The Patient Access Coordinator (PAC) will be responsible for all Patient Access Specialists (PAS) located within the Billing department to facilitate timely access to care by ensuring patient eligibility and benefits are verified prior to services. Coordinate daily activity of Patient Access Specialists tasked with verifying eligibility and obtaining prior authorizations for services when required. Provides training to PAS staff located at CND Life Sciences Corporate office as well as those that are virtual. Reconciles scheduled appointments with posted charges daily. Resolves insurance related questions from health center, PAS and RCM staff relating to payer requirements, authorizations, correcting billed claims and posting errors. Has knowledge of commonly used medical terms and procedures and is able to audit PAS' performance and provide weekly reports on improvements.

Job Responsibilities:

• Coordinates the verification of eligibility and benefits for all scheduled patients and same-day appointments
• Works with PAS staff and health plans to assist patients with resolving benefit related issues.
• Create and coordinate the reporting of scheduled appointments that have unresolved registration and authorization issues prior to patient visit.
• Obtain authorizations for pre-determined procedures when required.
• Ensure all information required to complete the billing process within 48 hours after receipt of patient engagement.
• Oversee PAS activity and assist with updating patient accounts to indicate pertinent information required for billing.
• Review Waystar daily to correct errors identified prior to patient visit and coordinate findings with assigned Clinical Services team members.
• Coordinate required documentation for payment with physician and/or other medical personnel if clarification is required.
• Maintains an effective working relationship with CND Clinicians and other regulating authorities.
• All other rel2ated duties as directed by the VP, Billing & Reimbursement.

Knowledge, Skills & Experience:

• Minimum 5+ years in medical billing/revenue cycle and Patient Access experience with laboratory billing preferred
• 2-4 years of supervisory experience required.
• Experience with billing software, etc. including Medisoft and TriZetto
• Knowledge of business processes, accounting principles, billing practices, medical terms, CPT, and ICD-10 coding.
• Strong knowledge of revenue cycle management and benefits verification
• Knowledge of Medicaid and commercial insurance
• Excellent written, verbal, and interpersonal communication skills are essential, and one must communicate technical concepts clearly to a diverse audience.
• Demonstrated professional poise and empathy when dealing with customers
• Requires a high level of problem solving and analytics skills
• Ability to multitask
• Must be highly proficient in Excel and data analysis
• Strong computer-based skills, specifically with Microsoft Word and PowerPoint programs, Salesforce, Medisoft, and Microsoft programs.

Education, Certifications, and Licensures:

• High school diploma or equivalent required
• Additional coursework or education (e.g., billing certificate, AA or bachelor's degree) with a focus on billing or related area preferred

Other:

• The position is based at the Company's Scottsdale, AZ headquarters. Exceptional candidates will be considered in the Atlanta, GA regional office location.