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Patient Care Coordinator
3 months ago
Overview This position is responsible for providing personalized coordination, clarification, and communication of all administrative aspects of care including patient needs assessments, insurance and authorization verification, registration, maintaining and handling of documentation, and scheduling of appointments. This position partners with the clinical care team to ensure a seamless experience for the patient and their family across the entire continuum of their treatment. This position assists with providing resources to help the patient maintain optimal care. This position performs follow-up tasks identified during the patient needs assessment for management of patients across the healthcare continuum or when the patient is in the continuum and needs additional resource support. About Fairbanks Memorial Hospital Fairbanks Memorial Hospital is a non-profit facility owned by the Greater Fairbanks Community Hospital Foundation. A Joint Commission-accredited facility with 152 licensed beds, Fairbanks Memorial Hospital is the primary referral center for residents of Alaska's interior with a strong patient-to-nurse ratio and Shared Leadership Infrastructure. In addition to our exceptional clinical environment, our location offers incomparable lifestyle rewards away from work. In Fairbanks, small-town living, spectacular natural beauty, and endless recreation combine to create a one-of-a-kind place to live, work, and play. Responsibilities Performs patient intake process, which may include pre-registration/registration. Partners with the clinical care team to determine initial authorizations needed based on the predicted care treatment plan. Obtains 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. May also answer questions regarding the authorization process and supply information to providers, patients, and third party payors. Acts as a resource for insurance coverage, which may include obtaining authorizations and notifications throughout the patient's treatment. Obtains all necessary signatures and documentation required by the patient's insurance plan. Accurately and completely documents all information into the patient records system to ensure maximum reimbursement. Monitors and updates information regarding insurance data, authorizations, preferred providers, and changes in the patient's treatment plan. Partners with the clinical care team and insurance provider to ensure continued coverage of the patient's care and maximum reimbursement and minimized financial impact on the patient. Provides 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. Schedules physician appointments, tests, procedures, and surgeries and may provide patients with necessary preparation instructions. Prepares, processes, and manages patient documentation to department database. Acts as a liaison between the patient, billing department, and payor to enhance account receivables, resolve outstanding issues, and/or patient concerns. Optimizes the patient experience by using effective customer service. Communicates continually with patients, other departments, referral networks, and providers to ensure appropriate plans and protocols are followed. Uses discretion and is attentive to issues of customer confidentiality. Demonstrates skills in pro-active resolution and attempts 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. Responds to patient referral requests for tests, procedures, and specialty visits. Follows 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. Notifies clinical staff as needed. Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Foundation Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day. Qualifications High school diploma/GED or equivalent working knowledge. Requires three or more years working in a hospital or medical office. Requires knowledge of medical terminology. Must be able to work under minimal supervision and make independent decisions using good judgment. Excellent communication, human relations, attention to detail, and organizational skills are required. Must possess highly developed interpersonal relations and process coordination skills. Requires knowledge of payer contract terms and processes. Requires the ability to perform basic math functions and the ability to handle confidential information and sensitive issues. Must be able 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. #J-18808-Ljbffr
