The Out of State Patient Coordinator serves as the initial contact for patients and staff regarding the administrative aspects of an Out of State (OOS) and Program patient visit. Coordinates registration, financial verification and clearance and physician visit assignments.
- Contacts patient and family to complete/verify registration, update insurance information and establish relationship. Serves as primary patient contact for all non-clinical questions, scheduling status updates and refers clinical issues to the Executive Patient Ambassador or clinical staff.
- Maintains a general understanding of major insurance plans and medical terminology for the purpose of assisting patients with obtaining referrals and insurance authorizations. Communicates with external referring providers the requirements for an access authorization, providing a list of CPT codes necessary to facilitate the authorization process. Review authorizations to ensure accuracy, making necessary, and obtaining support documentation prior to scheduling of patients. Checking insurance eligibility and benefits, advising patients on coverage issues or limitations, referring to Financial Counseling as needed.
- Coordinates the administrative aspects in preparation of a patient visit and completion of their standard schedule in appropriate manner, while maintaining the financial integrity of the visit. Provide each patient specific and relevant program information including length of visit, basic travel requirements, and name of assigned Executive Patient Ambassador. Notifies patient care team and/or patient of obstacles and facilitates their resolution.
- Reports key factors of OOS availability and alerts manager of issues, both internal and external, which may impact scheduling efforts. Responsible for working reports on correction of demographic errors, claim error exceptions, and daily discharge reports to ensure timely and accurate billing of services.
- Serves as a back-up to staff absences and vacancies, and performs other miscellaneous duties, as assigned.
- Accountability: Accepts full responsibility for self and contribution as a team member; displays honesty and truthfulness; confronts problems quickly; displays a strong commitment to organizational success and inspires others to commit to goals; demonstrates a commitment to National Jewish Health.
- Attention to Detail: Accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time. Setting high standards of performance for self and others; assuming responsibility and accountability for successfully completing assignments or tasks; self-imposing standards of excellence rather than having standards imposed.
- Managing Work & Time: Effectively managing one’s time and resources to ensure that work is completed efficiently. Effectively manages project(s) by appropriately focusing attention on the critical few priorities; effectively creates and executes against project timelines based on priorities, resource availability, and other project requirements (i.e. budget); effectively evaluates planned approaches, determines feasibility, and makes adjustments when needed.
- Peer Relationships: Interacts with others in a constructive, positive, and respectful manner, regardless or individual differences. Assists team members or co-workers in achieving personal goals and completing assignments.
- Collaboration/Teamwork: Cooperates with others to accomplish common goals; works with employees within and across his/her department to achieve shared goals; treats others with dignity and respect and maintains a friendly demeanor; values the contributions of others.
- Initiative: Taking prompt action to accomplish objectives; taking action to achieve goals beyond what is required; being proactive.
Supervisory or Managerial Responsibility
- Be available to work as scheduled and report to work on time.
- Be willing to accept supervision and work well with others.
- Be well groomed, appropriately for your role and wear ID Badge visibly.
- Be in compliance with all departmental and institutional policies, the Employee Handbook, Code of Conduct and completes NetLearning by due date annually.
- Fosters an inclusive workplace where diversity and individual differences are valued and leveraged to achieve the vision and mission of the institution.
- Adheres to safe working practices and at all times follows all institutional and departmental safety policies and procedures.
- Wears appropriate PPE as outlined by the infection control policies and procedures.
- Demonstrates compliance with all state, federal and all other regulatory agency requirements.
- Education: High school diploma or equivalent required. Bachelor’s degree in administrative, healthcare, communications, or other related field preferred.
- Work Experience: A minimum of 2 years experience in the daily administrative operations, that may include scheduling, insurance verification etc, in a healthcare setting required. Experience in healthcare third party insurance plans, coverage and benefits preferred.
- Special Training, Certification or Licensure: None