Account Services Coordinator

Position Title: Account Services Coordinator Department: Clinical Operations Report To: Vice President of Operations FLSA: Exempt Position Summary: The Account Services Coordinator plays a vital role in managing scheduling, pre-authorization, billing, and revenue cycle processes for designated neuromonitoring customer accounts. Reporting to the Vice President of Operations, this role ensures timely coordination of procedures, insurance verification, and accurate claim submission in compliance with payer guidelines. The Coordinator serves as the primary liaison for internal teams and external stakeholders, driving account satisfaction and supporting quality auditing initiatives. Essential Duties & Responsibilities:

• Scheduling
• Serve as the primary scheduling coordinator for designated customer accounts, ensuring timely and accurate scheduling of neuromonitoring services.
• Coordinate with surgical teams, hospitals, and internal staff to confirm procedure dates, times, and required resources.
• Maintain up-to-date scheduling records and proactively resolve any conflicts or discrepancies.
• Pre-Authorization Activities
• Conduct insurance verification and obtain necessary pre-authorizations for procedures as required by payers or responsible parties.
• Communicate with insurance companies, case counterparts to ensure all case requirements are known and timing needs are satisfied.
• Track and follow up on pending authorizations to avoid delays in service delivery or billing forfeiture.
• Billing/Revenue Cycle Management
• Review and audit completed encounter documentation for accuracy and completeness prior to billing.
• Generate and submit medical claims to carriers, ensuring compliance with payer-specific guidelines and coding standards.
• Monitor accounts receivable and perform follow-up activities to ensure timely payment, including appeals and resubmissions as needed.
• Maintain accurate billing records and contribute to monthly financial reporting.
• Quality & Clinical Auditing Leadership
• Act as the primary point of contact for assigned customer accounts, addressing inquiries and resolving issues promptly and professionally.
• Build and maintain strong relationships with external stakeholders, including hospital administrators, billing departments, insurance representatives, and case managers.
• Collaborate with internal departments such as Clinical Operations, Finance, and Data Analysts to ensure seamless service delivery and account satisfaction.
• Provide insights and data to support strategic initiatives, reporting, and business development efforts.
• State-Specific Claims Coordination
• Manage neuromonitoring service claims with a primary focus on New York and New Jersey workers’ compensation and personal injury accounts. This includes navigating the unique regulatory landscape, payer guidelines, pre-authorization requirements, and documentation standards specific to these states.
• Ensure accurate and compliant submissions to support timely reimbursement and reduce denials.