DaVita Patient Care Coordinator (Radiology -Sunport) in ALBUQUERQUE, New Mexico

Patient Care Coordinator (Radiology -Sunport)

Description

DaVita Medical Group manages and operates medical groups and affiliated physician networks in California, Nevada, New Mexico, Florida, Colorado and Washington in its pursuit to deliver excellent-quality health care in a dignified and compassionate manner. As of June 30, 2016 DaVita Medical Group (formerly HealthCare Partners) provided integrated care management for approximately 760,000 patients. DaVita Medical Group’s leadership development initiatives and social responsibility efforts have been recognized by Fortune, Modern Healthcare, Newsweek and WorldBlu.

We are committed to bringing the benefits of coordinated care to our patients and to taking a leading role in the transformation of the national healthcare delivery system to assure quality, access, and affordable care for all.

If you're looking to make a difference with a large, financially stable, well-recognized medical group, DaVita Medical Group may be the employer for you.

Overview:

Provides direct customer service and front desk assistance for assigned department to include but not limited to admitting, registering, scheduling and verifying insurance. Handles customer account transactions, provides customer assistance, and performs and/or oversees cashiering operations. Adheres to policies, procedures and regulations to ensure compliance and patient safety. Participation in Compliance and other important training is a condition of employment.

ESSENTIAL FUNCTIONS:

  • Provides direct customer service and front desk assistance for assigned department to include but not limited to registering, scheduling and verifying insurance and arriving patients. Electronic eligibility verification, updating patient demographics, ensure required referrals and prior authorization are in place for patient visit. Manage No-show list. Schedules wait list, follow-up, x-ray, referral appointments.

  • Handles customer account transactions, provides customer assistance, and performs and/or oversees cashiering operations. Responsible for obtaining “expert” level knowledge of the inter-workings of various insurance plans and staying abreast of insurance plans in the process of being added, deleted or changed. Collection of co-pays, co-insurance, self-pay, fee-for-service, and payment on account.

  • Reconciles daily cash deposit in accordance cash balance policy and procedures. Settlement of EDC credit card machines to include reconciliation of transactions against settlement.

  • May be required to analyze medical records and charge entry information for financial reimbursement within the guidelines and procedures. Work TES charge entry edits.

  • Adheres to policies, procedures and regulations to ensure patient safety and regulations. May attend departmental meetings and provide constructive recommendations for areas improvement

  • Review and identify charges for patient encounters in assigned area.

  • Verify correct codes (CPT, ICD 9, ICD 10) are being entered into the system.

  • Input of demographic changes and time of service information,

  • Knowledgeable in appending modifiers based on payer specifics, insurance and authorization requirements.

  • Verify correct use of modifiers, mapping and linking codes with services, notes have been signed, orders and procedures entered into system,

  • Work with providers and management to facilitate information and answer questions.

  • Other duties as assigned.

Qualifications

Education:

  • Required - High School Diploma or GED equivalent.

  • Preferred - Associate’s Degree in related field of study

  • Preferred - Heart Saver

Experience:

  • Preferred - One (1) year of previously related experience or Medical Receptionist certificate from an accredited institution

Knowledge, Skills, and Abilities:

  • Excellent Customer Service skills.

  • Ability to type and enter efficiently and accurately at 25-30 WPM.

  • Ability to work independently and willingness to learn.

  • Ability to communicate effectively.

  • Ability to multi-task and work under pressure.

  • Attention to detail.

  • Windows navigation skills.

  • Skilled in a variety of MS Office software applications.

Primary Location NM-ALBUQUERQUE - 87106

Req ID: 307301