Patient Care Coordinator

bannerhealth; Tulare (CA); On-site; USD 42,000 - 62,000; Full time

Job summary

Banner Health is seeking a Patient Care Coordinator for the Outpatient Wound Clinic at Banner Baywood Medical Center in Mesa, AZ. The role focuses on scheduling, insurance verification, patient records, and registration to support a streamlined patient experience.

The position requires strong customer service and administrative skills, with the ability to work across multiple databases and office applications in a busy clinic environment.

Qualifications

• High school diploma/GED or equivalent.
• Requires three or more years in a hospital or medical office.
• Knowledge of medical terminology.
• Ability to work independently with good judgment and strong organization.

Responsibilities

• Handle patient intake including pre-registration/registration and initial authorizations.
• Document insurance data, authorizations and patient information in the records system to support reimbursement.
• Provide administrative support with documents, reports and routine correspondence using office software and EMR.
• Suspend scheduling of physician appointments, tests and procedures and coordinate with billing and payor for issues.
• Enhance patient experience through effective communication and coordination across departments and providers.
• Assist with medical records coordination and referrals as needed, ensuring compliance with privacy rules.
• Work under general supervision to coordinate administrative functions supporting patient needs assessments, insurance verification, registration and documentation.

Skills

Customer service

Administrative skills

Insurance verification

Scheduling

Education

High school diploma/GED

Tools

EMR software

Billing software

Office applications

Job description

Primary City/State: Mesa, Arizona

Department Name: Wound Care-OP-Hosp

Work Shift: Day

Job Category: Administrative Services

Health care is constantly changing, and at Banner Health, we are at the front of that change. We are leading health care to make the experience the best it can be. We want to change the lives of those in our care – and the people who choose to take on this challenge. If changing health care for the better sounds like something you want to be part of, we want to hear from you.

As a Patient Care Coordinator, you will have the opportunity to work in an Outpatient Wound Clinic | Clinical Care Operations at Banner Baywood Medical Center in Mesa, AZ. This is a support role as you schedule patients, pull medical records prior to visits, administrative duties, insurance verification and registration if needed. Your experience in customer service and administrative exposure is highly desired as you will be working in several databases and office applications. Your ability to work independently is a must! While we hold a strong team environment, our department is growing and very busy and this opportunity is crucial to our daily tasks.

Your pay and benefits are important components of your journey at Banner Health. This opportunity includes the option to participate in a variety of health, financial, and security benefits.

Banner Baywood Medical Center is a 342 bed hospital serving the health care needs of the dynamic and growing East Valley communities of metropolitan Phoenix, Arizona. We provide complete acute care services and outpatient services to include but not limited to cancer, stroke, women's health, rehabilitation, emergency medicine and surgery. Our Emergency Department treats a variety of ailments and offers advanced treatment areas, with 68 beds, seeing over 50,000 patients per year. We are certified as pediatric prepared as well as designated as a Trauma level 3 emergency room. In addition, our comprehensive orthopedic unitis one of the nation’s premier orthopedic programs. The unit's commitment to excellent patient care has earned a 4 STAR rating by CMS and repeated recognition as having one of the Top 100 Orthopedic Programs in the U.S. by The Health Network and HCIA, Inc. Because we are also a leader in neurological medicine, people throughout Arizona come to us when they need treatment for conditions of the brain, spine and nervous system.

POSITION SUMMARY

This position is responsible for providing personalized coordination, clarification and communication of all administrative aspects of care including patient needs assessments, insurance and authorization verification, registration, maintaining and handling of documentation, and scheduling of appointments. This position partners with the clinical care team to ensure a seamless experience for the patient and their family across the entire continuum of their treatment. This position assists with providing resources to help the patient maintain optimal care. This position performs follow-up tasks identified during the patient needs assessment for management of patients across the healthcare continuum or when the patient is in the continuum and needs additional resource support.

CORE FUNCTIONS

1. 1. Performs patient intake process, which may include pre-registration/registration. Partners with the clinical care team to determine initial authorizations needed based on the predicted care treatment plan. Obtains patient insurance benefit information for all aspects of the treatment, including, but not limited to, inpatient and outpatient services, prescription drugs, and travel and housing, if necessary. May also answer questions regarding the authorization process and supply information to providers, patients and third party payors.
2. 2. Acts as a resource for insurance coverage, which may include obtaining authorizations and notifications throughout the patient’s treatment. Obtains all necessary signatures and documentation required by the patient’s insurance plan. Accurately and completely documents all information into the patient records system to ensure maximum reimbursement. Monitors and updates information regarding insurance data, authorizations, preferred providers and changes in patient’s treatment plan. Partners with the clinical care team and insurance provider to ensure continued coverage of patient’s care and maximum reimbursement and minimized financial impact to the patient.
3. 3. Provides administrative support in maintaining materials such as documents, proposals, routine correspondence, spreadsheets, composing and preparing routine reports, and maintaining records in a variety of business software and database applications for electronic medical records, billing, data management.
4. 4. Schedules physician appointments, tests, procedures and surgeries and may provide patient with necessary preparation instructions. Prepares, processes, and manages patient documentation to department database . Acts as a liaison between the patient, billing department, and payor to enhance account receivables, resolve outstanding issues and/or patient concerns.
5. 5. Optimizes patient experience by using effective customer service. Communicates continually with patients, other departments, referral networks and providers to ensure appropriate plans and protocols are followed. Uses discretion and is attentive to issues of customer confidentiality. Demonstrates skills in pro-active resolution and attempts to resolve scheduling conflicts.
6. 6. May manage the medical record for the assigned area, including coordination with hospitals, practice offices and other ancillary services to obtain needed records. Responds to patient referral requests for tests, procedures and specialty visits. Follows guidelines and may assist in developing procedures to ensure that medical records are in compliance with all state and federal laws. May also reconcile charge tickets, identifying incomplete tickets, missing charge codes or missing diagnosis codes. Notifies clinical staff as needed.
7. 7. Works independently under general supervision, following established procedures. Uses knowledge and problem-solving skills to work independently in a clinic/physician practice environment. Responsibility for ensuring efficient coordination of administrative functions supporting patient needs assessments, insurance and authorization verification, registration, maintaining and handling of documentation, financial counseling, and scheduling of appointments. Internal and external customers include patients and their families, physician offices, third party payors, vendors, clinical staff, ancillary staff, therapist, nurses and case managers. Primary responsibility is to main department assigned, however cross-over and assistance to other departments is required.

MINIMUM QUALIFICATIONS

High school diploma/GED or equivalent working knowledge.

Requires skills and abilities typically attained with three or more years working in a hospital or medical office. Requires knowledge of medical terminology. Must be able to work under minimal supervision and make independent decisions using good judgment. Excellent communication, human relations, attention to detail and organizational skills are required. Must possess highly developed interpersonal relations and process coordination skills.

Roles supporting mobile medical unit require travel within local community.

Requires knowledge of payer contract terms and processes. Requires the ability to perform basic math function and the ability to handle confidential information and sensitive issues. Must be able to work effectively with common office software and hospital software to perform intake and updates to patient medical history in addition to other software used in scheduling and billing.

Employees working at Banner Behavioral Health Hospital, BTMC Behavioral, and BUMG, BUMCT, or BUMCS in a Behavioral Health clinical setting that serves children must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. An Arizona Criminal History Affidavit must be signed upon hire.

PREFERRED QUALIFICATIONS

Additional related education and/or experience preferred

EEO Statement:

EEO/Disabled/Veterans

Our organization supports a drug-free work environment.

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