Coordinator Patient Services

Coordinator Patient Services at Med Star Health

The individual in this position provides assistance in coordinating all the functions and activities related to patient access in the department including but not limited to front end customer service, accurate patient registration in the approved organization electronic scheduling and billing systems, on-site insurance verification and financial counseling, accurate Time-of-Service (TOS) payment collections and the balancing of all TOS payments using the approved organization electronic scheduling and billing system Front Desk Module.

The person in this position ensures all scheduling registration and payment collection activities are staffed appropriately each day and supervises scheduling and front desk staff in conjunction with the Process Supervisor. Performs all master scheduling functions including development and maintenance of master schedules and daily scheduling edits. These functions are performed in accordance with Georgetown University Hospital's (GUH) philosophy, policies, procedures and standards.

• Registration Process – Coordinates the patient registration process including staff adherence with all established policies and procedures related to querying the Enterprise Access Directory (EAD) and obtaining complete demographic and insurance information for each patient appointment.
• Assists with coordinating personnel activities including interviews, orientation and training, scheduling, work sampling, quality assurance and performance management. Registers patients using the approved organization electronic scheduling and billing system patient scheduler system.
• Follows guidelines to avoid duplicate medical record assignment. Obtains and/or verifies complete demographic and insurance information from patient. Accurately enters complete demographics, insurance information and Financial Status Classification (FSC) / Hospital Patient Accounting Plan Code assignment.
• Scheduling Process – Coordinates the patient appointment scheduling process including staff adherence with all established policies and procedures related to determining and accurately documenting the appropriate appointment type, provider referral and/or authorization requirements, procedure orders and other appointment specific requirements.
• Performs or insures the performance of daily scheduling edits as necessitated by provider schedule changes. Works closely with the Patient Services Supervisor and/or Department Administrator to ensure that the appointment scheduling office is appropriately staffed at all times. Schedules patient appointments using the approved organization electronic scheduling and billing system entering all required data elements as dictated by the Georgetown Physicians Group (GPG), GUH and departmental policies and procedures.
  
  Identifies patient's insurance, ascertains GPG and GUH contract participation status (Par vs. Non-Par) and communicates contract participation status to patient.
• Coordinates the scheduling of surgical cases, procedures and admissions for the department including staff adherence with GUH procedures and appropriate communication of GUH facilities policies and instructions to patients and families. Coordinates the maintenance of the approved organization electronic scheduling and billing system patient scheduler system including triaging referrals and/or orders to the appropriate physician for care. Performs or insures the performance of all master scheduling functions including development and maintenance of master schedules.
• Determines referral requirements, creates a Referral in the approved organization electronic scheduling and billing systems and links to appointment or updates Appointment Data Form (ADF) with Authorization / Pre-Certification number as appropriate. Answers incoming calls for practice and provides information regarding services, referrals etc.
• Using standard forms or Electronic Health Record (EHR) system records messages from patients, referring physicians, pharmacies and other clinical areas. Communicates with physicians and nurses. Throughout the business day…