Job Description

Established in 2001, Southeast Orthopedic Specialists is a regional leader in orthopedic medicine. We are dedicated to growing with our patients. Our reach will continue to expand to meet the needs of all patients, present and future. It is our wish to make industry-leading five-star orthopedic care accessible to as many people as possible.

GENERAL STATEMENT OF DUTIES

The AIP Coordinator is responsible for tracking all patient’s in the AIP program. They will assist in obtaining authorizations for all
upcoming procedures, services, etc. The Coordinator is required to correspond with internal staff as well as attorney firms.

ESSENTIAL FUNCTIONS

• Review patient accounts for accuracy and completeness.
• Flag accounts that require discussions with the attorney and/or patient.
• Communicate with Check-In / Check-Out staff regarding patient balance issues.
• Review, print, provide and be able to explain patient itemized statements as requested.
• Obtain authorizations for appointments including upcoming diagnostics, surgeries, injections, physical therapy and
  procedures.
• Respond to telephone calls from internal staff, patients, attorneys and case managers.
• Communicate verbally and in writing regarding AIP Department protocols and policies.
• Maintain spreadsheets of all patients that are part of the AIP program.
• Responsible for all other assignments as directed by the Case Manager.

EDUCATION

• High School Diploma/GED or equivalent working knowledge preferred.
• BA/BS Preferred.

EXPERIENCE

• One year of medical billing or medical office experience in physician office or hospital environment.
• Customer service experience required.

KNOWLEDGE

• Knowledge of medical billing and related functions and tasks.
• Knowledge of large physician group operation and clinic policies.
• Knowledge of AIP processes and requirements.
• Knowledge of payer specific requirements.
• Knowledge of authorization and verification processes.

SKILLS

• Skill in the billing and authorization process.
• Skill in the collection process for AIP
• Skill in obtaining necessary approvals for AIP to reduce denials.
• Skill in verbal and written communication.
• Skill in Microsoft applications, specifically Excel and Access.

ABILITIES

• Ability to proficiently use arithmetic calculations in data collection and interpretation.
• Ability to use interpersonal skills to establish/maintain cooperative relationships with patients, families, physicians,
  management and other staff.
• Ability to communicate openly and honestly with management and staff.
• Ability to make quick decisions in a high-intensity, fast-paced environment while maintaining order and prioritization.