: Clinic Network The position description is a guide to the critical duties and essential functions of the job, not an all-inclusive list of responsibilities, qualifications, physical demands and work environment conditions. Position descriptions are reviewed and revised to meet the changing needs of the organization. TITLE: Procedure Coordinator JOB OVERVIEW: Coordinate all assigned clinic procedure scheduling. Act as liaison for patients, visitors and staff. Maintain all provider schedules. Responsible for procedure prep coordination, including chart prep, pre-op instructions, and prep care coordination. Obtaining authorization for incoming and outgoing referrals and facilitate access and care for patients in clinic. AREA OF ASSIGNMENT: Clinic Network HOURS OF WORK: Typically Monday - Friday; Hours may vary to cover service needs. RESPONSIBLE TO: Clinic Manager PREREQUISITES:
High school diploma or equivalent. College degree preferred.
Strong working knowledge of medical terminology, medical procedures, insurance authorization process and scheduling requirements for procedures.
Proficient with Electronic Medical Record and Microsoft tools.
Evidence of excellent communication skills.
Able to communicate effectively in oral and written form in the English language.
QUALIFICATIONS:
Two to four years\' experience working in a surgical or clinical setting.
Ability to provide high quality service which meets and exceeds the needs of the internal and external customers.
Must be able to read and understand complex medical information and have the ability to communicate the requests in a clear, complete, and concise fashion.
Demonstrated ability to utilize third party payer/insurance portals; detailed knowledge of insurance providers, their portals and their expectations for authorization approval for procedures/referrals/appointments.
Must be able to comply with HIPPA standards when accessing or communicating patient information.
Organizational skills with a focus on tracking patient work queues and improving access to care.
Ability to handle multiple demands and competing priorities.
Ability to collaborate and work in a multidisciplinary team environment.
Ability to stay abreast of changes related to procedures, authorizations and coordination related to scheduling patients.
Professional demeanor and experience while working with providers, patients and families.
UNIQUE PHYSICAL/MENTAL DEMANDS, ENVIRONMENT, AND WORKING CONDITIONS:See Generic for Administrative Partner PERFORMANCE RESPONSIBILITIES
Generic Job Functions: See Generic for Administrative Partner
Essential Responsibilities and Competencies:
Management of Procedure, Medication Testing or Appointment Requests Requiring Authorizations:
Ability to manage an Epic work queue according to protocol.
Ability to review requests/referrals for clinical appropriateness utilizing guidelines, communication with providers or manager.
Ability to clearly articulate requests and required information to insurance companies.
Ability to complete timely documentation in Epic or by other means as needed, e.g. telephone encounters, staff messages.
Maintain positive relationships and effective communication with local referring offices, provider offices and staff of the various insurance companies.
Practice in a manner that is sensitive to cultural diversity.
Work Queue Management:
Checks work queues daily for urgent requests and handles them according to protocol
Maintains clear and concise documentation regarding the status of the request or referral.
Conduct follow-up accurately and timely. Communicate to leadership or providers as needed to ensure there is clear communication regarding care coordination and transition management needs.
Procedure Coordination:
Have a strong working knowledge when appointment requests, procedures or referrals require coordination of services, clinical space, instruments or equipment.
Conduct quality management reviews to ensure completeness of documentation and timeliness of managing requests.
Comply with organizational standards, procedures and policies related to management of requests, appointments or referrals.
Integration into the Multidisciplinary Team:
Serves as a team member and communicates professionally with the multiple roles found within a specialty clinic.
Offers insight and suggestions to improve efficiencies and communication within the team.
Offer input into training needs for other members of the team.
Other Duties as Assigned:
Able to assume other duties as assigned.
Will seek clarification as needed for other duties as assigned.
Revised: 2/19 Grade: NCNM20 FLSA: NE CC: Varies
Job Qualifications:PREREQUISITES:
High school diploma or equivalent. College degree preferred.
Strong working knowledge of medical terminology, medical procedures, insurance authorization process and scheduling requirements for procedures.
Proficient with Electronic Medical Record and Microsoft tools.
Evidence of excellent communication skills.
Able to communicate effectively in oral and written form in the English language.
QUALIFICATIONS:
Two to four years\' experience working in a surgical or clinical setting.
Ability to provide high quality service which meets and exceeds the needs of the internal and external customers.
Must be able to read and understand complex medical information and have the ability to communicate the requests in a clear, complete, and concise fashion.
Demonstrated ability to utilize third party payer/insurance portals; detailed knowledge of insurance providers, their portals and their expectations for authorization approval for procedures/referrals/appointments.
Must be able to comply with HIPPA standards when accessing or communicating patient information.
Organizational skills with a focus on tracking patient work queues and improving access to care.
Ability to handle multiple demands and competing priorities.
Ability to collaborate and work in a multidisciplinary team environment.
Ability to stay abreast of changes related to procedures, authorizations and coordination related to scheduling patients.
Professional demeanor and experience while working with providers, patients and families.
Beware of fraud agents! do not pay money to get a job
MNCJobz.com will not be responsible for any payment made to a third-party. All Terms of Use are applicable.