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Patient Care Coordinator (Full Time, Days)
Patient Care Coordinator (Full Time, Days)Nicklaus Children’s Health System • Miami, FL, US
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Patient Care Coordinator (Full Time, Days)

Patient Care Coordinator (Full Time, Days)

Nicklaus Children’s Health System • Miami, FL, US
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Job Summary

Provides liaison, concierge services, and coordination of care to community referring providers and patients and families which will serve as a link to services across the health system. Manages the entire experience of referred patients / families in all aspects of their care before, during, or after any encounter at Nicklaus Children's Hospital / Nicklaus Children's Pediatric Specialist.

Job Specific Duties

  • Coordinates and processes patient referrals to completion with precision, detail and accuracy.
  • Schedules patients and notifies them of appointment information, including date, time, location, etc.
  • Completes orders with proper documentation on where patient is scheduled and how patient was notified.
  • Ensures referrals are sent to specialist office and confirms receipt.
  • Communicates effectively physician / clinician needs or outstanding items regarding patients.
  • Facilitates information sharing such as radiology reports, operative notes, and other inpatient procedures.
  • Ensures patient's external missed appointment are rescheduled and communicated to the physician / clinician.
  • Accommodates high priority patient needs.
  • Completes and addresses phone messages within 24 hours of call.
  • Works with medical records to provide notes to primary care doctor upon request.
  • Provides extraordinary customer service to all internal and external customers.
  • Verifies third-party payer information via web or telephone and seeks appropriate authorization and / or referral for physician and hospital services as needed. Uploads referral and authorization documentation to the encounter.
  • Responsible for correcting any registration errors made utilizing the QA system.
  • Communicates with departments or peers if any issues and questions arise or to accommodate any special need for patients.
  • Responsible for scheduling minimum number of appointments set by leader as determined by volume.
  • Visits referring physician or group to develop and nurture relationships to enhance collaboration and promote services offered by patient care coordinator.

Qualifications

Minimum Job Requirements

  • 2-4 years of Customer Service experience

    • Knowledge, Skills, and Abilities

  • Knowledge of medical terminology, CPT, HCPCS and ICD coding preferred.
  • Ability to comprehend and discuss patient's medical care with physicians, nurses and other healthcare professionals in order to assess patient needs.
  • Ability to communicate effectively, both orally and in writing
  • Detail-oriented and committed to ensuring accuracy in documentation and patient information, possess the ability to multi-task and be open to cross-functionally training in referrals duties.
  • Able to exercise proper phone etiquette and have the ability to navigate proficiently through computer software systems.
  • Team-oriented and work extremely well with patients, colleagues, physicians and other personnel in a professional and courteous manner.
  • Exceptional organizational skills with the ability to effectively prioritize and timely complete tasks.
  • Ability to resolve conflicts / and or negotiate with others to achieve positive results and make appropriate judgments to resolve issue pro-actively and independently.
  • Ability to work well in a complex environment with the skills to establish priorities, set objectives, and achieve goals.
  • Ability to maintain confidentiality of sensitive information.
  • Ability to establish necessary relationships and interact effectivity with internal and external customers.
  • Able to take and respond to on-call shift or shifts as assigned on weekdays, weekends, and holidays.
  • Proficiency in using healthcare information systems and electronic medical records.

    • Job

    : Billing / Collections

    Primary Location

    : Florida-Miami-Nicklaus Children's Hospital - Main Hospital Campus

    Department

    : NCPS-PROFESSIONAL SERVICES-3100-490000

    Shift

    : DaysJob Status : Full Time

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