PATIENT SERVICES COORD II - Waltham

OVERVIEW:

The Patient Services Coordinator II under general supervision provides administrative support to health care providers in a highvolume ambulatory setting functioning as the primary interface between the patient and the providers. The emphasis is placed on the ability to organize priorities complete tasks manage confidential patient information schedule patient appointments diagnostic testing referrals and other managed care related issues. Serves as an overall resource person for support staff.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Performs all duties that are the responsibility of a Patient Service Coordinator I Performs all checkin and out functions as outlined by the MGH/MGPO Front Desk Standards of Operations. Provides support and information to providers to problem solve and manage complex administrative patient issues Performs the daily management of encounter form processing and reconcilement. Ensures the completeness of all forms and performs basic ICD9 coding as required to complete visit encounter forms for processing Understands all HMO Managed Care and other Third Party Insurers. Functions as a resource for patients around managed care plans insurance and referral issues with an ability to perform electronic insurance verification. Understands financial services and selfpay resources and provides patients with information as needed. Triages and manages more complex telephone calls utilizing courteous customer service skills. Maintains confidentiality and privacy which is consistent with HIPAA guidelines. Completely performs and is a resource to other team members in all revenue enhancement activities including but not limited to registration verification copayment collection cash management encounter form reconcilement etc. Schedules patient appointments and creates referral Shells/Template for specialty visits and diagnostic testing as required. Coordinates the scheduling of diagnostic testing. Coordinates and tracks referral appointments and visits for decrementation. Provides cross coverage for other Practice staff members for absences vacations etc. and during variations in workflow as needed Assists with training and orientation of new staff where applicable. Performs all other related tasks which would facilitate the flow of patients through the practice or which would enhance the quality of service to patients. Works on special projects as directed.

QUALIFICATIONS:

High School diploma required Associates Degree in Secretarial Science/Business or a Secretarial Training Certificate Program desirable Minimum of 3 years secretarial experience or equivalent in a medical or health care related setting

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:

Knowledge of computer skills necessary to use appropriate modules of IDX electronic medical record modules and transition to PATCOM as required. Good command of the English language including medical terminology Exceptional organizational skills flexibility to manage multiple tasks and the accurate attentive to details. Ability to work independently or within a team environment Excellent and effective interpersonal and communication skills Demonstrated ability to work effectively and courteously with various groups of patients staff and providers. Demonstrated ability to problem solve and function as a resource to other members of the team and resolve complex issues on behalf of the providers and the patients. Demonstrated indepth understanding of managed care and all other pertinent insurance/medical coverage Demonstrated knowledge of HIPAA Confidentiality and Privacy Policies Demonstrated understanding of Disaster protocols to include: fire safety and code calls per the mandatory training as outlined by MGH and JCAHO guidelines.