Patient Care Representative

4 weeks ago


Washington, United States Specialist Office Full time
Job DescriptionJob Description

Medical Receptionist - Patient Care Coordinator
Washington, DC

MUST:
Experienced Patient Care Coordinator
3 plus years of a experience as a Patient Care Coordinator
Must an Associates degree
Must have experience working on EMR, knowledge of Centricity is highly preferred
Must have prior authorization experience
Must have scheduling experience
Must have experience handling and directing high amounts of incoming calls
Must have high attention to detail

DUTIES:
Patient Care Coordinator – Radiology will be responsible for, but not limited the following:
Ensures all scheduling, registration, and payment collection activities are staffed appropriately each day and supervises scheduling and front desk staff in conjunction with the Process Supervisor
Registration Process - Coordinates the patient registration process, including staff adherence with all established policies and procedures and obtaining complete demographic and insurance information for each patient appointment
Coordinates the patient appointment scheduling process, including staff adherence with all established policies and procedures related to determining and accurately documenting the appropriate appointment type, provider, referral and/or authorization requirements, procedure orders, and other appointment specific requirements.
Determines referral requirements, creates a Referral in the approved organization electronic scheduling and billing systems and links to appointment or updates Appointment Data Form (ADF) with Authorization / Pre-Certification number as appropriate. Answers incoming calls for practice and provides information regarding services, referrals, etc.
Using standard forms or Electronic Health Record (EHR) system, records messages from patients, referring physicians, pharmacies, and other clinical areas. Communicates with physicians and nurses. Throughout the business day, ensures Automatic Call Distribution (ACD) system is functioning appropriately and reports any malfunctions immediately.
Coordinates the patient check-in and check-out process for department including patient reception, validation of patient identity, scanning of patient documents to the appropriate
system, resolution of all alerts for missing or inaccurate information prior to patient arrival, insurance verification, collection and electronic posting of time of service (TOS) payments, appropriate and timely of all appointments, collection and review of all encounter forms, daily deposit of payments, and preparation of charge batches.
Obtains insurance referrals and pre-authorizations, as needed. Assists with pre-authorizations of hospital admissions, procedures, medications and medical equipment. Educates and informs patients and families regarding verification status and issues related to deductibles, co-payments and balances. Responds to hospital staff and/or patient inquiries regarding referrals, authorizations and scheduling in an efficient manner.
Works with Patient Services Supervisor / Department Administrator to resolve physician and/or patient concerns related to front desk, registration, and scheduling or authorization operations. Provides resolution for patient services concerns whenever possible. Communicates areas of concern to the Process Supervisor / Department Administrator. Responds to patient complaints and facilitates resolution of service breakdowns. Monitors patient satisfaction results, reviews with staff, and collaborates in process improvements.
Performs other duties and responsibilities that are appropriate to the position and area. The above responsibilities are a general description of the level and nature of the work assigned to this classification and are not to be considered as all inclusive.

Quadrant is an affirmative action/equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, status as a protected veteran, or status as an individual with a disability. “Healthcare benefits are offered to all eligible employees according to compliance mandated by the Affordable Care Act“.



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