Patient Care Coordinator - Surgery Department Floater

POSITION SUMMARY:

Under general supervision from the Clinic Practice Manager, the Patient Care Coordinator will support the Department of Surgery, attendings, physician extenders, as well as the practice’s daily needs.

The primary purpose of the job is to serve as a liaison for patients in all communications regarding care rendered in the department.  Serves as a liaison with patients facilitating access to care, gathering information for pre-admission, registration, or admission of inpatients and ambulatory that require surgical or interventional studies.  Schedules appointments, verifies demographics and financial information.  

Obtains pre-authorization from insurance carriers for all cases.  Receives faxes and phone calls from insurers and collects flat fee payment directly from patients.  Assists the Department to meet targets established by Ambulatory Leadership Group.  

Facilitates communication as follows:

• Between patient and physician or physician extenders (nurse practitioner and physician’s assistant)

• Between physician extenders and operating room surgery scheduling personnel

• Between patient’s referring physician and physician extenders, including assuring that correspondence is disseminated properly among academic office support personnel.

Position: Dept. of Surgery- Float Patient Care Coordinator

Department: Bariatric Surgery

Schedule: Full Time

ESSENTIAL RESPONSIBILITIES / DUTIES:

• Greets and provides assistance to visitors, patients and employees in a professional and courteous manner.

• Answers and directs telephone calls and other inquiries to the appropriate person.

• Gathers patient registration data to enter into appropriate systems as required for reimbursement of services rendered.

• Communicates with insurance carriers or other health facilities to ensure that all patients awaiting services have a current referral from their primary care physician.

• Maintains a computerized records management system to ensure an accurate and current data base of records is available.

• Provides research and administrative support for special projects.

• Collates and assembles documents and distributes upon request. 

• This includes specialized information packets, newsletters, and other mass mailings.

• Acts as a liaison with other departments to ensure efficient inter-department communication.

• Schedules procedures based on type, allocation of operative team, time availability and specialty instruments. 

• Schedules surgeries and maintains the operating schedule for surgeons.

• Schedules follow-up appointments; reschedules patients from cancelled or bumped surgical procedures.

• Performs all general office duties such as photocopying, filing, and sorting mail. Brings priority items to supervisor’s attention. 

• Prepares outgoing mail for pick-up. 

• Operates standard office equipment i.e. fax, telephone, copier. 

• Assists in the care and maintenance of department equipment and supplies.

• Reports any malfunctioning equipment to IT Help Desk or appropriate department.

• Maintains work area and equipment in a neat and orderly manner; organizes work area for efficiency and safety.

• Attends and participates in meeting and/or committees, as required.

• May assist in the preparation and submittal of payroll report as necessary.

• Routinely handles large amounts of sensitive, confidential information and maintains confidentiality.

Meets hospital-wide standards in the following areas:

• Conforms to hospital standards of performance and conduct, including those pertaining to patient rights, so that the best possible customer service and patient care can be provided.

• Utilizes hospital’s Values as the basis for decision-making and to facilitate the division’s hospital mission.

• Follows established hospital infection control and safety procedures

• Analyses problems in order to determine appropriate course of action and offers constructive suggestions to improve efficiency in office operations.

• Discusses fees and financial policies with patients after their consultation.

• Gathers and tracks various patient and non-patient related information, and generates daily and monthly reports as needed for meaningful review.

• Works with marketing consultant as pertains to practice needs, develops competencies as related to position.

• Performs other administrative tasks as needed.

• Complies with all requirements of RESPECT

Must adhere to all of BMC’s RESPECT behavioral standards.

(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job.  The above is not intended to represent an exhaustive list of accountable duties and responsibilities required).

JOB REQUIREMENTS

EDUCATION:

• High School diploma required. Associate degree or bachelor’s preferred.

EXPERIENCE:

• All incumbents must have medical office experience and/or referral authorization experience as follows:

• HS/GED plus 3 + years or

• Associates plus 2 years or

• Bachelor's plus 1-2 years medical office experience and/or referral authorization experience.

KNOWLEDGE AND SKILLS:

• Extensive knowledge of a word processing and spreadsheet software applications. 

• MS Office preferred.

• Working knowledge of managed care—overall understanding of HMO, PPO, and capitation; obtaining insurance approvals, billing, and co-payments, and handling patient flow.

• Proven experience handling perturbed patients/customers and dealing with sensitive issues. Familiarity with scheduling and rearranging appointments.

• Pleasant speaking voice and demeanor, neat, professional appearance, strong written and verbal communication skills, stellar organizational skills.

• Ability to manage multiple tasks and work independently; attention to detail and to work under pressure are also important.

This is a unique position where you can grow your skills supporting all Divisions/Sections within the Department of Surgery.

Equal Opportunity Employer/Disabled/Veterans

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