Patient Care Coordinator Job Description

Patient Care Coordinator Job Description

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Patient care coordinator provides the highest quality of care and follows the Nurse Practice Act, TJC, NCQA, federal, state, and local requirements.

Patient Care Coordinator Duties & Responsibilities

To write an effective patient care coordinator job description, begin by listing detailed duties, responsibilities and expectations. We have included patient care coordinator job description templates that you can modify and use.

Sample responsibilities for this position include:

Reconcile schedules with clinical itinerary records and keys payroll verification into billing/tracking system and provides correct information to staff in a timely manner
Utilize medical software to document and track patient information, and confirm billing information
Coordinates patient appointments
Trouble shoots and oversees scheduling system for physician and service providers
Coordinate various paperwork required for all visit types, including procedure financing and consent forms and insurance forms
Assist in the maintenance, care and cleaning of all front office and lounge equipment and supplies
Accurately enter in all patient information into NexTech
Prepare charts for next day’s patients, (include all proper documents)
Makes reminder/confirmation calls 48 hours prior to appointments
Prepare any necessary consultation packets (IPL, Laser hair, miraDry, Smartlipo, Fraxel) in full

Patient Care Coordinator Qualifications

Qualifications for a job description may include education, certification, and experience.

Licensing or Certifications for Patient Care Coordinator

List any licenses or certifications required by the position: BLS, CPR, AHA, BSN

Education for Patient Care Coordinator

Typically a job would require a certain level of education.

Employers hiring for the patient care coordinator job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Associate Degree in Patient Care, Medical, Education, Business, Medical Terminology, Public Relations, Computer, Healthcare Administration, Communication, Healthcare

Skills for Patient Care Coordinator

Desired skills for patient care coordinator include:

Medical terminology
Billing
Coding
Insurance authorization process
Nurse Practice Act
CMS
TJC
DMHC
EMTALA & all other applicable federal/state/local laws & regulations
ERISA

Desired experience for patient care coordinator includes:

Maintains stock of necessary forms, brochures and files in front office
Assists with monthly/quarterly physical inventories when called upon
Assists in inventory and re-stocking assignments as needed keeping the retail area neat and clean
Ensures all product varieties are represented on stage (stocks retail shelves upstairs)
Assists in keeping medical office, waiting area and treatment rooms in immaculate condition (show ready) at all times
Assist in the maintenance of records and files reflecting up-to-date patient progress, care plans, insurance and HIPAA, OSHA and AAAHC compliance

Patient Care Coordinator Examples

1

Patient Care Coordinator Job Description

Job Description Example
Our innovative and growing company is searching for experienced candidates for the position of patient care coordinator. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for patient care coordinator
  • Exercise effective oral and written communication with a variety of healthcare professionals, patients and their advocates, hospital and clinic personnel both at UWMC and other medical facilities, representatives of insurance companies, and other organizations related to the healthcare industry
  • Organize and effectively prioritize work tasks for the needs of the clinic
  • Use a variety of computer systems such as EPIC, PHS, ORCA, Mindscape, OneHealthPort, and Microsoft Office products
  • Manage referrals in a complete and timely manner with special attention to urgent conditions/requests
  • Schedule diagnostic and pre-op procedures pre-anesthesia appointments
  • Triage patient phone calls according to severity of need
  • Works with clinical staff to build clinical skill and manage caseloads
  • Request interpreters as appropriate for appointments, admissions, and surgeries
  • Use a variety of computer systems such as REG/ADT, EPIC, Pathways Healthcare Scheduling (PHS), ORCA/Mindscape, One Health Port, Microsoft products
  • Assist in scheduling new patient appointments by triaging to appropriate department and physician
Qualifications for patient care coordinator
  • May enter appointment information in online appointment system
  • Ablations (Aflutter, AFib, VT, SVTs)
  • Device placements (Perm Pacemakers, ICDs, Loop Recorders, Bi-V ICDs)
  • Cardioversions
  • Lead Extractions
  • Make all pre-authorization phone calls for procedures more than 48 hours out and work with Financial Services as needed to ensure proper/adequate insurance coverage
2

Patient Care Coordinator Job Description

Job Description Example
Our company is growing rapidly and is searching for experienced candidates for the position of patient care coordinator. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for patient care coordinator
  • Coronary Angiograms
  • Handling and initiating calls to address concerns or provide support
  • Performing research and using appropriate resources to achieve satisfactory dispositions
  • Providing basic health education information by phone and mail
  • Verifying insurance benefits
  • Assisting with chart audits
  • Documenting contacts and resolutions
  • Assisting with projects, studies, or requests as assigned
  • Provides correct information or directs the call to the appropriate team member or department while maintaining a high level of professionalism
  • Meet with potential patients and identity the patient's needs
Qualifications for patient care coordinator
  • Current State License as a vocational nurse
  • Previous customer service and/or medical office experience preferred
  • Explain the process of the procedures in an easy to understand presentation
  • Continually promote the benefits of the procedure
  • Prospect new patients including respond via phone, email, and personalized letters daily on "leads" and follow up on "no sales"
  • Be available to take any patient phone calls and emails regarding questions and concerns pre and post-operatively
3

Patient Care Coordinator Job Description

Job Description Example
Our innovative and growing company is hiring for a patient care coordinator. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for patient care coordinator
  • Act as patient liaison, providing excellent customer service and facilitating open communication from the initial visit to post-operative visit
  • Prepare initial paperwork for processing of surgical patients into scheduling system (Financial agreements, etc)
  • 100% Travel throughout the Southeast
  • Act as primary contact for clinic providers with the hospital, patient and family, referring physicians, outside agencies, staff from outside hospitals and general public by providing information and advice regarding Harborview Medical Center services
  • Act as liaison between the patient and the various clinic and hospital areas and ancillary services to coordinate activities involved in pre-operative planning and preparation
  • Facilitate the flow of documents among patient, providers, and payers
  • Communicate with healthcare team members regarding the status and/or completion of care coordination activities
  • Appropriately direct patients and others to other departments across the medical center
  • Review patient data and update the surgery whiteboard via Pathways Healthcare Scheduling (PHS) system for communication to OR providers (e.g., patient weights, special equipment, special orders)
  • Review patient Pre-Surgical Checklist to identify missing components
Qualifications for patient care coordinator
  • Review NPO status for surgery
  • Communicate with patients regarding changes to surgery times
  • Coordinate with patient floors/departments for patient updates
  • Coordinate with RN 3 and Anesthesia for case placements on the schedule for the next day
  • Act as primary liaison for UWMC/UW Medicine and represent OR with the hospital, patient and family, referring physicians, outside agencies, staff from outside hospitals, and the general public by providing information and advice regarding UWMC hospital services
  • Work independently under the general direction of the OR Manager or their designee
4

Patient Care Coordinator Job Description

Job Description Example
Our company is growing rapidly and is looking to fill the role of patient care coordinator. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for patient care coordinator
  • Use effective oral and written communication with a variety of healthcare professionals, patients and their advocates, hospital and clinic personnel at UWMC and other medical facilities, and other organizations related to the healthcare industry
  • Request interpreters as needed for admissions and surgery
  • Maintain knowledge of medical record documentation requirements, diagnostic tests and procedures and specialized pre-procedure instructions with guidelines set by the department
  • Tracking patients appointments and lad results
  • Provide patient service
  • Comply with published Health Insurance Portability and Accountability Act’s [HIPAA] Privacy Rules Policy and Procedures Rehab Associate’s Compliance Plan
  • Assist other patient care coordinators and all clinic team members
  • Provide direct nursing care in accordance with established policies and procedures
  • Assess, plan, implement, evaluate and coordinate treatment plans
  • Assess, collaborate and coordinate patient's discharge planning needs and readiness for discharge with other members of the care team
Qualifications for patient care coordinator
  • Previous Experience as a Medical Assistant Required
  • Knowledgeable in Medical Terms
  • Ability to use all necessary office equipment, facsimile machines, calculator, postage machine, copier
  • Minimum one to two years of office experience required
  • BSN or Case Management certification preferred
  • TX RN and CPR
5

Patient Care Coordinator Job Description

Job Description Example
Our company is growing rapidly and is searching for experienced candidates for the position of patient care coordinator. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for patient care coordinator
  • Documenting care
  • Evaluates outcomes of care with the interdisciplinary team by measuring intervention effectiveness with the team
  • Protects self, co-workers, and patients by following policies and procedures to prevent the spread of bloodborne and/or airborne diseases
  • Maintains patient care database by entering new information as it becomes available
  • Entering patient information into computer system
  • Assist with patient registration processes and evaluate for accuracy of patient information
  • Obtaining appropriate information and signatures on medical, legal, and financial forms according to law and best practices
  • Provide guidance and clarity to patients and staff regarding insurance matters
  • Maintain knowledge base of current insurance and care guidelines, including appropriate knowledge of networks and contract management
  • General office and administrative duties, including inbound and outbound calls, emailing, filing, faxing
Qualifications for patient care coordinator
  • Demonstrates ability to coordinate appropriate educational materials for patients and their support systems
  • Three (3) years recent, full-time hospital experience with a minimum of two (2) years in an equivalent management capacity
  • 1 or more years in Customer Service setting
  • Preferred prior experience with patient registration in a medical setting
  • Preferred prior experience with insurance coverage, reimbursement, and financial verification processes
  • Ability to learn new software and electronic record keeping practices quickly and efficiently

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