Patient Care Coordinator (Full Time, Days)

Patient Care Coordinator (Full Time, Days)

Provides liaison, concierge services, and coordination of care to community referring providers and patients and families which will serve as a link to services across the health system. Manages the entire experience of referred patients/families in all aspects of their care before, during, or after any encounter at Nicklaus Children's Hospital/ Nicklaus Children's Pediatric Specialist.

Job Specific Duties:

• Coordinates and processes patient referrals to completion with precision, detail and accuracy.
• Schedules patients and notifies them of appointment information, including date, time, location, etc.
• Completes orders with proper documentation on where patient is scheduled and how patient was notified.
• Ensures referrals are sent to specialist office and confirms receipt.
• Communicates effectively physician/clinician needs or outstanding items regarding patients.
• Facilitates information sharing such as radiology reports, operative notes, and other inpatient procedures.
• Ensures patient's external missed appointment are rescheduled and communicated to the physician/clinician.
• Accommodates high priority patient needs.
• Completes and addresses phone messages within 24 hours of call.
• Works with medical records to provide notes to primary care doctor upon request.
• Provides extraordinary customer service to all internal and external customers.
• Verifies third-party payer information via web or telephone and seeks appropriate authorization and/or referral for physician and hospital services as needed.
• Uploads referral and authorization documentation to the encounter.
• Responsible for correcting any registration errors made utilizing the QA system.
• Communicates with departments or peers if any issues and questions arise or to accommodate any special need for patients.
• Responsible for scheduling minimum number of appointments set by leader as determined by volume.
• Visits referring physician or group to develop and nurture relationships to enhance collaboration and promote services offered by patient care coordinator.

Qualifications:

Minimum Job Requirements:

• 2-4 years of Customer Service experience

Knowledge, Skills, and Abilities:

• Knowledge of medical terminology, CPT, HCPCS and ICD coding preferred.
• Ability to comprehend and discuss patient's medical care with physicians, nurses and other healthcare professionals in order to assess patient needs.
• Ability to communicate effectively, both orally and in writing
• Detail-oriented and committed to ensuring accuracy in documentation and patient information, possess the ability to multi-task and be open to cross-functionally training in referrals duties.
• Able to exercise proper phone etiquette and have the ability to navigate proficiently through computer software systems.
• Team-oriented and work extremely well with patients, colleagues, physicians and other personnel in a professional and courteous manner.
• Exceptional organizational skills with the ability to effectively prioritize and timely complete tasks.
• Ability to resolve conflicts/and or negotiate with others to achieve positive results and make appropriate judgments to resolve issue pro-actively and independently.
• Ability to work well in a complex environment with the skills to establish priorities, set objectives, and achieve goals.
• Ability to maintain confidentiality of sensitive information.
• Ability to establish necessary relationships and interact effectivity with internal and external customers.
• Able to take and respond to on-call shift or shifts as assigned on weekdays, weekends, and holidays.
• Proficiency in using healthcare information systems and electronic medical records.

Job: Billing/Collections

Primary Location: Florida-Miami-Nicklaus Children's Hospital - Main Hospital Campus

Department: NCPS-PROFESSIONAL SERVICES-3100-490000

Shift: Days

Job Status: Full Time