Patient Care Coordinator - Lead

Job Description

Job Description

Description

Patient Care Coordinator- Lead

Location: Fair Lawn, NJ
Entity: Alliance Orthopedics
Reports To: Senior Operations Manager 

Alliance Orthopedics is currently looking to add to our mix of talented professionals! This is a great opportunity to join a dynamic, fast-growing company committed to making the world a healthier place for all. 

We are currently seeking a Patient Care Coordinator Lead to act as a liaison between our provider and patients to monitor treatment plans, connect patients with healthcare providers, and evaluate their progress. They will also manage the team of Coordinators to be.

The ideal candidate must be knowledgeable about healthcare practices and have the ability to delegate scheduling tasks and assure execution. 

Summary of Responsibilities

• Anticipate the needs of core staff and providers for all new and reactivated patients coming back in for care 
• Promote company marketing initiatives, scratch -off program, community outreach events, charities, and morale boosting activities.  
• Establish and maintain relationships that generate business, increase ROI, or expedite care at the highest level, 5 yearly networking events, growth on company initiatives 
• Demonstrate mastery of all skills outlined on Healthcare Impact Team Coordinator and Scheduler Job Descriptions 
• Adhere to Alliance Orthopedics office compliance rates of less than 13% 

Advanced Coordination  

• Review office schedule as well as MD at openings shift daily  
• Review all new and reactivated patients (IE/RE) 
• How did the patient hear of us?  
• What is their condition? 
• How long have they had this condition? 
• Do they have images for this condition, are the images current, do we have a copy for review? 
• What is the patient’s coverage for procedures, DME, conservative therapy, imaging? 
• Identify with providers best co-treat patients based off of medical necessity  
• review all medical records from outside clinics and facilities are received 
• Plan ahead with the provider/physician the plan of care anticipated for each patient ensuring prompt coordination  
• Communicate with back office all verifications are complete 
• Payment Arrangements have been discussed and confirmed for new and reactivated patients  

Effective Communication  

• Ability to tour potential patients around the clinic creating excitement / urgency for treatments that pertain to the patient’s current goals / lifestyle 
• Communicate treatment plans and protocols 
• Facilitate and/or address questions about insurance policies and procedures, MD services 
• Effectively queue up providers of patients verbal and non-verbal feedback ensuring patients are being coordinated promptly towards their personal and wellness goals. 
• Participate in weekly communication calls with back office directors to create solutions for day to day concerns data entry, providers errors, PA / reimbursements etc. 
• Weekly meetings with administrative directors to discuss strategies on company needs, team training, networking events etc. 
• Demonstrate knowledge of all Alliance Orthopedics specialist care services: 
• procedure and surgical protocols 
• affiliate surgical centers and hospitals  
• insurances accepted 
• Escalate all issues or concerns to Senior Operations Manager 

Verification / Insurance  

• Advanced ability to communicate payment arrangements, out of pocket expenses  
• Ability to convert a Self-Pay at an average of greater than 80%  
• Maintain average visit counts per service (see Director for metric) 
• Ability to discuss fees for services not covered, DME bracing, images, etc. 

DME  

• Identify approvable TENS candidates and coordinate distribution with providers and ATC team 
• Manage DME release paperwork and HLM spreadsheet  
• Manage HLM spreadsheet ensuring accuracy of new patients being added as well as prompt removal of holds when the coordination is complete  
• Assist providers in obtaining necessary authorizations for TENS/ LSO/ bracing  

Onboarding new team members for Healthcare Impact

• Train all new and coach existing staff ongoing of the team all aspects of scheduling and coordination as well as ancillary services  

Oversee all PIP patients’ files by ensuring appropriate documents are on file (Dec page with policy max limits, accident report, signed PIP paperwork) have attorney on file or discuss with clinical director coordinating patient to an attorney.  

Report to practice manager and/or HR during IT issues  

Ensure all responsibilities and tasks are being fulfilled by HITCs

Background Check Requirement : Employment is contingent upon the successful completion of a background check, which may include verification of employment history, education, criminal records, and other relevant information as permitted by law.