**Primary City/State:**
Phoenix, Arizona
**Department Name:**
Banner Staffing Services-AZ
**Work Shift:**
Day
**Job Category:**
Administrative Services
Health care is changing, and it’s our goal to create a new model to answer America's health care challenges today and in the future. Our passionate and talented teams will be the change on the health care landscape in our communities – big and small. If taking access and delivery from complex to easy, from costly to affordable and from unpredictable to reliable sounds interesting to you, we want to hear from you.
As a **Patient Care Coordinator** at our **Advanced Liver Disease Clinic** , you'll join a team dedicated to providing patients a positive experience. You'll have the opportunity to apply your excellent customer service skills and established knowledge in healthcare while you schedule appointments, consultations, pull medical records, insurance verification and authorization.
**LOCATION:**
+ **ADVANCED LIVER DISEASE CLINIC -** 1441 N. 12th St, 2nd Floor, Phx AZ 85006
**SHIFTS/HOURS:**
+ Full-Time/40 Hours
+ Monday- Friday
+ 8:00am-5:00pm
+ Overtime is available
**DUTIES:**
+ External referrals
+ Call and schedule new patients
+ Obtain medical records, obtain authorization or referral for new patients
+ Reschedule new patients
+ Work fax que
**ADDITIONAL INFORMATION:**
+ Will work along with _8 Medical Assistants, 8 Providers, 2 scribes, 4 Patient Financial S_ ervices Rep
+ Will use Cerner and Genesys software
+ Will see 10-30 patients a day
POSITION SUMMARY
This position is responsible for providing personalized coordination, clarification and communication of all administrative aspects of care including patient needs assessments, insurance and authorization verification, registration, maintaining and handling of documentation, and scheduling of appointments. This position partners with the clinical care team to ensure a seamless experience for the patient and their family across the entire continuum of their treatment. This position assists with providing resources to help the patient maintain optimal care. This position performs follow-up tasks identified during the patient needs assessment for management of patients across the healthcare continuum or when the patient is in the continuum and needs additional resource support.
CORE FUNCTIONS
1. Performs patient intake process, which may include pre-registration/registration. Partners with the clinical care team to determine initial authorizations needed based on the predicted care treatment plan. Obtains patient insurance benefit information for all aspects of the treatment, including, but not limited to, inpatient and outpatient services, prescription drugs, and travel and housing, if necessary. May also answer questions regarding the authorization process and supply information to providers, patients and third party payors.
2. Acts as a resource for insurance coverage, which may include obtaining authorizations and notifications throughout the patient’s treatment. Obtains all necessary signatures and documentation required by the patient’s insurance plan. Accurately and completely documents all information into the patient records system to ensure maximum reimbursement. Monitors and updates information regarding insurance data, authorizations, preferred providers and changes in patient’s treatment plan. Partners with the clinical care team and insurance provider to ensure continued coverage of patient’s care and maximum reimbursement and minimized financial impact to the patient.
3. Provides administrative support in maintaining materials such as documents, proposals, routine correspondence, spreadsheets, composing and preparing routine reports, and maintaining records in a variety of business software and database applications for electronic medical records, billing, data management.
4. Schedules physician appointments, tests, procedures and surgeries and may provide patient with necessary preparation instructions. Prepares, processes, and manages patient documentation to department database . Acts as a liaison between the patient, billing department, and payor to enhance account receivables, resolve outstanding issues and/or patient concerns.
5. Optimizes patient experience by using effective customer service. Communicates continually with patients, other departments, referral networks and providers to ensure appropriate plans and protocols are followed. Uses discretion and is attentive to issues of customer confidentiality. Demonstrates skills in pro-active resolution and attempts to resolve scheduling conflicts.
6. May manage the medical record for the assigned area, including coordination with hospitals, practice offices and other ancillary services to obtain needed records. Responds to patient referral requests for tests, procedures and specialty visits. Follows guidelines and may assist in developing procedures to ensure that medical records are in compliance with all state and federal laws. May also reconcile charge tickets, identifying incomplete tickets, missing charge codes or missing diagnosis codes. Notifies clinical staff as needed.
7. Works independently under general supervision, following established procedures. Uses knowledge and problem-solving skills to work independently in a clinic/physician practice environment. Responsibility for ensuring efficient coordination of administrative functions supporting patient needs assessments, insurance and authorization verification, registration, maintaining and handling of documentation, financial counseling, and scheduling of appointments. Internal and external customers include patients and their families, physician offices, third party payors, vendors, clinical staff, ancillary staff, therapist, nurses and case managers. Primary responsibility is to main department assigned, however cross-over and assistance to other departments is required.
MINIMUM QUALIFICATIONS
High school diploma/GED or equivalent working knowledge.
Requires skills and abilities typically attained with three or more years working in a hospital or medical office. Requires knowledge of medical terminology. Must be able to work under minimal supervision and make independent decisions using good judgment. Excellent communication, human relations, attention to detail and organizational skills are required. Must possess highly developed interpersonal relations and process coordination skills.
Employees working at Banner MD Anderson on the Banner University Medical Center Phoenix campus must possess a State of Arizona Department of Public Safety Level One Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. This is a requirement of the Whole Family Counseling Program held at this specific facility.
Employees working at Banner Behavioral Health Hospital must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment.
Roles supporting mobile medical unit require travel within local community.
Requires knowledge of payer contract terms and processes. Requires the ability to perform basic math function and the ability to handle confidential information and sensitive issues. Must be able to work effectively with common office software and hospital software to perform intake and updates to patient medical history in addition to other software used in scheduling and billing.
PREFERRED QUALIFICATIONS
Additional related education and/or experience preferred.
EOE/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)
Our organization supports a drug-free work environment.
Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)
EOE/Female/Minority/Disability/Veterans
Banner Health supports a drug-free work environment.
Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability