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Healthcare Operations Coordinator

1 month ago

Philadelphia, Pennsylvania, United States Penn Medicine Full time
Patient Services Coordinator Job Description

Job Summary:

The Patient Services Coordinator plays a vital role in ensuring the smooth operation of our clinical practices. This individual will assist in maintaining a patient-focused environment, supporting the delivery of high-quality care, and contributing to meeting or exceeding patient satisfaction and financial/operational targets.

Responsibilities:

  • Compliance and Operations: Ensure self and assigned area(s) are compliant with all applicable federal, state, and local regulatory standards.
  • Scheduling and Coordination: Manage the day-to-day planning, operations, and problem-solving for assigned areas, ensuring daily schedules, staffing needs, and performance metrics are met.
  • APM Expertise: Develop and maintain APM templates and master schedules, overseeing AHIQA and running regular financial reports.
  • Communication and Liaison: Act as the communication link between the group and management, disseminating information and forwarding it back up to management.
  • Practice Operations: Effectively work with managers and providers to establish, implement, and maintain practice policies, procedures, and efficient systems that support daily operations.
  • Patient Service Associate Responsibilities:
    • Strive to understand and anticipate patient needs, manage service recovery efforts, and enlist management assistance as appropriate.
    • Schedule patient appointments, determine reason for visit, follow established schedules and protocols, and communicate changes and confirm appointments.
    • Perform point of service activities, collect copays, record accurately, obtain necessary signatures/forms, and update appointment status in EMR.
    • Communicate with patients regarding patient flow and wait times, keeping managers aware of potential issues.
    • Issue referrals and obtain pre-authorizations for patients as required and as per protocol.
    • Maintain up-to-date knowledge of insurance requirements pertinent to patient service and billing procedures.
    • Validate patient demographic/insurance information and/or register new patients into EMR using established protocols.
    • Record receipts accurately to ensure end-of-day reconciliation and participate in cash reconciliation delineations.
    • Resolve work queues and/or issues from front-end reports, proactively prioritizing recovery of missing charges.
    • Order supplies for the office and generate front-end process reports as requested.

Qualifications:

  • H.S. Diploma/GED (Required)
  • 3+ years Medical office experience. Advanced degree (Associate's, Bachelor's, Master's) may be considered in lieu of experience.
  • Must successfully complete/pass EMR training/tests upon hire

Skills and Abilities:

  • Basic computer knowledge and skills
  • Ability to speak, read, and write in English
  • Demonstrated customer service skills
  • Demonstrated interpersonal/verbal communication skills
  • Demonstrated written communication skills
  • Demonstrated organizational skills
  • Ability to utilize critical thinking
  • Ability to multi-task
  • Experience using EMR system
  • Knowledge of third-party billing requirements
  • Must be attentive to detail

About Penn Medicine:

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy.

We are an Equal Opportunity and Affirmative Action employer.