A/R & Denial Coordinator- Granville Pike Family Physicians

Full Time
Lancaster, OH
Posted
Job description

Central Ohio Primary Care Physicians is seeking a A/R & Denial Coordinator for our Granville Pike Family Physicians office in Lancaster, OH. This position is a key point of contact for patients. This is a full-time role working first shift hours Monday- Friday.

Essential Duties and Responsibilities:

  • Contact patients from the Final Notice and Bad Debt reports to attempt to receive payment over the phone and/or an alert note to the patients chart if they have an appointment over the next few days.
  • From the Collections report, send TE's to the physicians to see if they want to discharge the patient. If so, process discharge letter/notice, etc.
  • After the physician completes a progress note, review to make sure there are no obvious claim errors prior to coder review. Make suggestions to change the note for items such as: assigning the correct diagnosis to the correct procedure (i.e. if the patient is seen for a sore throat and painful urination, assign the sore throat diagnosis to the rapid strep test and the painful urination diagnosis to the urinalysis), make suggestions for different codes to be used if it is on the 'common denial' list, make sure the correct code is selected (Welcome to Medicare code vs. Subsequent Medicare Wellness)
  • Run the office's denial report. Look for trends in denials and if the denial could have been prevented.
  • Run the office's A/R report to monitor trends in both patient in and insurance A/R.
  • Answer phone calls and email inquiries from patients and COPC administrative departments in a timely manner; direct or escalate inquiries when needed. Verify patient insurance eligibility and follow up on any patient that does not show active insurance.
  • Complete clerical tasks including but not limited to distributing mail and reports, filing, scanning, scheduling, data input, management of electronic fax inbox and general support to all office personnel.
  • Ensure confidentiality of patient data and stay up to date with HIPAA regulations.

Qualifications:

Experience, Education, Licensures & Certifications

  • Preferred: 1 year of administrative experience in a healthcare related setting
  • Required: High School diploma or GED

Knowledge, Skills & Abilities

  • Excellent interpersonal and verbal communication skills; as well as interpersonal relationship building abilities;
  • Strong organizational and written communication skills; Prior A/R experience preferred
  • Ability to multi-task, prioritize, manage time effectively.
  • Strong knowledge of HIPAA guidelines and understanding of patient privacy and ability to demonstrate a high level of confidentiality;
  • Ability to work independently and in a team environment; and able to lead by example;
  • Excellent computer skills, knowledge of Microsoft programs, and understanding of Electronic Health Record ( EHR systems)

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