Patient Care Coordinator Job in Palm Harbor 34684, Florida US

Patient Coordinator/Counselor

 

An alternative position for a mature practice.

 


 

POSITION:   Patient Coordinator/Counselor

 

RESPONSIBLE TO:   Office Manager
 

JOB SUMMARY:    Counsels all cosmetic patients about costs of surgery, and coordinates surgery scheduling and information.   Enters critical data in software system.  Follows up with all patients seen in consultation.

 

 

EDUCATIONAL REQUIREMENTS:

 

•           High school diploma required

•           Associates or bachelors degree preferred

 

QUALIFICATIONS AND EXPERIENCE:

 

•           Three to five years work experience, with increased responsibility, in a surgical practice, service, hospitality or travel industry

•           Proven skills in dealing with upscale clientele

•           Experience with email and Internet applications

•           Understanding of efficiency, automation and patient flow in a medical practice

•           A “can-do” attitude, shows initiative and willingness to adopt to change

•           Understanding of insurance claims and reimbursement requirements preferred

•           Neat, professional appearance

•           Comfortable talking about money

•           Able to handle stressful situations

•           Pleasant speaking voice, good writing and keying skills a must

 

 

Responsibilities include, but are not limited to:

 

Surgery Counseling and Scheduling

 

•           Discusses fees and financial policies with patients after their consultation—provides written information and answers patients’ questions

•           Enters information about patients who schedule surgery, or didn’t schedule surgery, into the cosmetic patient tracking system

•           Schedules all surgeries distributing information to ASC and anesthesia group; sends follow-up letter to patient confirming surgery dates, times and fees

•           Obtains pre-certification and pre-authorization as needed; verifies patient eligibility

•           Drafts pre-determination letter to insurers requesting pre-certification for surgery in writing for MD signature

•           Sends copy of insurance pre-determination letter to patient along with a letter explaining the patient’s responsibility regarding insurance

•           Writes letter to patient informing him/her of estimate out-of-pocket expenses after letter is received from insurance company

•           Writes appeal letters to insurance company if surgery is denied or not paid as expected

•           Collects pre-surgical deposits 3 weeks prior to patient’s surgery

•           In concert with Billing Manager handles problems regarding patient’s insurance, balances due, etc. as they arise

•           Reviews the surgery log monthly to ensure all procedures have been paid for and posted

•           Manages surgery schedule and block time; releases unused block time to operating room at least 2 weeks prior to surgery

•           Keeps all fee schedules updated and distributed among staff

•           Corresponds with out-of-town patients to help in making arrangements when scheduling consultation and surgery

•           Reviews surgery and anesthesia charges after surgery when there have been changes

•           Transcribe patient-related dictation generated by the surgeon

•           Corresponds with and schedules visiting surgeons wanting to observe in surgery

 

 

Patient Relations

 

•           Ensures all information about cosmetic patients is tracked accurately; generates monthly reports and summaries for meaningful review

•           Calculates the practice’s Patient Acceptance Rate (PAR) consultations to surgeries each month

•           Maintains the database of patients who have had surgery, and who haven’t, and targets specific mailings about services and the skin care program

•           Maintains patient confidentiality; complies with HIPAA and compliance guidelines established by the practice

 

 

Office Operations

 

•           In concert with the Front Office Coordinator, discusses cosmetic consultations, cosmetic procedures and skin care services with prospective patients over the phone; encourages them to schedule an appointment

•           Schedules patients in the computer system; asks them how they heard about the practice

•           Medical filing as needed

•           Checks voice mail regularly and returns calls from patients who wish to schedule surgery or have insurance or scheduling issues

•           Checks email regularly and responds to patients who have requested information

 

 

Access to PHI (Protected Health Information)

This position has the authority to access all PHI, although the nature of the job does not usually require daily access to it. The nature of this position's access to PHI may require review of computerized schedules, computerized medical records, computerized and paper-based billing and reimbursement data, patient referral forms, lab results, tests, and encounter form data in order to analyze information, resolve a patient's unpaid claim or bill, or address another managerial or administrative issue.

 

 

Supervisory Responsibilities

This position does not have any supervisory responsibilities

 

 

Typical Physical Demands

Position requires prolonged sitting, some bending, stooping, and stretching.  Good eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator, and other office equipment is also required.  Employee must have normal range of hearing and eyesight to record, prepare, and communicate appropriate reports.

 

 

Typical Working Conditions

Normal office environment.  Occasional evening or weekend work.