interpersonal, organizational, and analytical skills required.
• Ability to work in stressful situations, meet deadlines, and perform daily responsibilities with consistent accuracy.
• Ability to use logic, good judgment, and be able to rapidly identify and initiate corrective actions when problems arise.
• Ability to communicate effectively providing good written and oral direction to co-workers.
• Ability to deal effectively with VBO management and co-workers in demanding situations.