Clinic Authorization Coordinator - Bariatric & Metabolic Services

ENC Bariatric & Metabolic Services

$21.82 - $29.45

Your rate of pay will be based on applicable experience

Shift: Days
Shift length: 8 Hours

Days off:
Fixed; days off Saturday & Sunday

Hours per pay period: 80

Enloe Health is a Level II Trauma Center located in beautiful Northern California. We offer a full array of medical services, and our mission is to elevate the health of the communities we serve. As a Planetree organization, we place high value on hiring the right team to care for our patients and their families—care that is steeped in compassion, human connection, and mutual support.

If you feel called to make a meaningful impact through empathetic, person-centered care, and thrive in a culture that values collaboration and purpose, we welcome you to join our team.

The Coordinator is responsible for maintaining a higher level of knowledge and expertise in relation to all areas of insurance plans and selection. They are to be an expert in verification of validity of effective insurance coverage, the necessity of authorization and obtaining benefits. They act as a front-line financial resource. The goal is to maximize the likelihood of submitting clean and payable claims while advocating on behalf of the patient.

The Coordinator will accurately collect and analyze all required demographic, insurance, financial and clinical data elements necessary to register and book patient appointments under close supervision, support coordination of scheduling procedures, support clinic with maintaining and monitoring all surgery schedules to maximize block utilization. They will create a friendly, cooperative impression through all interactions with internal and external customers and work independently to prioritize and manage multiple priorities in a fast-paced environment.

Key responsibilities include insurance verification, insurance requirements and maintaining authorization approval. They will help patients navigate through their surgical checklist and insurance requirements ensuring success in the program. Patient interaction is an essential part of this position. They are knowledgeable of all private and government payers, including contract terms, hospital financial assistance and discount programs, and communications with Enloe’s Financial Team as necessary.

• Two years of medical billing, patient access, patient registration or clinic/hospital registration experience
• Knowledge of ICD 9/10 Coding and CPT codes

• One year of Financial Counseling experience in a hospital or physician office setting
• One year of pre-registration and/or insurance verification experience in a hospital or physician setting
• EMR (electronic medical records) experience
• Medical Terminology

The incumbent must demonstrate the ability to effectively utilize Microsoft office software applications and healthcare A/D/T software applications. Must have excellent telephone and interpersonal skills to maintain a high degree of rapport with physicians, managers, co-workers, employees, patients and the public. The incumbent must demonstrate the ability to conduct an effective patient interview to determine financial ability and identify financial assistance options available to uninsured and/or under-insured patients.

The incumbent must demonstrate a comprehensive understanding of government and commercial insurance contracts and eligibility and assist with enrollment processes when applicable. The incumbent must demonstrate a working knowledge of the healthcare revenue cycle. The incumbent must demonstrate the ability to accurately estimate patient out of pocket amounts due at time of service. The incumbent is responsible for maintaining accurate and complete account documentation in the electronic patient record.

The incumbent must comply with all state, federal and local regulatory requirements. This position interfaces with all levels of personnel within the hospital. The incumbent must show sensitivity for the patient and family and maintain strict confidentiality. The incumbent must demonstrate the ability to work with staff, patients, patient’s family members…