Position Objective:
Detail-oriented Obstetrical Coordinator to manage obstetrical benefits, patient contracts, payments, appointments scheduling, EDC lists, and insurance payment audits for pregnancy services.
Essential Job Duties:
1. Verify obstetrical benefits and coverage for patients.
2. Generate patient contracts in adherence to insurance guidelines.
3. Assist patients in accessing financial aid programs and comprehending their insurance benefits.
4. Coordinate patient access to Centering, doula services, and other support resources.
5. Collect payments as outlined in insurance coverage, including co-pays and deductibles.
6. Schedule prenatal and postpartum appointments with patients.
7. Conduct audits on insurance payments associated with pregnancy services and address any billing discrepancies with insurance providers promptly.
8. Safeguard patient records for accuracy and confidentiality and ensure compliance with relevant regulations, such as HIPAA.
9. Provide essential assistance to the healthcare team.
10. Regularly, update Obstetrics Database with information on deliveries, transfer of care, miscarriages, changes to Expected Due Date (EDD), and provider changes.
11. Manage the referral process for specialty consultations, including scheduling, tracking, and confirming patient attendance.
12. Correspond with patients via letters and perform follow-up calls as needed.
13. Undertake additional job duties as required or assigned.
Educational/Experience Requirements:
- High-school diploma or equivalent
- Previous experience as an Obstetrical Coordinator or in a similar healthcare role
- Proficiency in obstetrical benefits verification and insurance billing procedures
- Strong organizational and multitasking skills
- Attention to detail and high level of accuracy
- Familiarity with medical billing software and EHR systems
- Excellent communication and interpersonal skills
- Ability to work independently and as part of a team
Required License/Certifications:
Certification in Medical Billing and Coding is advantageous
Physical Demands:
The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act.
The above job description is an overview of the functions and requirements for this position. This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary.
Luminis Health Benefits Overview:
- Medical, Dental, and Vision Insurance
- Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year)
- Paid Time Off
- Tuition Assistance Benefits
- Employee Referral Bonus Program
- Paid Holidays, Disability, and Life/AD&D for full-time employees
- Wellness Programs
• Employee Assistance Programs and more
Benefit offerings based on employment status
Luminis Health Benefits Overview:
- Medical, Dental, and Vision Insurance
- Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year)
- Paid Time Off
- Tuition Assistance Benefits
- Employee Referral Bonus Program
- Paid Holidays, Disability, and Life/AD&D for full-time employees
- Wellness Programs
- Employee Assistance Programs and more
- Benefit offerings based on employment status
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