Patient Services Coordinator II

Full-time position, Monday-Friday 8:00am - 4:30pm, on-site in Sallisaw, OK.

About the Role

Positions in this job family coordinate admissions of patients and patient-related services. Incumbents serve as advocates between the center/veteran and U.S. Department of Veterans Affairs to maximize services and benefits to the veteran/patient, their families, and the agency. These roles are located at state veterans centers, providing advocacy services, serving as a liaison between the patient and federal/state agencies, and playing a key role in federal fund reimbursement and patient collections.

Responsibilities

• Coordinates patient admissions and services for veteran clients, including final determination of qualifications for benefits, patient relations, patient benefit programs, and/or transaction records.
• Advises departmental officers and employees on change of status, inter- and intradepartmental transfers, readmissions, discharges, maintenance charges, financial information, and other patient matters.
• Assesses maintenance charges upon admission based on all sources of income and any non-reimbursed medical expenses.
• Completes required actions for reimbursement of funds; coordinates and plans all U.S. Department of Veterans Affairs reports for per diem reimbursement.
• Prepares and files claims for VA pension and compensation and other entitlements for veterans, including Social Security benefits, Railroad Retirement, Civil Service, and Military retirement, ensuring compliance with federal and state laws, rules, and regulations.
• Counsels patients and families; interviews veteran applicants and refers them to appropriate department heads.
• Conducts background investigations verifying financial status, military retirement, and military eligibility; schedules appointments with licensed medical professionals.
• Analyzes financial data to assess maintenance charges in accordance with agency policy and advises veteran/family and other departmental officers of final computation.
• Acts as agency liaison with other state agencies, public facilities, and organizations in matters pertaining to veteran clients.
• May act on behalf of the institution as Veterans Administration and Social Security appointed payee, including responsibility for maintenance of accounts and records for incompetent veterans; prepares annual accountings as required by federal agencies.
• Develops and implements policies and procedures relating to patient services.
• Gathers information and prepares daily patient census reports for management and other statistical reports as necessary.

Requirements

Education and experience requirements at this level consist of:

• Three years of health benefits, insurance claims, admissions, bookkeeping, technical accounting, or closely related work, plus
• Two additional years of experience in admissions and/or claims and benefits administration in a long-term care or medical institution; or
• An equivalent combination of education and experience, plus two additional years of experience in admissions and/or claims and benefits administration in a long-term care or medical institution.

Skills

• Knowledge of federal and state statutes, rules, and regulations pertaining to veterans benefits and programs, Social Security payments, and billing of patient care charges.
• Knowledge of admitting and benefit counseling and interviewing techniques.
• Ability to communicate effectively, both orally and in writing.
• Ability to follow written and oral instructions.
• Proficiency in using various software and agency-specific programs.
• Ability to establish and maintain effective working relationships with others.
• Ability to organize and conduct several activities simultaneously.

Benefits

• Generous leave: 15 days of vacation, 15 days of sick leave, and 11 paid holidays annually.
• A comprehensive benefit package with a generous benefit allowance to offset the cost of insurance premiums for employees and their eligible dependents.

Pay

$21.51 per hour.