Patient Care Coordinator Bariatrics

Patient Care Coordinator - FT
- Days
- Bariatrics - 17672

US:

TX:

Edinburg | RMF CLINIC | Full Time

DHR Health - US:

TX:

Edinburg
- Days

Summary:

MISSION STATEMENT:

Our Mission is to improve the well-being of those we serve with a commitment to excellence: every patient, every encounter, every time.

VISION:

Our Vision is to create a world-class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence.

POSITION SUMMARY:

The primary purpose of the Bariatric Patient Care Coordinator is to help the patient navigate and educate the patient and family on the DHR Health system to obtain all information necessary prior to their surgery, regarding their treatment and diagnosis. The Patient Care Coordinator is responsible for the following:
Meeting with the patient and explaining their surgery orders and referrals while determining insurance eligibility, financial status and eligibility by verifying insurance information via phone or on line; calling third party payers to obtain benefits to include effective dates of coverage, pre-existing condition clauses, in and out of network benefits and maximum coverage. Responsible for scheduling pre-surgical testing needed, in-office and/or in-hospital procedures, making sure necessary authorizations have been obtained, and data entry into the facility computer systems.

POSITION EDUCATION/ QUALIFICATIONS :

• High School graduate/GED certificate or equivalent is required

Bachelor’s Degree or course work toward a Bachelor’s preferred

• Ability to read, write and speak English, bi-lingual in Spanish, and able to communicate effectively in both English and Spanish preferred

JOB KNOWLEDGE/EXPERIENCE :

• Previous healthcare experience (2 yrs.) is required, physician or hospital experience preferred.
• Good working knowledge of insurance benefits and medical terminology required
• Knowledge of Microsoft Office suite, working knowledge of Excel required be able to type at least 35 WPM
• Previous experience working with interdisciplinary teams preferred
• Good organizational skills, written, verbal communication and excellent customer service skills are necessary
• Professionalism, good demeanor, presentation and the ability to communicate clearly and concisely with all levels of management, administration, and physicians
• Ability to schedule surgeries, for both in-hospital and in-office procedures
• Schedule, coordinate and monitor appointments of patients for pre-surgical diagnostic testing
• Ability to identify the appropriate coordination of benefits for insurance carrier
• Good overall clerical skills, ability to work productively and effectively

  Responsibilities:

  POSITION RESPONSIBILITIES:

  • Promotes the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practices
  • Initiates communication with patient upon receiving a referral of a patient for surgery and outlines needs and identifies resources to meet those needs for each patient and ensures patient confidentiality requirements are met in accordance with HIPAA/PHI policies and procedures
  • Promote supportive relationships with the patient and family, to help navigate all needed documents prior to surgery
  • Provides patients and families with education, and decision making support related to the impact of medical illness, social needs, functional needs, or financial needs on healing and recovery
  • Initiates, facilitates and works with internal and external resources as to meet the identified patient needs
  • Obtains orders from the physician for the individual patient, continues to follow up with patient and PCP to ensure all…