The Clinic Coordinator will work with the Community Health Center at Coppin and the Coppin Clinic at St. Frances to coordinate and verify facility billing, insurance, patient payments, the professional licensing, training, and certifications of professional health care faculty and staff. The primary goal is to ensure healthcare professionals and services meet or exceed all established federal and state standards.
The incumbent will maintain regular communication and compliance with all regulatory, accrediting, and membership-based organizations.
Participate in the identification of issues and problems regarding clinic policies and procedures.
Assist in the development and implementation of solutions in collaboration with the Associate Director.
Create and carry out various credentialing processes in relation to physicians, medical assistants, and various other healthcare professionals.
Ensure that all personnel and services adhere to facility and staff policies, department guidelines, regulations, and government laws.
Process applications and reappointment paperwork, checking for full completeness and accuracy.
Collect and process significant amounts of verification and accreditation information, and thus must constantly maintain and update accurate databases for both practitioners and facilities.
Maintain records for regular auditing, as well as maintain close communication with all appropriate practitioners to ensure that records are up to date and consistent.
Update and maintain all information necessary for providers at both sites to bill health care providers including but not limited to Medicare, Medicaid, and commercial insurance.
Verify and maintain the practitioner's licensure and other work related information.
Collect necessary information to prepare insurance claims and bill patients.
Enter patient demographic and insurance information into the medical software/electronic healthcare records.
Enter timely patient encounter information from superbill into software.
Interpret and process (post) Explanation of Benefits (EOB's).
Research, correct and resubmit rejected and denied claims.
Contact patients for their responsible payment portions.
Answer patient questions regarding charges.
Upon receipt of checks from claim processing, stamp back of check, and post them in the system.
Elicit patients financial history to determine eligibility for reduced fees, special payment plans, or financial assistance.
Generate statistical reports on a variety of clinic-related activities.
Maintain quality assurance standards.
High School Diploma or GED required. Bachelor's Degree preferred.
Five years of experience performing a full range of clerical support services to include one year coordination work and one year in a medical setting.
Comprehensive knowledge of the theory, principles, techniques and practices of the specialty are required.
Thorough knowledge of basic medical terminology and related clinical practices and protocols.
Understand copays, coinsurance and deductibles.
Ability to perform basic mathematical computations.
Ability to establish and maintain effective working relationships with faculty, students, staff, and clients.
Ability to communicate effectively orally and in writing.
General knowledge of and ability to comply with confidentiality of records and communications regarding patients/clients.
Knowledge of federal, state, and local regulations.
Knowledge about auditing processes.
Familiar with Meaningful Use and other financial incentives for health care facilities and providers.
Basic knowledge of Microsoft Office and other database programs.
CONDITIONS OF EMPLOYMENT:
Employees in this job class must be CPR certified within the first twelve months of employment. Candidates selected for employment may be subjected to medical inquiries and/or medical examinations to determine ability to perform the job. Overtime, weekend, on-call and shift work may be required in some positions.
About Coppin State University
Coppin State University is a fully accredited institution and member of the University System of Maryland. Founded in 1900, Coppin is a model urban, residential liberal arts university located in the northwest section of the City of Baltimore that provides academic programs in the arts and sciences, teacher education, nursing, graduate studies, and continuing education. Coppin offers 33 Bachelor’s and 11 Master’s degree programs and a Doctoral degree program in nursing with approximately 3000 students enrolled in day, evening, on-line, and weekend undergraduate and graduate courses. Coppin is a primarily commuter University with approximately 600 student residents.