Advanced Diagnostic Testing Coordinator

A nonexempt position responsible for performing precertification for designated services ordered by MCH physician that are performed at MCH and maintaining patient A/R by estimating out of pocket expenses and educating patients of their financial liability.

Duties and Responsibilities:

• Performs all precertification requirements for services ordered by MCH physicians and performed at MCH.
• Keeps physicians and nurses informed of potential non payment issues for scheduled services.
• Nurses/physicians will provide medical justification for the test(s) ordered.
• Reviews scheduled appointments in NextGen for NICS, Radiology, Sleep Lab.
  
• Ensures physicians are ordering within payor guidelines. Patients receiving care outside of these guidelines must be counseled regarding their out of pocket expenses, sign a financial responsibility form, and pay at the time of service.
  
• Assists patients and authorized family members with billing questions.
  
• Documents all communication with patients, insurance carriers, and MCH staff in patient’s encounter notes in NextGen.
• Works closely with Business Office Manager and Collections Supervisor to ensure acceptable collection ratios.
• Other responsibilities as assigned by manager.

Skills and Abilities:

• Knowledge of NCCN and payor guidelines and Medicare Limited Coverage Determinations and Policies.
  
• Knowledge of medical terminology.
  
• Knowledge of clinic policies and procedures.
• Knowledge of computer systems, programs, and spreadsheet applications.
• Knowledge of MCH Policies and Code of Conduct.
• Skill in oral and written communication.
• Skill in time management and organization.

Background Requirements:

Education, Experience, and Knowledge

• High school diploma or equivalent. Some college preferred. MA or LVN with physician office experience a plus.
• Minimum three year medical billing and collection experience, precertification experience.
• Medical terminology, payor guidelines, payor websites.
  

Clinic Information:

• MCH has provided internal medicine and sub-specialty care to Houstonians for over 40 years
• 35 physicians currently seeing 100,000 patient visits per year
• New state-of-the-art building
• High performance management team with a focus on patient care

Benefits:

• Competitive compensation package
• Free parking
• Health, dental, and life benefits, 401K, and paid time off

E-mail resumes to mchjobs@mchllp.com. Please make note of the position you are applying for in the subject line of your e-mail.

Current employees interested in applying for this position should refer to Policy VIII in the Employee Handbook for the proper procedures to be followed for transfers. In addition, please see Policy II in the Employee Handbook regarding referral bonuses.