Outpatient Services Coordinator - MUSCP

Job Description Summary
Coordinate and manage the operations of a physician medical office in the Department of Psychiatry. Greets and welcomes patients and families in person or on the telephone. Optimizes the patients' experience and clinic efficiency time by scheduling appointments appropriately, either by phone or in person. Maintains patient accounts by obtaining, recording, and updating personal and financial information accurately and effectively. Collects Co-pays and prior patient balances.

Protects patients' rights by maintaining confidentiality of personal and financial information. Position also involves customer service, message distribution, ancillary scheduling, and referrals management. Ability to interact with medical professionals and other care team members from diverse cultures and background.

Entity
University Medical Associates (UMA) Only Employees and Financials

Worker Type
Employee

Worker Sub-Type
Regular

Cost Center
CC001043 COM PSYCH Brain & Women's Health CC

Pay Rate Type
Hourly

Pay Grade
Health-21

Scheduled Weekly Hours
40

Work Shift
Day (United States of America)

Job Description

Required

Education:



High School diploma or equivalent education required.

Required and

Preferred Experience:



One year of customer service experience required.

Must have basic computer skills.

Previous healthcare front desk experience preferred.

Job Responsibility: Upon patient arrival, obtain and update demographic and insurance information for all patients for in office/in person visits. For virtual visits, the Care Coordinator needs to call the patient to verify this information. (20%)

Success Criteria:

• Enter and/or update all required personal and financial information in a timely manner for maximum payment and timely and accurate billing.
• Prepare any information or paperwork for patient visit.
• Coordinate any necessary care including:
  Check-in, check-out, faxing, and scheduling (for example: appointments, studies or procedures).
• Secure and properly scan insurance card(s), identification, and signed forms as required.
• Prior to the visit, verify insurance using various methods to determine benefits and obtain authorization, referrals, or pre-certification as needed.
• Follow procedures to accurately identify a patient and apply the patient identification bracelet, if applicable.
• Register patients by downtime procedures including recovery after downtime.
• Maintain working knowledge of all contracts to include insurance benefits, preferred hospitals, laboratories, and pre-authorizations.
• Perform other position appropriate duties as required in a professional and courteous manner.
• Monitor the Psych Missing Reg Items WQ daily to ensure your and clinic edits are completed.
• Review the DAR from prior days to ensure no patients are still in the scheduled status.

Job Responsibility: Ensure the rescheduling of all patients, whether in person or virtual. (20%)

Success Criteria:

• For in person visits, this is done when the patient checks out. Coordinating with each patient to ensure they are seen within the specific therapeutic plan of care timeline provided by the provider.
• For virtual visits, monitor the TEAMS spreadsheet for updates on when to coordinate with each patient to ensure they are seen within the specific therapeutic plan of care timeline provided by the provider. Contact the patient to schedule appointments when patients are referred for medication management and/or therapy.
• Monitor the patient's insurance to ensure an Out of Network consent is sent to the patient if it is needed.
• Post the TEAMS spreadsheet in the Clinic's Team each week to ensure clinical efficiency of rescheduling patients.
• Manage, build, and update the TEAMS spreadsheet to ensure that it aligns with the provider's clinical template in Epic.

Job Responsibility: Meet standard productivity metrics while performing the pre-registration and registration process. (10%)

Success Criteria:

• Review clinic schedule in advance to verify insurance, confirm collection amounts, and contact unfunded patients about financial obligation prior to arrival.
• Process complete registrations in various flows used by the department in the required systems.
• Demonstrate thorough knowledge of the registration system including peripheral equipment (fax, copy, print, scan, and downtime embossing system).
• Maintain knowledge, requirements, and skills to perform daily duties and meet key performance metrics for the facility, unit, and payers.

Job Responsibility: Complete all regulatory and compliance related forms for the visit. (10%)

Success Criteria:

• Consistently complete the Medicare Secondary Payer (MSPQ) questionnaire, if applicable.
• Maintain skills and knowledge of HIPAA, regulatory, and compliance polices in order to obtain necessary paperwork and permissions from patients and families.

• Review and scan any HIPAA or Compliance related paperwork into the patient's record as appropriate, and ensure all documents are provided to the patient.
• Review the DAR to verify if a Medical Office Consent is needed. For virtual…