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94 PATIENT CARE COORDINATOR Jobs in Albuquerque, NM

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UNM Hospitals
Albuquerque, NM | Full Time
$16-24 (estimate)
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Presbyterian Healthcare Services
Albuquerque, NM | Full Time
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PATIENT CARE COORDINATOR
UNM Hospitals Albuquerque, NM
$16-24 (estimate)
Full Time 10 Months Ago
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UNM Hospitals is Hiring a PATIENT CARE COORDINATOR Near Albuquerque, NM

Department: Sleep Disorders Center-1101-2
FTE: 1.00
Full Time
Shift: Days

Position Summary:
Responsible for the coordination of appointments and support services for departments/physicians. Interface with insurance companies and other payors on prior authorization and referral requests, abstract charts and assign CPT, ICD and HCPCS codes for purposes of obtaining prior authorization. Assist billing personnel with preparation of denials and submitting appeals for payment. Assist in resolving patient problems, concerns and complaints; serve as patient advocate and liaison, interface with patients, families, staff and department/physicians. Serve as a role model to promote organizational values, a positive work environment and efficient, quality patient care. Ensure adherence to Hospitals and department policies and procedures. Patient care assignment may include neonate, pediatric, adolescent, adult and geriatric age groups.

Detailed responsibilities:
  • PATIENT CARE - Assist patients in locating departments; schedule and coordinate patient appointments; refer patients and families to appropriate services and resources
  • PRIOR AUTHORIZATION - Complete pre-screening process for specialty clinic appointments for referral and/or prior auth
  • PRIOR AUTHORIZATION - Verify coverage eligibility on patients needing prior authorization
  • CODING - Abstract chart information and assign CPT, ICD, and HCPCS codes for purpose of predetermination or prior authorization
  • LIAISON - Perform as liaison between clinic staff, providers, and the insurance company or other payors to coordinate financial benefits/ coverage and prior authorizations
  • DOCUMENTATION - Complete and fax paperwork and pertinent medical documentation to insurance companies and other payors for approval; document final prior authorization in financial systems
  • FINANCIAL ASSISTANCE - Refer self-pay patients for financial assistance; make financial assistance appointments
  • COORDINATION - Coordinate with hospital and clinic surgical representatives, providers, and other applicable areas for day surgery prior authorization and/or financial coverage or assistance
  • TRAINING - Perform outreach/training with clinical areas to ensure process flow remains tight and to maintain open communication
  • DENIALS - Track and investigate payment denials due to "no authorization"; report detail information to supervisors and work with billing office representatives to coordinate appeal efforts
  • CUSTOMER SERVICE - Identify Primary Care Physicians for all patients and communicate with the PCP as necessary; take messages for department personnel
  • CUSTOMER SERVICE - Acquire prior patient records, patient billing, referral information and lab results
  • CUSTOMER SERVICE - Assist referring providers in resolving problems, locate UNM physicians and forward documents
  • PATIENT CARE - May assist clinical staff with routine non-invasive patient treatment procedures and initial screenings
  • LEAD - May exercise functional and technical lead over lower level staff
  • PATIENT SAFETY 1 - Follow patient safety-related policies, procedures and protocols
  • PATIENT SAFETY 2 - Demonstrate proactive approach to patient safety by seeking opportunities to improve patient safety through questioning of current policies and processes
  • PATIENT SAFETY 3 - Identify and report/correct environmental conditions and/or situations that may put a patient at undue risk
  • PATIENT SAFETY 4 - Report potential or actual patient safety concerns, medical errors and/or near misses in a timely manner
  • PATIENT SAFETY 5 - Encourage patients to actively participate in their own care by asking questions and reporting treatment or situations that they don't understand or may "not seem right"
  • PATIENT CENTERED MED - Adhere to and promote the core expectations of the Patient Centered Medical Home or Patient Centered Specialty Practice as applicable


Qualifications

Education:
Essential:
  • High School or GED Equivalent
  • Course
Education specialization:
Essential:
  • Medical Terminology Course w/in Six Months of Position

Experience:
Essential:
2 years directly related experience
Nonessential:
Bilingual English, Spanish, Keres, Tewa, Tiwa, Towa, Zuni, or Navajo

Credentials:

Physical Conditions:
Sedentary Work: Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

Working conditions:
Essential:
  • No or min hazard, physical risk, office environment

Job Summary

JOB TYPE

Full Time

SALARY

$16-24 (estimate)

POST DATE

05/07/2023

EXPIRATION DATE

12/18/2023

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The following is the career advancement route for PATIENT CARE COORDINATOR positions, which can be used as a reference in future career path planning. As a PATIENT CARE COORDINATOR, it can be promoted into senior positions as a House Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary PATIENT CARE COORDINATOR. You can explore the career advancement for a PATIENT CARE COORDINATOR below and select your interested title to get hiring information.

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If you are interested in becoming a Patient Care Coordinator, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Patient Care Coordinator for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Patient Care Coordinator job description and responsibilities

Patient care coordinators educate patients about their health conditions and develop a plan to address their personal health care needs.

12/12/2021: Des Moines, IA

Patient Care Coordinator educate patients and families on the patients' procedures and conditions and make sure records are kept up to date.

01/30/2022: Dayton, OH

They monitor and coordinate patients’ treatment plans, educate them about their condition, connect them with health care providers, and evaluate their progress.

12/26/2021: San Jose, CA

Collaborates with key departments such as admitting, EVS, case management to ensure timely patient admissions and a positive patient family experience.

02/28/2022: Moline, IL

Maintain the workflow of the patient care coordinators; delivering great customer service to the patients, VIP and at-risk patients.

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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Patient Care Coordinator jobs

Seniors are the ones who are most likely to require the services of these coordinators.

12/20/2021: Rockford, IL

You must have a goodphysical and health status which would accommodate delivery of duties and access to patient homes.

01/04/2022: Lexington, KY

Need to thoroughly explains procedures, treatments and nursing care to patients and/or family to be a successful Patient Care Coordinator

03/05/2022: San Bernardino, CA

For example, skills like Medical Records, Care Coordination and Healthcare Management are possible skills.

01/18/2022: Parkersburg, WV

Patient care coordinators need to have strong analytical skills and the ability to handle multiple tasks concurrently.

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Step 3: View the best colleges and universities for Patient Care Coordinator.

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