Patient Care Coordinator

About the role

Find your path in health care. We want to change the lives of those in our care – and the people who choose to take on this challenge. If you’re ready to change lives, we want to hear from you.

Nestled in the high plains of northeastern Colorado, Brush is full of small-town charm and rich history. State Wildlife areas and state parks offer hunting, wildlife viewing, fishing, hiking and water activities year-round. In-town recreation includes golf, four local parks, an outdoor swimming pool, and a roller-skating rink.

Responsibilities

• Perform patient intake process, which may include pre-registration/registration.
• Partner with the clinical care team to determine initial authorizations needed based on the predicted care treatment plan.
• Obtain patient insurance benefit information for all aspects of the treatment, including, but not limited to, inpatient and outpatient services, prescription drugs, and travel and housing, if necessary.
• Answer questions regarding the authorization process and supply information to providers, patients and third party payors.
• Act as a resource for insurance coverage, which may include obtaining authorizations and notifications throughout the patient’s treatment.
• Obtain all necessary signatures and documentation required by the patient’s insurance plan.
• Accurately and completely document all information into the patient records system to ensure maximum reimbursement.
• Monitor and update information regarding insurance data, authorizations, preferred providers and changes in patient’s treatment plan.
• Partner with the clinical team and insurance provider to ensure continued coverage of patient’s care and maximum reimbursement with minimized financial impact to the patient.
• Provide administrative support in maintaining materials such as documents, proposals, routine correspondence, spreadsheets, composing and preparing routine reports, and maintaining records in a variety of business software and database applications for electronic medical records, billing, data management.
• Schedule physician appointments, tests, procedures and surgeries and may provide patient with necessary preparation instructions.
• Prepare, process, and manage patient documentation to department database.
• Act as a liaison between the patient, billing department, and payor to enhance account receivables, resolve outstanding issues and/or patient concerns.
• Optimize patient experience by using effective customer service.
• Communicate continually with patients, other departments, referral networks and providers to ensure appropriate plans and protocols are followed.
• Use discretion and be attentive to issues of customer confidentiality.
• Demonstrate skills in proactive resolution and attempt to resolve scheduling conflicts.
• May manage the medical record for the assigned area, including coordination with hospitals, practice offices and other ancillary services to obtain needed records.
• Respond to patient referral requests for tests, procedures and specialty visits.
• Follow guidelines and may assist in developing procedures to ensure that medical records are in compliance with all state and federal laws.
• May also reconcile charge tickets, identifying incomplete tickets, missing charge codes or missing diagnosis codes. Notify clinical staff as needed.
• Work independently under general supervision, following established procedures.
• Use knowledge and problem-solving skills to work independently in a clinic/physician practice environment.
• Ensure efficient coordination of administrative functions supporting patient needs assessments, insurance and authorization verification, registration, maintaining and handling of documentation, financial counseling, and scheduling of appointments.

Requirements

• High school diploma/GED or equivalent working knowledge.
• Three or more years working in a hospital or medical office.
• Knowledge of medical terminology.
• Ability to work under minimal supervision and make independent decisions using good judgment.
• Excellent communication, human relations, attention to detail and organizational skills.
• Highly developed interpersonal relations and process coordination skills.
• Knowledge of payer contract terms and processes.
• Ability to perform basic math functions and handle confidential information and sensitive issues.
• Ability to work effectively with common office software and hospital software to perform intake and updates to patient medical history in addition to other software used in scheduling and billing.

Preferred Qualifications

• Additional related education and/or experience preferred.

Schedule

Per Diem schedule with variable hours. Must have availability to work Monday, Wednesday, and Fridays 7:00 AM–6:00 PM as needed.

Pay

Estimated pay range: $20.01 – $30.01 per hour. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained.