Scheduling & Eligibility Coordinator

Company Overview
Southwestern Colorado Ear, Nose & Throat Associates is dedicated to providing comprehensive and compassionate care to patients with ear, nose, and throat conditions. Our team of experienced healthcare professionals strives to deliver the highest standard of medical treatment in a welcoming and supportive environment.

Job Summary
We are seeking a detail-oriented and proactive Scheduling & Eligibility Coordinator to join our healthcare team. The ideal candidate will possess strong administrative skills, extensive experience with electronic health record (EHR) systems, and a thorough understanding of medical billing and insurance verification processes. As a key member of our clinic, you will coordinate patient appointments, verify insurance eligibility, and ensure accurate documentation to facilitate smooth clinic operations and optimal patient care.

Responsibilities

• Schedule patient appointments efficiently using eClinical EHR systems while maintaining accuracy and timeliness.
• Verify patient insurance coverage and eligibility, including Medicare and Medicaid, ensuring all necessary authorizations are obtained prior to appointments.
• Review medical documentation for completeness and accuracy, supporting proper coding practices including CPT, ICD-9, ICD-10, and ICD coding standards.
• Collaborate with clinical staff to coordinate care plans and ensure proper documentation review for billing purposes.
• Maintain detailed records of patient interactions, appointment changes, and insurance information in compliance with HIPAA regulations.
• Assist patients with inquiries related to scheduling, insurance verification, and billing processes via phone or in person with professional phone etiquette.
• Utilize multiple computer systems such as Meditech, Epic, eClinicalWorks, PACS or Labcorp to manage patient information efficiently.
• Support office management by handling clerical tasks including filing, data entry, and managing multi-line phone systems in a fast-paced clinic environment.

Requirements

• Proven experience in medical scheduling, eligibility verification, or medical administrative support within a healthcare setting.
• Familiarity with EMR (Electronic Medical Records) systems such as eClinical Works is a plus.
• Knowledge of medical billing procedures including insurance verification and CPT coding standards.
• Strong understanding of medical terminology, ICD coding (ICD-9/ICD-10), and documentation review processes.
• Excellent computer skills with proficiency in Microsoft Office Suite; typing speed of at least 10 keys per second preferred.
• Ability to communicate effectively with patients and staff while demonstrating professionalism and empathy.
• Bilingual abilities are desirable to serve diverse patient populations effectively.
• Previous clinic or dental office experience is advantageous; familiarity with health information management systems is preferred.
• Strong organizational skills combined with attention to detail in managing multiple priorities simultaneously. Join our dedicated team as a Scheduling & Eligibility Coordinator to help streamline operations while providing exceptional service that enhances patient experiences at every visit!

Pay: $19.00 - $21.50 per hour

Work Location: In person