Patient Care Coordinator

Banner University Medical Group; United States; On-site; USD 42,000 - 52,000; Full time

Job summary

Banner University Medical Group is seeking a Patient Care Coordinator in Glendale, AZ. The role involves personalized coordination, clarification and communication of administrative aspects of care, including insurance verification, registration and appointment scheduling across the continuum of treatment.

The position supports the clinical care team to ensure a seamless patient experience, with responsibilities spanning patient needs assessment, documentation, and follow-up resources.

Qualifications

• MINIMUM QUALIFICATIONS: High school diploma/GED or equivalent working knowledge. Requires three or more years in a hospital or medical office. Knowledge of medical terminology. Excellent communication, organizational and interpersonal skills. Able to work with confidential information and independent decision-making.

Responsibilities

• Performs patient intake/registration and initial authorizations based on care plan. Obtains insurance information for all treatment aspects, including inpatient, outpatient, prescriptions, travel and housing if needed.
• Maintains and updates patient records to ensure maximum reimbursement. Communicates with clinical care team and insurance provider to ensure coverage and minimize patient financial impact.
• Provides administrative support for documents, reports, and records in electronic medical records, billing, and data management systems.
• Schedules physician appointments, tests, procedures, and surgeries; prepares and manages patient documentation and acts as liaison between patient, billing and payor.
• Improves patient experience through effective customer service and proactive issue resolution; maintains patient confidentiality.

Job description

Primary City/State: Glendale, Arizona Department Name: Neurosurgery-T-Bird Work Shift: Day Job Category: Administrative Services Great careers are built at Banner Health. We understand that talented health care professionals appreciate having options. We are proud to offer our team members many career and lifestyle choices throughout our network of facilities.

As a Patient Care Coordinator 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

Schedule: Mon-Friday 8:00am-4:30pm 5310 W Thunderbird Rd, Suite 308 Glendale, Az 85306 you will float to 4420 E Camelback Rd, Phoenix, AZ 85018 for coverage.

Banner University Medical Group is our nonprofit faculty practice plan associated with the University of Arizona Colleges of Medicine in Phoenix and Tucson. Our 1,100-plus clinicians provide primary and specialty care to patients at highly ranked Banner - University Medical Centers and dozens of clinics while providing mentorship to more than 1,200 residents and fellows. Our practice values and encourages the three-part mission of academic medicine: research, education and excellent patient care.

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. 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. 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. 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. 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. 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. 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. 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 judgement. 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

Banner Health supports a drug‑free work environment.

Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to make health care easier, so life can be better. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee. We are proud to offer a comprehensive benefit package for all benefit‑eligible positions.

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