Patient Services Coordinator

The information described in this job description has been designed to indicate the general nature of the work performed. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job.

Other information:

Job Summary
Provides administrative support and patient care coordination for assigned department. Works effectively and cooperatively within the workplace. Location/Department specific tasks and competencies may apply.

Essential Functions
Perform patient registration procedures accurately and efficiently. Manage authorization and referral process for department in accordance with established guidelines. Support billing and/or coding functions within department in accordance with established guidelines. Verify and document insurance eligibility. Complete referral authorization processes in a timely manner. Facilitate the resolution of insurance issues. Coordinate insurance authorization and referral requirements. Ensure all requirements are fulfilled in accordance with established guidelines. Track and submit retro-authorization requests, working closely with referring physician offices to resolve issues. Sort fax server in an accurate and timely manner in accordance with established guidelines. Obtains authorization and processes referrals for services ordered by providers. Schedules appointments as appropriate and within required time and assuring referrals are maintained within appropriate network and/or payer requirement. Remains current on referral policies and procedures, payer requirements, managed care matrix, and portals. Compile and distribute departmental data as required per established policies and procedures. Coordinate staffing and workload within the department as required. Provide clerical support in assigned department. Maintain ability to effectively utilize Microsoft Office (Outlook) and department specific software applications to perform work. Communicate effectively and cooperatively in the workplace. Actively contribute to the achievement of Quality Improvement and Lean Process Improvement activities. Complete all mandatory learning requirements in a timely manner. Maintain current licensure and/or certification as required. Attend and actively participate in all department, team and/or committee meetings. Comply with all Skagit Regional Health, department and location specific policies and procedures. Perform other duties as assigned by Supervisor or designee.

Education
High School diploma or GED required.

Experience/Training
Minimum one (1) year related healthcare experience preferred.

License/Certifications
Current American Heart Association (AHA) healthcare provider BLS certification preferred.

Other Skills
Effective verbal, written and interpersonal communication skills required. Must be able to effectively utilize Microsoft Office applications to perform work. Well-developed problem solving and analytical skills required. Must be able to effectively prioritize workload amongst frequent interruptions with competing priorities. Knowledge of the healthcare environment required. Ability to coordinate work schedule with requirements of position (may include overtime and weekend work).

Physical Demands and Work Environment
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit for long periods of time; when working in office. Repetitive tasks such as typing, sitting, answering phones, and interacting with computers and computer systems most of the day is a function of the position. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to focus. This position requires working in an indoor, environmentally controlled environment when in the office.