Patient Services Coordinator

Job description

Community Healthcare Network is seeking for a Full-Time Patient Services Coordinator. The Patient Services Coordinator (PSC) will play a pivotal role in optimizing administrative operations, improving workflow efficiency, and strengthening financial performance to support seamless patient care.
JOB FUNCTION:
Responsibilities include, but are not limited to:
• Develop, implement, and maintain training materials and job aids for front-end staff, ensuring standardization across sites.
• Conduct initial and ongoing training on appointment scheduling, billing processes, insurance verification, and revenue cycle workflows.
• Participate in quality improvement efforts aimed at enhancing staff performance metrics and service delivery.
• Develop data-driven solutions to enhance billing accuracy, insurance verification processes, and revenue collection rates.
• Ensure provider schedules are properly filled, reducing appointment gaps and no-show rates.
• Support billing teams by identifying denied claims, revenue leakage, and accounts receivable trends.
• Participate in quality initiatives aimed at improving collection rates, reducing claim rejections, and ensuring compliance with regulations.
• Conduct quarterly sliding fee audits and ensure proper documentation of insurance eligibility and patient billing arrangements.
• Address billing discrepancies and workflow inefficiencies that impact provider productivity and the revenue cycle.
• Conduct day-before and day-of insurance verification to ensure patient eligibility.
• Collaborate with front-end staff to resolve discrepancies in insurance details.
• Process and collect co-payments, deductibles, and sliding fee payments for video visits.
• Assist uninsured patients with enrollment in Medicaid, marketplace insurance plans, or other applicable programs.
• Facilitate Primary Care Provider (PCP) changes as requested by patients, ensuring accuracy and timely updates.
• Serve as a liaison for patients, resolving concerns related to insurance, billing, and appointment scheduling.

WHAT WE LOOK FOR:
• Associate's Degree with a minimum of five (5) years of healthcare experience or satisfactory equivalent of education and experience combined or
• High School Diploma or satisfactory equivalent with a mimum of seven (7) years of healthcare experience
• Prior experience in dental operations, billing, and patient scheduling is preferred.