Audiology Operations Coordinator

Description:

Essential Duties and Responsibilities

Revenue Cycle Responsibilities

• Post insurance and patient payments accurately and timely.
• Reconcile payment postings and identify discrepancies.
• Research and resolve payment variances, denials, and underpayments.
• Follow up with insurance carriers regarding unpaid or delayed claims.
• Communicate with billing staff regarding claim status and payment issues.
• Maintain accurate documentation of insurance communications and claim activity.
• Assist with accounts receivable management and aging reports.
• Ensure compliance with insurance regulations and company policies.

Third-Party Payer Responsibilities

• Serve as the primary point of contact for third-party hearing healthcare programs and payers, including TruHearing and other contracted programs.
• Verify eligibility and benefits with third-party payers.
• Register patients in third-party portals and maintain accurate records.
• Submit required documentation and authorizations to third-party administrators.
• Monitor pending authorizations and orders to ensure timely processing.
• Communicate with third-party representatives regarding patient benefits, claims, denials, payment status, and program requirements.
• Resolve payment discrepancies and claim issues with third-party payers.
• Maintain knowledge of third-party program guidelines, reimbursement structures, and workflow requirements.
• Coordinate with audiologists and administrative staff to ensure compliance with third-party payer requirements.
• Track and report third-party activity, outstanding claims, and payment status.

Patient Communication Responsibilities

• Answer incoming phone calls professionally and courteously.
• Monitor, retrieve, and respond to Certified voicemail messages throughout the day.
• Ensure all voicemail messages are addressed promptly and routed appropriately.
• Assist patients with questions regarding appointments, billing, and services.
• Route calls and messages appropriately to staff members.
• Provide excellent customer service and represent Certified in a positive manner.

Marketing Responsibilities

• Coordinate marketing efforts for Certified Hearing Aid & Audiology Associates.
• Assist with community outreach programs, health fairs, and educational events.
• Maintain relationships with physician offices, senior centers, and referral sources.
• Assist with social media, website updates, and promotional materials as directed.
• Track marketing activities and referral sources.
• Support implementation of marketing campaigns designed to increase patient awareness and practice growth.

Administrative Responsibilities

• Maintain accurate records and reports related to assigned duties.
• Assist with special projects as assigned by leadership.
• Attend department meetings and training sessions.
• Maintain confidentiality of patient and business information.
• Perform other duties as assigned.

Requirements:

• High school diploma required; associate or bachelor's degree preferred.
• Minimum of 2 years of medical office, billing, insurance, customer service, or healthcare administrative experience preferred.
• Knowledge of medical insurance, claims processing, and payment posting preferred.
• Strong organizational and time management skills.
• Excellent verbal and written communication skills.
• Proficiency with Microsoft Office and practice management software.
• Ability to multitask and work independently.
• Strong attention to detail and accuracy.