Patient Care Coordinator - Full Time - Orthopedics - Stateline NV

Patient Care Coordinator - Full Time - Orthopedics

Summary of Position :

The Patient Care Coordinator (PCC) provides all non-clinical assistance required by the Patient Centered Medical Home (PCMH). The PCC is responsible for scheduling patients, completing patient appointments, and obtaining billing information. The PCC oversees patients at check in and prior to leaving the clinic. The PCC collects copays and / or monies due at the time of service. The PCC provides routine clerical support such as : medical record releases, answers phones, routes callers and relays messages. The PCC completes administrative duties, including faxes, photocopies, scans, mail processing, and managing departmental documents. The PCC covers other non-clinical positions such as pre-authorizations and referrals as needed.

Qualifications

Education :

High school diploma or GED preferred

Experience :

One year of relevant front office receptionist experience

Patient Centered Medical Home experience preferred

Knowledge / Skills / Abilities :

Typing and computer literacy

In compliance with patient safety standards, must be able to effectively communicate in English; Bilingual abilities preferred

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is frequently required to walk, stand, sit, and talk or hear.

The employee is occasionally required to use hands to handle, feel or operate objects, tools, or controls; and reach with hands and arms.

The employee is occasionally required to climb or balance; stoop, kneel, crouch, or crawl.

Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus.

The employee must occasionally lift and / or move up to 25 pounds.

Contact with patients and guests under a wide variety of circumstances

Regularly exposed to the risk of bloodborne diseases

Exposure to infections and contagious disease

Exposed to hazardous anesthetic agents, body fluids and waste.

Subject to hazards of flammable and explosive gases

Subject to varying and unpredictable situations, including the handling of emergency or crisis situations

Working Conditions

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Normal office environment. The noise level in the work environment is usually quiet to moderate while in the office.

Occasional travel to various health system locations.

Essential Functions

1. Provide consistently exceptional care at all times.

2. Provides assistance, guidance and direction to patients and visitors upon arrival ensuring communication is always professional and friendly. Serves as a liaison between the patient and other care team members as needed.

3. Checks patients in upon arrival and informs clinical staff in a timely manner. Updates demographic information and ensures completion of required forms. Reviews eligibility response history and makes changes as needed. Verifies PCP and takes action to correct with payor or instructs patients on next steps.

4. Enters new patient accounts in the computer ensuring patient information is accurate and data entry is complete.

5. Screens patient for eligibility in available financial programs as needed. Assists with program enrollment if determined eligible.

6. Answers telephones, routes callers appropriately, takes messages and provides routine information to callers. Returns phone calls in a timely manner. Exercises judgment as to the urgency and nature of the call and ensures that all messages are relayed to the appropriate staff in a timely manner. Does not give medical advice.

7. Collects, compiles, and distributes information regarding patient's personal insurance and financial status providing appropriate information entered into EPIC including scanning insurance cards and photo ID into EPIC.

8. Patient Records

a. Reviews records ensuring its completeness and availability for the clinical staff.

b. Scans all forms into the EMR according to approved naming convention.

c. Documents "no shows", cancellations and rescheduled appointments in patient record. Documents outreach to patient regarding No Show in the medical record and assists with mailing of no show letters. Processes recall letters as directed by provider. Schedules and coordinates patient appointments according to clinic guidelines for timing and all information collected is accurate and complete. This includes scheduling and completing patient appointments with specific insurance requirements. Determines patients need for Language access and if needed arrange for an interpreter.

9. Performs initial billing paperwork and cashiering duties, ensuring that all is complete and accurate.

a. Ensures the accuracy of registration by working built in registration work queues.

b. Explains financial requirements to the patients and collects balances, deposits, co-pays or deductibles as applicable.

c. Balances cash drawers, prepares cash and payment receipt logs.

d. Performs opening and closing procedures as assigned.

10. Performs assigned clerical duties in an accurate and timely manner.

a. Maintains records and reports and files as required

b. Faxing

c. Photocopying

d. Scanning

e. Computer Data entry & retrieval

f. Refills forms as needed.

11. Sorts mail, ensuring that urgent correspondence and time-dated materials are prioritized. Manages UPS / FedEx pickup and deliveries appropriately. Covers paper patient requests to electronic requests for accuracy and tracking.

12. Maintains office equipment and supplies. Operates and performs job related duties in a safe manner. Ensures proper functioning of equipment and follows procedure when equipment malfunctions.

13. Processes in basket messages timely and documents outcomes in the EMR.

14. Cleans and straightens patient waiting areas

15. Follows protocol for controlled substance pick up and documents accordingly.

16. Works rescheduling report timely.

17. Has working knowledge of all professional, licensing and regulatory standards that apply to department activities.

18. Responds to the needs of the department by performing other duties, as necessary, if trained and within scope.