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Patient Care Coordination Specialist I

2 months ago

Baltimore, Maryland, United States University of Maryland Medical System Full time
Job Overview

Company Overview:
The University of Maryland Medical System is recognized as a premier academic medical center, offering a dynamic environment for healthcare professionals to thrive. Our facility is committed to enhancing patient care and advancing the field of nursing.

Position Summary:

The following outlines the essential functions and responsibilities associated with this role. It is not intended to be an exhaustive list of all duties performed.

  1. Facilitates patient care coordination, including the scheduling of appointments in alignment with physician availability while adhering to established policies and procedures.
  2. Coordinates outpatient testing and procedures as necessary.
  3. Handles patient registration tasks, including the accurate entry and verification of demographic and insurance details, as well as obtaining necessary referrals and authorizations.
  4. Manages the creation and coordination of outgoing referrals.
  5. Provides patients with information regarding facility fees, estimated charges, and educational resources as appropriate.
  6. Prepares after-visit summaries, informing patients about upcoming appointments, schedule changes, co-payments, and relevant insurance details.
  7. Offers information to patients, family members, and referral sources about hospital policies, available programs, wayfinding, and parking options.
  8. Demonstrates the ability to multitask in a fast-paced environment while maintaining professionalism and organization.
  9. Assists in tracking and ordering office supplies.
  10. Utilizes a multi-line phone system and software to manage internal and external calls related to patient care coordination, including scheduling and canceling appointments and entering documentation into the EMR system.
  11. Participates in regulatory and accreditation surveys.
  12. Performs routine clerical tasks such as photocopying, filing, faxing, and maintaining communication among clinicians, administrative staff, and patients.
Qualifications:

Education and Experience:
High School Diploma or equivalent (GED) is required. Experience in a healthcare setting is preferred but not mandatory.

Knowledge, Skills, and Abilities:
  1. Knowledge of various insurance coverages, including Medicaid and HMOs.
  2. Strong verbal, written, and interpersonal communication skills to effectively convey hospital policies and procedures.
  3. Ability to complete intake information and respond promptly to instructions.
  4. Effective listening skills to understand patient information and translate it into written documentation.
  5. Proficient in using computer systems for entering and retrieving patient information.
  6. Ability to foster quality customer service and demonstrate sensitivity to customer needs.
  7. Resourceful and skilled in problem-solving when addressing inquiries or scheduling issues.
  8. Ability to work independently and manage stress effectively.
  9. Strong organizational skills to prioritize and manage multiple tasks.
  10. Knowledge of hospital and departmental policies, ensuring compliance with patient privacy regulations.
Patient Safety Commitment:

Ensures patient safety in all job functions and participates in safety initiatives.

  1. Takes corrective action for any observed risks to patient safety.
  2. Reports adverse events and near misses to management.
  3. Identifies potential risks in processes and communicates them to the appropriate personnel.