Job: Patient Care Coordinator

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Jobing Description

Job Title: Patient Care Coordinator

Description: JOB SUMMARY:

Provides direct customer service and front desk assistance for assigned department to include but not limited to admitting, registering, scheduling and verifying insurance. Handles customer account transactions, provides customer assistance, and performs and/or oversees cashiering operations. Adheres to policies, procedures and regulations to ensure compliance and patient safety. Participation in Compliance and other important training is a condition of employment.

ABQ HEALTH PARTNERS CORE COMPETENCIES:

1.Customer Focus: Ensures that the patient and customer perspective is a driving force behind business decisions and activities; crafts and implements service practices that meet our patients', customers', and organization's needs. Recognizes and is attentive toward both internal and external customer issues.

2.Adaptability: Maintains effectiveness when experiencing major changes in work responsibilities or environment; adjusts effectively to work within new work structures, processes, requirements, or cultures.

3.Communication: Clearly conveys information and ideas through a variety of media to individuals or groups in a manner that engages the audience and helps them understand and retain the message.

4.Contributing to Team Success: Actively participates as a member of a team to move the team toward the completion of goals.

5.Professionalism: Sets high standards of performance for self and others; assumes responsibility and accountability for successfully completing assignments or tasks; self-imposes standards of excellence rather than having standards imposed.

6.Continuous Improvement: Initiates and supports action to improve existing conditions and processes; identifies improvement opportunities, generates ideas, and implements solutions.

ESSENTIAL FUNCTIONS:

1.Provides direct customer service and front desk assistance for assigned department to include but not limited to registering, scheduling and verifying insurance and arriving patients. Electronic eligibility verification, updating patient demographics, ensure required referrals and prior authorization are in place for patient visit. Manage No-show list. Schedule wait list, follow-up, x-ray, referral appointments.

2.Handles customer account transactions, provides customer assistance, and performs and/or oversees cashiering operations. Responsible for obtaining "expert" level knowledge of the inter-workings of various insurance plans and staying abreast of insurance plans in the process of being added, deleted or changed. Collection of co-pays, co-insurance, self-pay, fee-for-service, and payment on account.

3.Reconciles daily cash deposit in accordance cash balance policy and procedures. Settlement of EDC credit card machines to include reconciliation of transactions against settlement.

4.May be required to analyze medical records and charge entry information for financial reimbursement within the guidelines and procedures. Work TES charge entry edits.

5.Adheres to policies, procedures and regulations to ensure patient safety and regulations. May attend departmental meetings and provide constructive recommendations for areas improvement.

Skills / Requirements

Qualifications:
Related Education and Experience may be substituted for one another on a year for year basis.

EDUCATION
Required - High School Diploma or GED equivalent.

Preferred - Associate's Degree in related field of study

EXPERIENCE
Required - One (1) year of previously related experience or Medical Receptionist certificate from an accredited institution

KNOWLEDGE/SKILLS/ABILITIES
Excellent Customer Service skills. Ability to type and enter efficiently and accurately at 25-30 WPM. Ability to work independently and willingness to learn. Ability to communicate effectively. Ability to multi-task and work under pressure. Attention to detail. Windows navigation skills. Skilled in a variety of MS Office software applications.

LICENSURE
Preferred - Heart Saver
Position Type: PRN
Standard Hours: PRN
Location: Journal Center
Department: Diagnostic Radiology JC
City: Albuquerque
State: New Mexico