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Scheduling coordinator • houston tx
Patient Care Coordinator w / Insurance Experience case scheduling
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Job Description
Job Description
The Patient Care Coordinator (PCC) is responsible for supporting and maintaining the clinical practice both administratively and operationally by working collaboratively with physicians to coordinate the patient appointments / surgeries. The PCC will support and uphold established policies, procedures, objectives, quality improvement, safety, codes and requirements of accreditation and regulatory agencies. The PCC will support administrative and business functions of the clinic by supporting the Physicians, Physician Assistants, and other personnel to ensure that all needs are being met.
Essential Job Duties and Responsibilities :
- The PCC has the responsibility to carry out duties as directed by My Houston Surgeons.
- Communicates on a regular basis with the designated My Houston Surgeons Supervisor(s).
- Alerts Supervisor(s) and seeks assistance when an activity or process change within the clinic changes or deviates from the current process.
- Follows and always maintains patient confidentiality appropriate with HIPAA compliance standards.
- Schedules appointments for patients from varying avenues to include but not limited to building rapport with patient, discussing fees, and educating patient on procedures.
- Answers inquiries through physician specific website email inquiries and other avenues. Documents interactions through Nextech or designated spreadsheets.
- Maintains applicable consult spreadsheets, updating daily, and / or tracks scheduling tasks to ensure appropriate scheduled follow ups are conducted as outlined in separate – PCC document.
- Provides brochures / materials to patient with surgeon specific related items, Breast Reconstruction brochures and any additional information as needed.
- Tracks all steps of the surgery scheduling process (Consultations, Pre- and Post-Operative appointments, Surgery, Follow-Ups, etc.)
- Reviews lab / clearance protocols with patients and gives order as needed. Coordinates with clinical team members as needed.
- Ensures lab / clearance results are received prior to pre-operative appointment as needed. Coordinates with clinical team members as needed.
- Communicates with physicians in obtaining the appropriate CPT and ICD-10 codes for all procedures.
- Involves billing department to include authorization and pre-determination clearance for surgeries, any patient related financial questions. Responsible for communicating and tracking the progress of these items with the billing department.
- Maintains surgeons’ schedules by adding procedures / surgeries to all pertinent calendars.
- Contacts surgical facilities to post and send orders, sends history and physical, follows facilities scheduling protocol, obtains quotes for facility and anesthesia fees, and confirms surgery the day before. Updates surgery orders as needed.
- Coordinates surgery dates with other surgeons PCC’s and books accordingly.
- Coordinates surgical assists as needed per surgeon request.
- Arranges special equipment for procedures to include but not limited to implants, machinery, etc. Ensures that appropriate personnel are notified as needed.
- Monitors surgeon’s schedules daily to assess if appointments need to be moved, any errors in scheduling, or appointments that may need additional information. Communicates with front desk and surgeons daily.
- Ensures pick sheets for procedures are sent when surgeries are being done at new surgery facilities.
- Attends training sessions as needed to increase knowledge base and skill level for the position.
- Other duties as assigned by My Houston Surgeons supervisors and physicians.
Secondary Job Duties and Responsibilities :
Education / Qualifications / Experience :
Any combination of education and experience that would demonstrate a high level of proficiency and advanced understanding of healthcare operations.
Core Competencies :
Cooperative, positive, courteous, and professional behavior and conduct is an essential function of every position. All employees must be able to work with others beyond giving and receiving instructions. This includes getting along with coworkers, peers, and management without exhibiting behavior extremes. Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the Supervisor(s). Additionally, the information contained in this job description has been designated to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position.