Patient Coordinator - OSNC

US-CA-Oceanside

Tri-City Medical Center has served San Diego County’s coastal communities of Carlsbad, Oceanside and Vista, as well as the surrounding region for more than 60 years and is one of the largest employers in North San Diego County. Tri-City is administered by the Tri-City Healthcare District, a California Hospital District. As a full-service acute care public hospital with over 500 physicians practicing in over 60 specialties, Tri-City is vital to the well‑being of our community and serves as a healthcare safety net for many of our citizens.

The hospital has received a Gold Seal of Approval® from the Joint Commission showcasing a commitment to safe and effective patient care for the residents of the community.

Tri‑City Medical Center prides itself on being the home to leading orthopedic, spine and cardiovascular health services while also specializing in world‑class robotic surgery, cancer and emergency care. Tri‑City’s Emergency Department is there for your loved ones in their time of need and is highly regarded for our heart attack and stroke treatment programs. When minutes matter Tri‑City is your source for quality compassionate care close to home.

Tri‑City partners with over 90 local non‑profit and community organizations as part of our COASTAL Commitment initiative. Together we are helping tackle some of our communities’ pressing health and social needs.

The Patient Coordinator is responsible to accurately and completely register patients, to provide optimal customer service and act as a liaison for physician teams. A person in this position will work with the practice patients, clinical teams and business offices on accurately and completely preparing the patient for their Physician, MRI, or Physical Therapy visit. The Patient Coordinator will contact patients via telephone, submit for authorizations;

enter demographic, social, insurance and financial data into the Practice Management system. The Patient Coordinator will ensure that the patient has access to the patient portal, send all forms and receive completed forms prior to the patient visit.

• Maintains a safe, clean working environment, including unit based safety and infection control requirements.
• Registration
  • Accurately and completely enters and/or verifies patient demographic data into the Practice Management system.
  • For each patient visit, verifies and documents insurance eligibility, co‑pay, co‑insurance, deductible and out‑of‑network benefits.
  • Sends New Patient packet via postal service for patients without email access.
  • Builds physical chart using out guides for the next day appointments and same day last minute add‑ons. This includes printing any forms the patient needs to fill out at time of check‑in.
  • Works with medical assistants to ensure patients are scheduled accurately.
  • Provides information needed for patient visit, including directions to the appointment locations.
  • Uses effective communication techniques to engage the patient and welcome them into the practice.
  • Uses a friendly voice, speaks clearly and understandably.
• Referrals
  • Submits treatment referrals to insurance entity via online portal, fax or telephone.
  • Tracks and enters all referral requests via EMR on a daily basis.
  • Communicates and coordinates referral appointments with outside specialists.
  • Ensures that all hard copies of referral determinations are routed/scanned into the health records in a timely manner, after assigned actions are completed.
  • Notifies patient of referral status and transmits appropriate patient info to outside providers or facilities.
  • Verifies and attaches authorizations for any HMO/PPO insurances to upcoming visits and submits for office visit authorization that has not yet been obtained.
  • Responds to providers, patients and insurance inquiries and concerns regarding the status of the patient referral, care coordination or follow up status.
  • Responds to referral phone calls, requests and questions from patients in a timely manner. Calls must be accurately managed, documented and redirected as appropriate.
  • Patient Coordinator will submit for follow up visits, DME, procedures, surgeries, diagnostic…