Outpatient Services Coord

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• Jacksonville, Florida
• Office and Clerical
• 51740
  
  

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Overview

Job Description

Reports directly to the assigned manager and/or ambulatory administrator. Directly facilitates coordination of care for patients in the outpatient setting. The Outpatient Services Coordinator manages complex scheduling workflows, handling telephone calls, specialty contract requests, online requests and/or fax requests, as well as internal departmental requests. Communicates effectively with patients regarding the triage process and timeline expectations. Ensures a high degree of accuracy and thoroughness in all patient-related activities. Supports the needs of multiple stakeholders, including patients, referring providers, UF providers, allied health staff, and third party vendors

Responsibilities

Perform timely processing of all incoming remits on a daily

basis. Conduct daily research to correctly post payments,

applied to Undistributed and/or PLB remit clearing accounts,

during payment posting.

Compare, analyze and report cash received to yearly average

cash amount and prepare reports.

Performing all the above while maintaining your patient's

privacy, confidentiality, safety, and adhering to ethical, legal,

and accreditations/regulatory standards at all times.

Accurately post Insurance payments, which includes

electronic and/or manual keying to the Invoice, according to

The Explanation Of Benefits (EOB) Or Other Back-up Received,

including Insurance denials and zero dollar EOB's.

Accurately Post Self-Pay payments, which includes electronic

and/or manual keying of patient checks, pre-admit cash

sheets, and Collection agency remits

Assess patient health status including state of wellness,

compliance with care plan and determines appropriate

diagnostic and any therapeutic treatment plan.

Post electronic payments as assigned, resolve any unapplied

and/or withhold issues. Track any ongoing issues, to

resolution; while keeping management informed throughout

the process.

Research, by Payor assignment, any payments posted to

unapplied clearing account, due to the inability to identify to a

Patient Invoice or Account. Research may include calling

Insurance companies, Business Groups, Accounting

personnel and/or performing internet research by accessing

Payor websites.

Provide system support to Cash department to assist with the

resolving batches; which includes the retrieval of the

Explanation of Benefits(EOB) from Payor Websites and

scanning documents as needed into OnBase for payment

posting.

Monitor and maintain Cash Management Module for accurate

cash balancing .

Conduct daily review of EPIC Credit WQ transactions, that

resulted from PLB segments found in the electronic file

Qualifications

Experience Requirements:

2 years Clerical/customer service required

2 years Data entry required

2 years Working in hospital or large physician's office dealing directly with patients preferred

Education

High School Diploma or GED equivalent required

Associates preferred

Certification

Certificate Medical Terminology preferred

Additional Duties: Additional duties as assigned may vary.

UFJPI IS AN EQUAL OPPORTUNITY EMPLOYER AND DRUG FREE WORKPLACE