Clinic Patient Care Coordinator

Job Description

The Clinic Patient Care Coordinator assists in the Call Center and in scheduling appointments **

Responsibilities**

• Enters new patient demographics and updates established patient information, as necessary, in EHR to maintain accurate patient medical records. Obtains both new and established patient insurance information including eligibility and authorization necessary for patient scheduling and billing purposes. Schedules patient appointments pursuant to the group’s scheduling policies and procedures. Provides detail patient educations/instructions as directed and in conjunction with the group physicians, and other clinical staff. Requests pertinent medical records in relates to scheduled appointments in a timely manner.
• Promptly answers and responds all calls in a professional manner. Takes accurate messages, ensures that messages are delivered to appropriate person/department. Conveys urgent and relevant patient care information to other members of the health care team in a timely manner. Documents all telephone contacts into EHR system in accordance to the group’s policies and procedures. Acts as a liaison between patients, referring and treating physicians, staff, hospitals and others involved in patient care. Identifies patients’ important needs, answers to their questions, and assists with informed patient decisions that may arise prior and/or post office visits appointment time. Provides patient practical resources and offers emotional support and understanding throughout patient care coordination process. Maintain quality customer satisfaction.
• Monitors the assigned physicians’ schedules closely and documents patient “no show” and “cancellations” in EHR. Follows the directions from the senior management of Clinical Operations, and Medical Directors on reviewing and correcting scheduling issues when they arise. Interacts with involved clinical team members to expedite and facilitate scheduling. Assists the front office when time permits. Demonstrates flexibility with work schedule and work assignments, including floating to other medical offices. Participate & schedule in Annual Wellness and Health Assessment Projects and disease management programs (DM, etc.). Assist and support the implementing of AWV home visits, Saturday clinics, and mobile clinic.

Qualifications

Minimum Education: General Education/High School Diploma required. College Courses and/or associate degree in healthcare administration preferred. **

Minimum Experience: Three to five (3-5) years of health care management/administration experience in customer service, call center, scheduling and patient care coordination required.

Req. Certification/Licensure: None.

About Us**

With approximately 9,000 physicians to serve our 260,000 members, Prospect Medical Systems is proud to be among the most innovative medical systems in California, Texas and Rhode Island. Our extensive care services range from primary care and specialty physician services to acute care hospital and skilled nursing facilities to behavioral health and wellness services. Each of our Independent Physician Associations (IPAs) and networks support the use of advanced diagnostic and treatment tools to provide our members with convenient access to state-of-the-art healthcare. For 25+ years, Prospect Medical has been focused on our mission of supporting independent physicians where, through risk arrangements, we work closely together with health plans, facilities and healthcare physicians for the benefit of every person who comes to us for care. We provide quality healthcare services that are designed to offer our patients highly coordinated, personalized care and that help them live healthier lives. Prospect Medical Systems manages highly successful IPAs by leveraging our best-practices, results-driven administrative services to manage patients under risk arrangements with health plans/CMS.