POSITION SUMMARY:
The Patient Care Coordinator II supports the clinic by helping to achieve revenue goals by attracting new patients, managing the administrative and operational functions, and coordinating patient interactions and needs. The PCC II will be responsible for managing daily, weekly and monthly operations as outlined in the PCC II Front Office Manual and adhering to policies and procedures, scheduling, accuracy of entering patient demographics, verification of insurance, collection of monies, charge entry and proper documentation of accounts. The PCC II will need to be flexible, adaptable to change and able to learn new skills.
KEY RESPONSIBILITIES:
- Will learn and understand the front office operations and performs these operations as presented in the PCC II manual, Scheduling/Billing/EMR manual or any other manuals developed.
- Greets and registers patients or other visitors, informs staff of patients' arrival, and directs patients to appropriate department or examination room.
- Fills out patient forms where applicable and competently explains the details surrounding the paperwork presented to the patient.
- Gathers and updates patient information, including patient demographics, insurance and case information
- Collects and inputs patient insurance information and verifies active coverage or eligibility.
- Responsible for all components of scheduling appointments and properly documenting accounts as needed; will maintain continuity of care when scheduling patient appointments
- Understands the importance of productivity; Will schedule and recapture appointments, missing in action patients, and pro-actively rescheduling appointments in the current week as well as the duration of the prescription
- Collect all monies that are due prior to each visit including, but not limited to co-payments, deductibles, co-insurance, payments on statements, supplies, gym memberships, self pays, attorney checks. Documents all monies in the system appropriately and provides system receipt
- Audits each visit to ensure there is a valid prescription, proper authorization / referral / precertification, and collects monies due each visit.
- Answers and transfers phone calls, arranges for referrals, or relays messages.
- Follows up and reviews daily reports and proactively follows up and communicates the need for a prescription, authorization / referral / precertification to ensure there are no delays with patient care
- Reconciles all over-the-counter collections daily and drop off deposit cash and checks at the designated bank within an appropriate time frame
- Accurately verifies benefits via phone, ask detailed questions outside of what is provided, and sets up accounts accurately
- Ensures that all visits performed are properly authorized and makes efforts to minimize the occurrence of any unauthorized visits
- Ensures that all “Plan of Cares” for Medicare are signed and returned by the physician within 30 days of the patient’s Initial Evaluation
- Utilizes websites only in instances in which the websites are relevant and approved by Phoenix Physical Therapy. (ex: insurance websites for authorization, National Provider Identifier (NPI) websites, etc.)
- May perform occasional clerical duties, such as data entry, filing, or photocopying; clerical duties may require experience with medical records or electronic health record systems.
- May assist in the clinic to; clean, disinfect, and general cleanliness.
- Maintains safe, secure, and healthy work environment by establishing, following, and enforcing standards and procedures and complying with legal regulations.
- Other duties as assigned.
