Compliance Coordinator

The Compliance Coordinator

Position Summary: The Compliance Coordinator will be responsible for obtaining client prior authorizations and benefits.

Qualifications:

• Education: Minimum High School Diploma
• Experience: Minimum two years’ experience in a medical office
• Data Entry: 40-60 wpm
• Medical Office: Thorough working knowledge of CPT and ICD-10 coding;
• Software: Working knowledge of operating medical software
• Proficiency: Proficient in medical terminology
• Transportation: Must be able to provide own dependable transportation
• Screening: Must be willing to submit to a drug/alcohol screening

Primary Focus:

• The Compliance Coordinator reports directly to the Assistant Office Manager and Office Manager. If further clarification or concerns are warranted, the team member may ask to meet with ownership.
• The primary focus of the Compliance Coordinator is to coordinate all client prior authorizations. They will communicate with payers through email, fax and telecommunication.
• The Compliance Coordinator is expected to assist the Scheduling Coordinator and Intake Coordinator with their duties on as needed basis. The Assistant Office Manager and Office Manager will provide the necessary cross training.
• The Compliance Coordinator is a salaried position. The working hours will occur between 7:00 a.m.--5:00 p.m., Monday through Friday unless otherwise established by the Office Manager or Ownership.
• A two-week notice is required should the employee desire to leave Harris and Renshaw Rehabilitation Center. Failure to do so will result in a no-rehire status being placed in the employee's personnel folder.

Responsibilities:

• Answering phones as a backup to the Intake and Scheduling Coordinators
• Obtain appropriate new client prior authorization for treatment chiefly at NLR facility and assist at satellite facilities as needed
• Documentation of authorization status in client charts
• Maintaining subsequent treatment authorization
• Submitting charges for all Medicaid/AR Kids claims online
• Providing necessary medical and insurance documentation to clients
• Coordinating insurance and patient payments
• Dropping all second claims
• Submitting Workers comp and MVA claims with corresponding documentation in mail
• Medical records adding charge to each patient account, sending invoice to who has requested the records and mail out when payment has been received

Position Requirements:

Education

• High School diploma or equivalent. Must be able to speak, write and understand English very well.
• Clerical education a plus.

Experience

*1 - 3 Electronic Health Records experience rep.

• Demonstrated success in customer service; preferably in a healthcare setting.
• Demonstrated success in general computer competence.
• Knowledge of medical terminology.
• Skilled in maintaining a clutter free, organized work area.

Physical/ Environment

• Ability to interact with computer screen for up to 4 hours at a time (visual acuity required).
• Must have manual dexterity for use of keyboard. Ability to remain stationary for periods of up to four hours.
• Capacity to function in a sometimes stressful, multi-tasking environment.
• Bending and reaching approximately 20% of the time.
• Normal accessibility and mobility throughout the system required.
• Normal overtime/extended work hours.

Key Responsibilities:

• Very friendly and enjoys engaging with patients on a daily basis.
• Welcomes and greets patients/visitors to the health center in a manner that is helpful and friendly; determines purpose of visit and direct patients/visitors to appropriate person/area.
• Answer telephone in a courteous and professional manner.
• Receive and convey messages in writing, verbally and electronically.
• Manage/assist with all patient registration processes as assigned.
• Copy/scan patient access related hardcopy materials (e.g. ID, referrals, insurance cards, etc.) into the electronic medical record.
• Schedule appointments according to company procedures.
• Provides information to health center callers according to policies and procedures; transfer calls as needed; works with team members to ensure adequate phone coverage at all times.
• Ensure and uphold the confidentiality requirements of all patient records and all daily tasks and activities consistent with HIPAA as well as the health centers regulations regarding confidentiality and security.
• Maintains patient waiting areas and front-desk areas in a manner that is organized and neat.
• Assist with light cleaning duties of reception area if needed.
• Informs patient of any existing balance noted in computer and request patient be prepared for any payment due at time of visit.
• Answers patient inquiries about their account information, co-pays, etc. or direct callers to appropriate person. Takes patient co-pays.
• Calls patients daily to confirm next day’s appointment.
• Verifies method of payment for service (Medicaid, Medicare, private insurance, self-pay, etc.) and collects data and/or payment as appropriate.
• Accounts for and deposit all incoming cash receipts.

Job Type: Full-time.

For more information check us out online at Harrisandrenshawpt.com

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Job Type: Full-time

Pay: $16.00 - $18.50 per hour

Benefits:

• 401(k) matching
• Dental insurance
• Flexible spending account
• Health insurance
• Health savings account
• Paid time off
• Retirement plan
• Vision insurance

Education:

• High school or equivalent (Required)

Experience:

• Customer service: 1 year (Required)

Work Location: In person

Salary : $16 - $19