Patient Management Coordinator Cardiology

Patient Management Coordinator Cardiology

Requirements

• Associates Degree or specialty training in a related field.
• Three to five years of progressively more responsible Patient Management experience in scheduling, registration, insurance verification or related area.
• Working knowledge of medical terminology and coding.

Responsibilities

• Coordinates, performs the work of and provides leadership for Patient Access Management operations.
• Ensures patient registrations conform to eligibility criteria and standards defined by the health care facility, physicians and third party payors.
• Functions as a lead and resource person for patient registration, unbilled account management and financial counseling applications.
• Participates in the selection, scheduling, evaluating and monitoring the work of Patient Management staff.
• Assists Management with completing monthly schedules and payroll.
• Reviews patient accounts for accurate collection of demographic data.
• Ensures insurance verification and authorizations have been obtained.
• Confirms insurance coverage; secures necessary authorization by telephone, computer connection or mail when required.
• Resolves complex eligibility or insurance verification problems through contact with patients family; state, local or government agencies; other hospital departments; and third party payors.
• Provides continuous education for staff.
• Conducts training classes and educational in-services for peer group employees and employees from other health facilities within the DMC, as needed.
• Reviews and monitors resource utilization and recommends appropriate scheduling adjustments.
• Prepares and distributes up-to-date departmental reports to providers and ancillary departments.
• Monitors completion and accuracy of operational reports and takes corrective action.
• Coordinates work procedures and protocols with other DMC operating units as required.
• Coordinates and participates in special projects, as assigned.
• Performs other duties as assigned.

Preferred Qualifications

No preferred qualifications provided.