PATIENT CARE SPECIALIST

Job Details

Job Location

PALM CENTER OBGYN - CASA GRANDE, AZ

Position Type

Full-time

Job Shift

8 : 00am-5 : 00pm Monday-Friday

Description

STATEMENT OF PURPOSE :

The patient care specialist facilitates all aspects of patient activities as a collaborative effort across the heath care continuum. The patient care specialist will ensure that our patients receive the appropriate in-house testing and follow up as recommended by the Center for Women providers. This patient-centered approach will allow for a centralized approach to meeting our patients' needs.

ESSENTIAL FUNCTIONS :

• Obtain authorization for in-office testing (i.e. ultrasounds and non-stress tests) by contacting the appropriate insurance carrier, communicating the provider's instructions, and transmitting information as needed to obtain authorization
• Communicate with and schedule patient once authorization is received for in-office testing
• Clearly document patient services as related to insurance approvals and patient communications in appropriate location in Sun Life's EHR
• Track pending authorizations and patients that have yet to be scheduled as to ensure all tasks are completed for each patient in a timely manner
• Facilitate rescheduling of testing as needed by patients
• Review, contact, and reschedule "no shows" for testing with appropriate documentation
• Enter orders so the testing reports can be reviewed by the provider efficiently
• Maintain a cooperative relationship among health care teams by compiling statistics, communicating information, responding to requests, building rapport and participating in problem-solving methods
• Refer patient to Outreach department if eligibility for sliding fee is identified or if a change in payor source is identified to align resources with patient and population needs
• Run reports monthly to confirm patient appointments
• Make use of eCW registry reporting to track all high-risk patients to maintain quality and reduce gaps in care
• Manage MFM Referrals
• Place ultrasound orders
• Attach ultrasound reports to patient's chart eCW.
• Any other tasks designated by supervisor

Qualifications

EDUCATION AND EXPERIENCE :