Department: Reedsport Medical Clinic
Location: Outpatient Clinics
Reedsport, OR 97467
The Patient Access/Referral Coordinator is responsible for handling activities related to orders, referrals and authorizations. Assists with projects and assignments directly related to patient access and the revenue cycle. Works collaboratively as a team member for the smooth flow of operations of the clinic.
1. Process orders and referrals received; obtain, document and verify referral, pre-authorization, or pre-certification information to ensure financial reimbursement for services rendered.
2. Advise patients of estimated costs and patient liability such as deductible, co-pay or deposits required. Contact self-pay patients to make payment arrangements or discuss charity options; may assist with Medicaid application process – may refer to District Financial Counselor.
3. Verify insurance benefits eligibility using system, web-based and telephone resources
4. Schedule or coordinate scheduling of procedures for multiple departments; communicate issues with ordering physician staff as needed.
5. Provide support for the department by participating in special projects and assignments as needed.
6. Other duties as assigned.
Education and License:
High School Diploma or equivalent, required.
Minimum of one (1) year directly transferable exp. in a medical office setting utilizing data entry skills, insurance websites, and various software applications
Experience utilizing ICD-10 and CPT Coding required
Experience working in a medical office or scheduling Center
1. Must demonstrate an ability to work with various office machines and equipment such as computers, printers, copying machines, multi-line telephones, paging systems and fax machines.
2. Knowledgeable in pre-authorization procedures and reimbursement denial follow up.
3. Excellent clerical skills including computer terminal knowledge and correct spelling and grammar.
4. Medical terminology
5. Strong organizational and multi-tasking skills working under pressure in a high-volume environment.
6. Must have excellent interpersonal communication skills and public relation skills.
7. Must have appropriate manner, conduct and grooming for a business office setting.
8. Must be capable of working under pressure with continuous telephone calls, projecting a friendly and professional image.
9. Must have the ability to hold in confidence any information regarding patients, personnel, or any other matters which are confidential in nature.
10. High level of understanding related to medical terminology and anatomy.
11. Must be able to accurately type a minimum of 40 wpm
Works indoors in an air-conditioned environment.
Frequent use of computer and phone, and other standard office machines. Must be able to stand, sit, stoop, twist, kneel, reach, push, pull using proper body mechanics and move/lift varying amounts of weight to a maximum of 50 lbs.
This is a Full-Time position that is eligible for benefits.
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Meet the Owner
In the early 1950’s, a non-profit corporation called the Lower Umpqua Association was formed to deal with the need for local medical care in coastal Douglas County.In 1954, a Lower Umpqua Area Hospital District was formed that included the Reedsport, Winchester Bay, Gardiner and Scottsburg areas. Donations from the community and three major lumber companies, as well as tax levies, formed the ... more ancial base with which to start a new hospital. With the help of a Hill-Burton grant, a federal grant to aid in building rural area hospitals, the hospital was built in the early 1960s.The hospital, built in the form of a modified Maltese cross, opened February 3, 1964 with eighteen acute care beds and twenty-two nursing home beds. Equipment to furnish the rooms and various departments was donated by civic and fraternal groups and individuals in the community. Dr. Rickard W. McLean was the first Chief of Staff, and an elected five-member Board of Directors administered the affairs of the hospital under the auspices of the Lower Umpqua Hospital District.The hospital was managed by independent hospital administrators until 1977 when A.E. Brim and Associates, Inc., hospital management consultants, were hired to manage the hospital.