Patient Management Coordinator coordinates the flow of patients through the facility. Assigns patients to beds based on bed availability, care needed, and patient type. Being a Patient Management Coordinator arranges for patient transfers or admission as needed. May act as a liaison with scheduling to ensure adequate levels of staff on duty. Additionally, Patient Management Coordinator typically requires a bachelor's degree of Nursing. Typically reports to a manager or head of a unit/department. Requires Registered Nurse (RN). Patient Management Coordinator's years of experience requirement may be unspecified. Certification and/or licensing in the position's specialty is the main requirement. (Copyright 2024 Salary.com)
Patient Coordinator’s must have a personable, friendly, and compassionate personality. The ability to work independently, with strong and effective verbal and written communication skills is essential. The position requires a team-oriented and flexible self-starter with excellent people skills. Patient Coordinator’s must be able to use sound judgement and discretion to build and establish trust; and must interact professionally and successfully with all levels of company personnel, and remain compliant with current healthcare regulations, medical laws, and high ethical standards.
Essential Functions:
· Maintain compliant access and proficiency using insurance and related websites and portals
· Monitor and complete Tasks in Raintree in an accurate and timely manner and according to established guidelines
· Participate in and attend scheduled staff meetings
· Conduct self in accordance with the company’s employee manual, maintaining strictest confidentiality and discretion, and adhering to all HIPAA guidelines and regulations
· Perform all other tasks as assigned by the OC, RAD and/or other members of company’s management team
· Answer phones, schedule and register patients and manage the patient flow
· Patient Collection - Collect copays and/or other outstanding balances at each patient visit
· Insurance Eligibility & Verification – On a daily basis, request and follow up on insurance eligibility and verifications as needed.
· Authorizations – On a daily basis, request and follow up on authorizations and re-authorizations for Commercial, Workers Compensation, and Motor Vehicle Accident (MVA) patients, using the appropriate portals and/or telephone calls, supporting documents, and Raintree processes as needed.
· Scanning – Scan all necessary documents and paperwork to the Raintree system and other folders as required.
· Act as a liaison with referring doctors, nurse case managers, and insurance companies
Knowledge, Skills, and Abilities
· Develop a thorough understanding of medical billing, insurance regulations, medical terminology, insurance benefits and authorizations
· Develop a working knowledge of CPT and ICD10 codes and insurance regulations
· Develop proficiency using Raintree
· Develop a working knowledge of the company’s policies and procedures
· Consistently represent the mission, policies, and values of the company
· Skill in establishing and maintaining effective working relationships with other employees, patients, payers, providers, organizations, and the public
· Detail oriented and tolerant of frequent interruptions from patients and staff
· Sufficient mathematical and computer skills, especially Microsoft Office (Excel, Word)
· Strong verbal and written communication skills, with the ability to clearly communicate with others at all levels
· Organized with the ability to effectively recognize priorities, handle multiple deadlines, exercise good judgment, and manage time efficiently based on established policies and procedures
Ability to provide dependable, on-time attendance
Job Type: Full-time
Pay: $18.00 - $21.00 per hour
Schedule:
Experience:
Ability to Relocate:
Work Location: In person
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