POSITION SUMMARY
Job Details: Job Location: Black Mountain NC - Black Mountain, NC 28711; Position Type: Casual Part Time; Job Category: Health Care.
The Patient Care Coordinator II supports the clinic by helping to achieve revenue goals by attracting new patients, managing the administrative and operational functions, and coordinating patient interactions and needs. The PCC II will be responsible for managing daily, weekly, and monthly operations as outlined in the PCC II Front Office Manual and adhering to policies and procedures, scheduling, accuracy of entering patient demographics, verification of insurance, collection of monies, charge entry and proper documentation of accounts. The PCC II will need to be flexible, adaptable to change and able to learn new skills.
KEY RESPONSIBILITIES
- Learn and understand the front office operations and perform them as presented in the PCC II manual, Scheduling/Billing/EMR manual or any other manuals developed.
- Greets and registers patients or other visitors, informs staff of patients’ arrival, and directs patients to appropriate department or examination room.
- Fills out patient forms where applicable and competently explains the details surrounding the paperwork presented to the patient.
- Gathers and updates patient information, including patient demographics, insurance and case information.
- Collects and inputs patient insurance information and verifies active coverage or eligibility.
- Responsible for all components of scheduling appointments and properly documenting accounts as needed; maintain continuity of care when scheduling patient appointments.
- Schedule and recapture appointments, missing in action patients, and proactively reschedule appointments in the current week as well as the duration of the prescription.
- Collect all monies that are due prior to each visit, including co-payments, deductibles, co-insurance, payments on statements, supplies, gym memberships, self pays, and attorney checks; document all monies in the system appropriately and provide system receipt.
- Audit each visit to ensure there is a valid prescription, proper authorization/referral/precertification, and collect monies due each visit.
- Answer and transfer phone calls, arrange for referrals, or relay messages.
- Follow up and review daily reports and proactively follow up and communicate the need for a prescription, authorization/referral/precertification to ensure there are no delays with patient care.
- Reconcile all over-the-counter collections daily and drop off deposit cash and checks at the designated bank within an appropriate time frame.
- Accurately verify benefits via phone, ask detailed questions outside of what is provided, and set up accounts accurately.
- Ensure that all visits performed are properly authorized and make efforts to minimize the occurrence of any unauthorized visits.
- Ensure that all “Plan of Cares” for Medicare are signed and returned by the physician within 30 days of the patient’s initial evaluation.
- Utilize websites only in instances in which the websites are relevant and approved by Phoenix Physical Therapy (e.g., insurance websites for authorization, National Provider Identifier (NPI) websites, etc.).
- Perform occasional clerical duties, such as data entry, filing, or photocopying; clerical duties may require experience with medical records or electronic health record systems.
- Assist in the clinic to clean, disinfect, and maintain general cleanliness.
- Maintain a safe, secure, and healthy work environment by establishing, following, and enforcing standards and procedures and complying with legal regulations.
- Other duties as assigned.
QUALIFICATIONS
Education / Training
- High School Diploma or GED required.
- Associates Degree or college-level business courses preferred.
- 2 years of previous experience in a medical billing practice and medical terminology (HCFA 1500, CPT and ICD 9 codes) preferred.
- Current CPR Certificate.
Specialized Knowledge/Skills
- Excellent Customer Service.
- Performs work under direct supervision. Handles basic issues and problems and refers more complex issues to higher-level staff.
- Ability to communicate effectively and professionally with a wide variety of people.
- Strong organizational skills with attention to detail and accuracy.
- Proficient with Microsoft Word, strong data entry skills with EMR systems.
- Ability to handle multiple tasks in a very busy environment.
Physical Requirements
- Consistent and regular use of phone required.
- MUST BE able to keep numbers in correct order on a very consistent and regular basis.
- Regular and consistent use of keyboard and mouse.
- Ability to climb stairs on occasion.
- MUST be able to occasionally lift up to 25 pounds.
- Consistent sitting for many hours at one time. Majority of day (75%+) is spent sitting at a desk.
- Additional challenges may arise, at which time Phoenix may revise this job description.
***Phoenix Physical Therapy is committed to having a workforce that reflects diversity at all levels and is an equal opportunity employer. Qualified applicants are considered for employment, and employees are treated during employment without regard to race, color, religion, national origin, citizenship, age, sex, sexual orientation, gender identity, marital status, ancestry, physical or mental disability, veteran status, or any other characteristic protected under applicable law.