Job Purpose

Coordinate all endoscopic procedures while supporting billing coordination and revenue integrity processes in partnership with a third-party billing vendor for the practice. This role ensures efficient procedure scheduling, accurate insurance verification and authorization, optimal revenue capture, and seamless coordination between patients, providers, and external partners.

Duties and Responsibilities

Procedure Scheduling and Coordination

· Schedule all endoscopic procedures (e.g., colonoscopy, EGD) in alignment with provider availability and facility capacity to ensure optimal utilization· Verify insurance coverage, obtain prior authorizations, and ensure documentation is complete to prevent delays or denials· Provide detailed procedural preparation instructions and confirm patient readiness to reduce cancellations and no-shows· Coordinate with surgical centers, anesthesia providers, and external vendors to ensure seamless procedure execution· Submit all required patient documentation to the surgical center in a timely manner, ensuring completeness and alignment with procedural requirements to prevent delays or cancellations

Billing Coordination and Revenue Integrity

· Serve as the primary liaison between the practice and the third-party billing company to ensure effective communication and resolution of billing-related matters· Review provider documentation for completeness and alignment with coding requirements prior to claim submission to support clean claims and accurate reimbursement · Identify insufficient or incomplete coding and follow up with providers to ensure appropriate corrections are made in a timely manner · Monitor and reinforce timely provider documentation completion, including reminders to lock notes promptly to prevent delays in billing · Ensure that clinical documentation accurately supports the level of service billed, minimizing risk of denials or compliance issues · Collaborate with the billing vendor to address claim issues, rejections, or denials by providing necessary clinical or operational clarification · Track recurring documentation or coding issues and communicate trends to leadership to support process improvement and provider education

Patient Experience

· Serve as primary contact for patient questions related to procedures and billing· Ensure clear, professional, and empathetic communication· Resolve scheduling or billing concerns in a timely manner

· High school diploma or equivalent

· Minimum of 3 years of experience in medical scheduling or revenue cycle operations

· Knowledge of insurance verification, authorizations, and billing workflows

· Strong organizational and multitasking skills

· Proficiency in EMR systems and scheduling software

· Excellent communication and customer service skills

· Experience in gastroenterology or procedural specialties

· Experience with endoscopy scheduling

· Knowledge of revenue cycle management and payer requirements