Patient Care Coordinator Resume Samples

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K Carroll

Kianna

Carroll

98885 Buckridge Plaza

Houston

+1 (555) 299 6641

98885 Buckridge Plaza

Houston

Phone

p +1 (555) 299 6641

Experience Experience

San Francisco, CA

Patient Care Coordinator

San Francisco, CA

Erdman Group

San Francisco, CA

Patient Care Coordinator

Assists with Performance Improvement activities
Make initial contact and provide information to the patient or the referring physician on behalf of the Surgical Specialties Clinic providers
Assists with Pentec Health Performance Improvement activities
Demonstrates clinical leadership as evidenced by previous work-related activities and work performance
Provides first line feedback to staff on performance
Act as a resource and provides oversight and guidance and assistance to support functions assigned to non-clinical staff
Assist with special projects and other duties assigned by management

New York, NY

Associate Patient Care Coordinator

New York, NY

Davis-Pfeffer

New York, NY

Associate Patient Care Coordinator

Work closely with the department providers, managers, supervisors, staff members and the referral department
Maintains DM data and performs weekly reporting to the care teams within the markets and telephonic staff to assist with management of case loads
Coordinate scheduling, process At Risk and Expedite referrals and work with contracted network providers outside our company
Provides assistance to patients regarding billing and insurance issues
Assist co - workers and team members with duties when requested, to include but not limited to, floating to other areas
While most of the work is computer-based, there is a lot of paperwork handling, faxing, and scanning in addition to multiple telephone calls
Generate and analyze purchasing, payroll, provider productivity, impanelment, missing charges, staffing and any other management requested reports

present

Dallas, TX

Senior Patient Care Coordinator

Dallas, TX

Davis, Pacocha and Upton

present

Dallas, TX

Senior Patient Care Coordinator

present

Assists in training of new team members and ongoing staff training. May provide input to the Group Supervisors regarding employee performance
Establishes and maintains positive working relationships with current and potential referral sources, internal and external
Meet the performance goals established for the position in the areas of: efficiency, call quality, customer satisfaction, first call resolution and attendance
Provides review and assistance with testing of production in the authorization module
Directs all daily patient referral and intake operations including providing direct oversight of the establishment and implementation of intake
Performing tasks within MIDAS to ensure documentation of TAR and commercial clinical denials
Coordinate supplies for providers in the field, ordering, distributing etc

Education Education

Bachelor’s Degree in Nursing

Johnson & Wales University

Bachelor’s Degree in Nursing

Skills Skills

Knowledge and ability to use computer applications. Ability to complete data entry functions
Conflict resolution skills and ability to maintain personal composure when priorities quickly change
Ability to communicate effectively with clinical professionals, patients, and other team members
Ability to quickly learn all utilized pharmacy software systems
Reading, writing, arithmetic, good communication skills, PC and word-processing skills, and working knowledge of the company products
Ability to multi-task and be detail oriented
Ability to follow through with delegated tasks and take accountability
Strong organizational skills with the ability to successfully manage competing priorities
Demonstrated ability to exercise good judgment and use of discretion in confidential situations
Excellent problem solving skills with the ability to prioritize multiple and diverse tasks

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Patient Care Coordinator Resume Examples & Samples

CPR-BLS from the American Heart Association
Computer proficient with EMR, Word, Excel, Power Point and Outlook
Must have the ability to lead and give direction to fellow co-workers as well as work closely with Administration and other Departments to provide a high level of service
Ability to solve problems, takes initiative, and use common sense to best meet patient’s needs

Patient Care Coordinator Rn Resume Examples & Samples

Current, unrestricted RN license in the state in which you work
3 years of varied clinical RN experience
Utilization Review/Quality Review experience

Patient Care Coordinator Resume Examples & Samples

1 year + of Call Center experience
Proficiency in Microsoft Office Word, and Excel
Excellent attendance and performance
Strong communication skills, with the ability to multi-task and problem solve
A positive, proactive attitude, flexible, and highly motivated
Ability to type 50-55 wpm
Ability to work overtime, weekends, and most Holidays
Operations or Pharmacy experience
Working knowledge of Argus is a plus

Patient Care Coordinator Resume Examples & Samples

Use health coaching skills to engage patients
Coordinate services for the assigned population
Use knowledge of Healthcare Effectiveness Data and Information Set (HEDIS) measures, quality reports and tools to evaluate patient needs for applicable labs and services
Order labs or preventative tests or schedule appointments as applicable
Facilitate disease management support groups and referrals to Humana chronic care programs
Facilitate connections to community support groups and resources
Follow, coordinate or establish a post discharge plan, including a post-hospital needs assessment, a primary care follow-up appointment
Active Texas RN or LPN or LVN License
3 years healthcare experience
Basic knowledge of HEDIS/CMS Stars Measures, including CAHPS and HOS
This role is considered patient facing and is part of Humana’s Tuberculosis screening program. If selected for this role, you will be required to be screened for TB
Medical Coding Experience

Patient Care Coordinator Resume Examples & Samples

Prior clinical and administrative experience
Experience with EMRs
Experience with eClinical Works

Patient Care Coordinator Resume Examples & Samples

5+ years of recent Nursing experience
Experience with Transitions of Care, Accountable Care, Case Management, etc
Solid analytical and deduction skills
Good reasoning and problem solving ability
Excellent communication skills (written and verbal)
Experience in a variety of patient settings

Patient Care Coordinator Resume Examples & Samples

Receive, document and resolve customer inquiries by using established best practices and guidelines
Build lasting relationships with other internal departments and customers
Educate customers, providers and employers about Humana’s products and services
Proficiency in Microsoft Office Word and Excel
Strong communication skills with the ability to multi-task and problem solve
Capacity to show empathy towards the members as well as maintain confidentiality
Must be able to work a permanent shift after training of 11:30 AM-8 PM Monday through Friday OR 9:30 AM-8 PM (3 days a week) PLUS 7:45 AM-6:15 PM Saturdays
Associates or Bachelor’s Degree

Patient Care Coordinator Resume Examples & Samples

Warmly greets all Medical Spa guests and cast members by name and provides a courteous good-bye while performing duties
Accommodate all guests’ requests expediently, courteously and in a gracious manner making them feel welcome and attended to
Anticipates needs of guests and cast and executes whenever possible
Promptly check in guests and escort to lounge or treatment room
Answers all telephone calls promptly and courteously and remains calm and professional when handling guest opportunities
Documents all questions and concerns from patients and gives to physician or service provider, along with patient’s chart
Provides accurate and timely follow through with guest requests
Assist in operating billing system, assisting patients with payments and close
Minimum of 18 years of age
Minimum of 2 years experience in the medical field
Current CPR Certification required (From either Red Cross or American Heart Association) or obtained within 30 days of employment

Counseling Center Patient Care Coordinator Resume Examples & Samples

Meet and greet clients in an attentive and positive manner, answer phone and in person inquiries, and schedule appointments
Type reports and letters, post payments and charges in the billing program
Give clients information about their bills, collect co-pays and payments
Keep supplies stocked in the office, waiting areas and counselor offices
Handle counselor journals and payments made by clients
Perform patient scheduling
Prepare descriptive spreadsheets for weekly deposits and year to date deposits
Order supplies for the clinic and ensure the clinic is maintained to PRO standards
Communicate appointments with clients
Handle special projects assigned by the managers
Coordinate with PRO staff to ensure facilities are up to PRO standards of function and appearance
Previous customer service experience preferred
Experience in general office clerical duties

Metcare RN Patient Care Coordinator Resume Examples & Samples

Recent hospital patient care experience; cardiac or med-surg preferred
Must be able to follow policies and procedures and work flexible schedule and locations
Bachelor’s or Associate’s Degree in Nursing preferred
4 to 6 years of clinical experience with in a hospital preferred
MS Word and Power Point

Patient Care Coordinator Resume Examples & Samples

Education: Two year college or technical degree
Experience: One to three years applicable experience
Licenses / Certifications / Registration: No licenses or certifications required
Must possess strong communication skills and be a self-starter. The position will provide educational and marketing support of MediSpa services. The candidate must be self-driven to build the program with innovative ideas. Must be able to operate a personal computer and use standard computer software, including MS Word, Excel, and Outlook
Talk and hear
Read, write, type and comprehend text
Visually observe objects up close and at a distance
Effectively communicate and interact with others
Use reasoning and solve problems through analytical deduction

Metcare Patient Care Coordinator Resume Examples & Samples

Active Florida RN License
Computer proficient with EMR, Excel, and Outlook
Strong organizational skills and ability to multi-task effectively
Must be able to relate well with all levels of individuals within the organization

Patient Care Coordinator Resume Examples & Samples

Take inbound calls from members related to Specialty mail-order medications
Document all calls and provide assistance and information to members
Build lasting relationships with Humana’s members
Meet metrics as assigned by the department
Call Center experience (related customer service experience will be considered)
Ability to work the stated hours as well as overtime and holidays as needed
Working knowledge of Argus

Patient Care Coordinator Resume Examples & Samples

Use ability to triage medical information in a specific medical or surgical specialty
Request interpreters as appropriate for appointments, admissions, and surgery
Use a variety of computer systems such as EPIC, PHS, ORCA/Mindscape, One Health Port, and Microsoft products
Experienced UWMC PCC desired
Knowledge in areas of surgery scheduling, clinic appointment scheduling (Epic), financial clearance, and coordination of care desired
Epic strongly desired
ORCA, Microsoft Outlook, Word, Excel, and Mindscape experience desired

Patient Care Coordinator Resume Examples & Samples

Performs patient intake process, which may include pre-registration/registration. Partners with the clinical care team to determine initial authorizations needed based on the predicted care treatment plan. Obtains patient insurance benefit information for all aspects of the treatment, including, but not limited to, inpatient and outpatient services, prescription drugs, and travel and housing, if necessary. May also answer questions regarding the authorization process and supply information to providers, patients and third party payors
Acts as a resource for insurance coverage, which may include obtaining authorizations and notifications throughout the patients treatment. Obtains all necessary signatures and documentation required by the patients insurance plan. Accurately and completely documents all information into the patient records system to ensure maximum reimbursement. Monitors and updates information regarding insurance data, authorizations, preferred providers and changes in patients treatment plan. Partners with the clinical care team and insurance provider to ensure continued coverage of patients care and maximum reimbursement and minimized financial impact to the patient
Provides administrative support in maintaining materials such as documents, proposals, routine correspondence, spreadsheets, composing and preparing routine reports, and maintaining records in a variety of business software and database applications for electronic medical records, billing, data management
Schedules physician appointments, tests, procedures and surgeries and may provide patient with necessary preparation instructions. Prepares, processes, and manages patient documentation to department database . Acts as a liaison between the patient, billing department, and payor to enhance account receivables, resolve outstanding issues and/or patient concerns
Optimizes patient experience by using effective customer service. Communicates continually with patients, other departments, referral networks and providers to ensure appropriate plans and protocols are followed. Uses discretion and is attentive to issues of customer confidentiality. Demonstrates skills in pro-active resolution and attempts to resolve scheduling conflicts
May manage the medical record for the assigned area, including coordination with hospitals, practice offices and other ancillary services to obtain needed records. Responds to patient referral requests for tests, procedures and specialty visits. Follows guidelines and may assist in developing procedures to ensure that medical records are in compliance with all state and federal laws. May also reconcile charge tickets, identifying incomplete tickets, missing charge codes or missing diagnosis codes. Notifies clinical staff as needed

Patient Care Coordinator Resume Examples & Samples

Collaborates with the health plan PCC to ensure timely communication of enrollee's clinical information
Guide enrollees in understanding and accessing the benefits they are entitled to under Medi - Cal
Assist with coordination of enrollee's health care and social service needs both within and outside of the medical group and CalOptima
Facilitate communication of initial care plan (ICP) to the primary care physician (PCP), CalOptima, enrollee and other members of the ICT
Assist enrollee in meeting preventive care goals
Facilitate referrals to LTSS, behavioral health and community resources
Initiate referrals to both internal and external care management departments and other department / government or community agencies
Effectively interview enrollees to determine the strengths, problems, functional status, goals, and need for specific services and resources
Work with case management staff to expedite the resolution of enrollee concerns
Bilingual: Spanish, Chinese, Vietnamese, Korean or Farsi
HMO, Medi-Cal, managed care and health services experience
Knowledge of Medi - Cal eligibility and benefits
Experience working with seniors or persons with disabilities and pediatrics
Proficiency in MS Office: Outlook, Word, and Excel

Assoc Patient Care Coordinator Resume Examples & Samples

Greet patients and check in and out. Ensure demographic information including insurance information is correct in IDX and update as necessary
Answer telephones and take messages or route incoming calls as per SMA policy
Work with back office staff to ensure smooth patient flow
Communicate with clinical personnel about service issues and complaints
1+ years of experience in a health care environment setting
Basic understanding of insurance programs and basic managed care principals such as referrals and prior authorization
Understanding of customer service and how to maintain it in the clinic setting
Ability to resolve patient issues and problems in a positive manner

Associate Patient Care Coordinator Resume Examples & Samples

Greets patients and/or visitors to the department
Enters patient pre-registration, registration or admission information into computer; verifies accuracy
Provides interpretation of Hospital regulations to patient (patient services, visiting hours, etc.)
Accepts payment from patient as appropriate
Provides assistance to patients regarding billing and insurance issues
Must be available to work Per Diem Days, Evenings, Weekends and Holidays as needed
Proficiency with Windows PC applications, which includes the ability to learn new and complex computer system applications
Prior Healthcare registration experience

Patient Care Coordinator Resume Examples & Samples

Processing all requests as assigned within established timeframe
Processing prior authorization requests for providers
Data entry for referral requests into online system
Verifying benefits and eligibility
Analyzing and maintaining data for reports as required
Assisting with entry of clinical notes as needed
Efficiently navigating and utilizing computer data entry programs not limited to: Practice Connect, Microsoft Office Outlook, Word, and Excel, Right Fax, Adobe Standard for fax attachment process
Conducting Post Discharge Calls to members as assigned
Effectively communicating with internal and external providers and health plans
Actively participating in in-services, training, staff meetings, and other departmental meetings / committees consistent with Monarch HealthCare‘s core ideals and values
Processing letters within required turnaround time as required
Maintaining confidentiality of all member information and MHC business
Maintaining professional demeanor at all times
3+ years related experience in a medical setting and/or training with an understanding of health plans and health care benefit
Computer knowledge and ability to navigate various databases, as well as working knowledge of Excel, word
Working knowledge of ICD-9, CPT, HCPC, and codes

Registrar / Patient Care Coordinator Resume Examples & Samples

Checking in
Answering billing questions
Managing patient medical records
Limited work experience
Works on simple tasks using established procedures
Depends on others for guidance
Experience with Windows PC applications (this includes the ability to learn new and complex computer system applications)
Available to work 22.5 hours per week. The hours are Mondays 6a-2p in Admitting/PST Registration, Fridays, every other weekend, and every other holiday 7a-3p in ER registration.with the flexibility to adjust daily schedule, and work over-time and/or weekends, as needed
Customer Service experience in a medical setting
Insurance knowledge
Bilingual in English and Spanish

Associate Patient Care Coordinator Resume Examples & Samples

Assists patient with intake processes including copying required documents
Processes walk-in patients and visitors
Processes requests for medical records release and maintains appropriate logs

Assoc Patient Care Coordinator Resume Examples & Samples

Obtain consents signed by patients for procedures
Collect co-pays and co - insurance, deductibles and balances
HPN eligibility for all health plan patients, new or follow ups. Update eligibility form in HER
Document patients’ charts when films and disks are brought to the office. Responsible for making sure the films and disks gets to correct location
Scan receipts and patient paperwork
Keep front office and waiting room clean and stocked
Print schedules for MAs and providers
Print progress notes, patient summary and updates
Create green sheets for walk-in patients
Balance daily logs and money collected, posting payments when balanced
Read the doctor and pa orders, schedule follow up and radiology appointments, radiology referrals
Obtain authorization if needed
Patient appointment confirmations
Moves physician schedules as needed
Collection of monies for add on procedures
Requests medical records at the physician’s request
Balance money that was collected and post payments
Confirm eligibility for all locations. Update eligibility form in HER
Obtain authorization for all office procedures and radiology if needed
2+ years medical office experience
Knowledge of Nevada health insurance terminology
Basic computer navigation skills

Patient Care Coordinator Resume Examples & Samples

Confirm provider appointments
Process referrals for durable medical equipment and referrals to specialists
Update and upload patient care data
Identify and correct inconsistencies in documentation demographics/notations
Enroll new patients into systems
Assist with Program Eligibility verifications
Print and placement of face sheets as needed
Track hospital discharges
Fax encounters to PCPs
Forward physician orders for signature
Document case information completely, accurately, and in a timely manner
Participate quality monitoring process
Expedite emergency calls as needed
Coordinate inbound/outbound calls – patient calls, appointments, DME, referral updates
Maintain confidential health information according to state and federal regulations including HIPAA
File and fax
Performs other duties as assigned by supervisor
Must be willing to work between the hours of 10:00 am to 7:00 pm CST Monday through Friday during the Spring/Summer months and 9:00 am to 6:00 pm Monday through Friday during the Fall/Winter months
2+ years of a healthcare background with medical terminology familiarity of Clinical issues

Associate Patient Care Coordinator Resume Examples & Samples

Register patients, obtain demographics and verify insurance information and code them in a timely manner, and explain conditions of admission to patient and obtain their signatures
Explains the payment and billing assistance program to all patients regardless of financial concerns or limitations
Collects copayments, deductibles and patient's financial responsibility
Properly handles credit card and cash transactions in accordance with PCI-DSS standards and guidelines
Understands and follows the Cashier Policy and procedures
Follow rules and regulations as well as the policy of the organization
Appropriate patient identification,
Collecting accurate and thorough patient demographic data,
Obtaining insurance information and verifying eligibility and benefits,
Determining and collecting patient financial liability, and referring patients to the patient registration specialist as needed for assistance with financial counseling and/or clearance
1+ year of experience performing basic mathematics for payment calculation
1+ year of experience working in a hospital Patient Registration department, physician office setting, healthcare insurance company, revenue cycle vendor, and/or other revenue cycle related roles
Must be able to navigate a PC
1+ year of experience in requesting and processing financial payments
Knowledge of charity care programs as well as the various government and non-government programs offered
Understanding of insurance policies and procedures

Patient Care Coordinator nd Sift Resume Examples & Samples

Assist approximately 80-100 inbound and outbound members, providers and physician calls per day in a busy call center environment
Responsible for ownership of customer issues and ensuring 100% follow-up to customers
Process all order changes including, order cancellations, return authorizations, reships and request for credits
High School degree (or equivalent)
0-1years relevant work experience
General PC knowledge including Microsoft Office, Internet, Outlook Email and General Call Center Systems
Data entry experience and solid computer skills required
LI-EV1

Patient Care Coordinator Resume Examples & Samples

Provide lead support and direction to front office and non-clinical staff. Function as first contact for customer service issues
Enforce customer service standards, billing functions to include patient check in & out process, cash handling, demographics and insurance information in IDX
Experience working in a physician’s office, hospital or clinic
Orthopedic or oncology experience
Familiarity with ICD - 9 and CPT coding

Associate Patient Care Coordinator Resume Examples & Samples

Appropriate patient identification
Collecting accurate and thorough patient demographic data
Obtaining insurance information and verifying eligibility and benefits
1+ years of experience performing basic mathematics for payment calculation
1+ years of experience working in a hospital Patient Registration department, physician office setting, healthcare insurance company, revenue cycle vendor, and/or other revenue cycle related roles
Ability to navigate a PC
Comfortable working Monday through Friday from 12:30 pm to 6:30 pm, 30 hours per week
1+ years of experience in requesting and processing financial payments

Patient Care Coordinator Resume Examples & Samples

Establish, maintain and close patient medical records according to regulations
Responsible for obtaining all necessary signatures from physicians, staff, and others, as necessary for Authorizations, Certifications, Doctor's orders and Release of Information from Hospice to other parties
Audit medical records in accordance to written criteria, including all required documentation, authorizations, and necessary signatures
Purge medical records one year after date of final Discharge
Perform secretarial duties related to screening calls and facilitating communication for Clinical Services Managers and other staff between patients, families, and other companies
Keep daily schedule for all team members
Enter patient care information into database, monitor Event Tracking, including recertification dates, and provide back-up documentation to the Billing department, as requested
Prepare agenda and attend weekly team meetings
Order DME, maintain records of order, track delivery dates, and notify the vendor of patient death or discharge and coordinate equipment pick up
Complete all job duties in a manner that meets the accepted standards of practice and the Evercare Hospice & Palliative Care policies and procedures
Contribute to achieving the company's mission
Work collaboratively with others to achieve goals
Participate in the quality assessment and performance improvement program
Participate in Hospice In-Service trainings
Engage in an ongoing, self-development plan to build personal leadership skills, organizational knowledge, and enhance knowledge of the industry
Identify and address skill and/or knowledge gaps to fulfill job responsibilities
6 + months of experience using a computer and Microsoft Office (MS Word, MS Excel, and MS Outlook)
6 + months of Customer Service experience analyzing and solving customer's problems in a professional environment
6 + months of experience working with Medical Records
6 + Months of Telephonic experience
Any Hospice experience
Experience working with Healthcare Insurance
Familiarity with Medical Terminology
Any experience in a Medical Facility/Clinic

Senior Patient Care Coordinator nd Shift Resume Examples & Samples

Perform bedside registrations
Utilize a computer on wheels to get patient demographics, consents and copays within the ER
Work floor to floor within the location meeting with many different types of patients
Assist with training as the team lead
Help to keep the team motivated and on task as the team lead
Potentially handle escalated issues
1+ years of experience working in a medical environment
Ability to navigate a Windows environment and utilize Microsoft Office in a professional setting
Ability to type at least 35 - 40 WPM
Comfortable working first week Monday/Tuesday 5pm-3:30am, Wednesday 3pm-1:30am, and Saturday 5pm-3:30am then working Sunday 5pm-3:30am, Monday 3pm-1:30am, Thursday/Friday from 5pm-3:30am

Patient Care Coordinator Resume Examples & Samples

Assist
Ability to adapt
Willingness to

Patient Care Coordinator Resume Examples & Samples

Enter patient care information into database, monitor Event Tracking, including recertification dates, and provide back-up documentation to the Billing department as requested
Prepare agenda and attend daily team meetings
Complete all job duties in a manner that meets the accepted standards of policies and procedures
1+ years of experience using a computer and Microsoft Office (Word, Excel, and Outlook)
1+ years of experience in a customer service type environment
1+ years experience working with EMR (Electronic Medical Records)
1+ years experience with insurance authorization

Patient Care Coordinator nd Sift Resume Examples & Samples

Assist approximately 80-100 inbound and outbound
Call Center environment or in a
Excellent verbal and written communication skills as

Patient Care Coordinator Resume Examples & Samples

Gather and document a detailed and comprehensive understanding of the various insurance plans and benefits for the different payor classes (State Medicaid, Commercial insurance and Medicare Part D plans) and being able to effectively communicate the therapy and coverage requirements to the Referral source, Patient and Payor sources
Possess professional telecommunication skills to effectively articulate benefit information, clinical and financial needs, and/or challenges to Pentec Health patients, referral sources, insurance carrier representatives and internal teams in order to facilitate the referral process and obtain complete information required to initiate a patient's start of care
Apply prior and current knowledge of insurance carrier requirements and authorization practices to capture and communicate appropriate clinical and financial data required to obtain approval/authorization of service, professionally documenting the detailed outcome of this process in CPR+
Provide Supervisor/Manager with feedback and suggestions for improving the process, bringing immediate attention to any areas preventing achievement of Pentec Health goals and objectives at the Pennsylvania location
The Patient Care Coordinator communicates well with internal and external Pentec Health customers in order to efficiently and effectively bring a patient from referral through start of care
Ensure timely follow-up and accurate notation of progress made on follow-up of all required paperwork in a concise manner
Maintains accurate records and keeps current all Progress Notes to streamline reporting functions and ensure adequate information is available in support of positive cash flow and collection efforts
Serve as a support for reimbursement and collections
Assists with Pentec Health Performance Improvement activities
The Patient Care Coordinator performs all other duties assigned by their respective Supervisor at the Pennsylvania location
Exceptional computer skills (MS Word, Excel, PowerPoint)
Exceptional communication – verbal and written
Exposure to supervisory experience
Exceptional organizational and process skills
Ability to work well under pressure and meet timelines
Exceptional critical thinking and problem – solving skills
Proven performance, history in related field
Exceptional attention to detail and demonstrated results
Exceptional track record of customer satisfaction
Demonstrates the ability to delegate, complete projects through others
High School Diploma or equivalent, Associate's Degree and/or relevant experience

Assoc Patient Care Coordinator Resume Examples & Samples

2+ years face to face customer service experience
Experience in hospital, clinic or physician’s office
Bilingual – Spanish

Associate Patient Care Coordinator Resume Examples & Samples

Greets patients as they arrive
Coordinates patient flow
Assists patient with intake or admitting processes including copying required documents
Collects, records and balances payments
1+ years of related work experience including data entry
1+ years of experience working in a medical office setting
Proficient in Microsoft Office i.e. Word, Excel and Outlook
Must possess independent means of transportation available during work hours for job related tasks such as, but not limited to floating between clinic locations
Ability to work assigned hours (varies by location and facility)

Patient Care Coordinator Resume Examples & Samples

Possess professional telecommunication skills to effectively articulate benefit information, clinical and financial needs, and/or challenges to patients, referral sources, insurance carrier representatives and internal teams in order to facilitate the referral process and obtain complete information required to initiate a patient's start of care
Provide Supervisor/Manager with feedback and suggestions for improving the process, bringing immediate attention to any areas preventing achievement of goals and objectives
Communicate well with internal and external customers in order to efficiently and effectively bring a patient from referral through start of care
Assists with Performance Improvement activities
Performs all other duties assigned by their respective Supervisor

Patient Care Coordinator Resume Examples & Samples

Float to other clinics as needed
2+ years experience in physician’s office, clinic or hospital
CPR certification or willing to obtain within 30 days of hire
Medical front office experience
Word & Excel skills

Associate Patient Care Coordinator Resume Examples & Samples

Manages medical records (maintains, files/scans, prepares for schedule)
Ensure all correspondence is scanned and/or filed in timely manner
2+ years of Front office experience
Experience utilizing NextGen EMR

Associate Patient Care Coordinator Resume Examples & Samples

Building new referrals from network providers
Reviewing to ensure all necessary documents and information has been provided
Sending back documents for additional informatio
Canceling those that do not meet criteria or do not have necessary information required within a specified time frame, forwarding to MD review if questionable
Accepting referrals and determining if meets outsource or overflow criteria
While most of the work is computer-based, there is a lot of paperwork handling, faxing, and scanning in addition to multiple telephone calls
This is primarily a sedentary desk job which will consist of >90% of time spent working on a computer and handling the telephone
1+ year of experience in a Healthcare and / or Clinical setting
CPR Certified, or able to attain certification within 30 days of employment
Must possess independent means of transportation available during work hours for job related tasks such as, but not limited to floating
1+ year of experience and/or training as a Medical Assistant
1+ year of experience working with Electronic Medical Records (EMR) and / or Practice Management Software systems
Experience with Microsoft office programs

Assoc Patient Care Coordinator, Las Vegas Resume Examples & Samples

Ensure demographic including insurance information is correct in IDX and update as necessary
Manage patients' expectations about visit and ensures that the visit and referral process are understood
Schedule appointments as necessary
Work with back office to get patients seen who walk in or call for appointment
Document all calls and messages appropriately according to SMA policy
Assist co - workers and team members with duties when requested, to include but not limited to, floating to other areas/ offices
Ability to assist in other office locations in Las Vegas
Proficiency in Word and Excel
Experience working in physician's office, clinic and/or hospital

Senior Patient Care Coordinator Resume Examples & Samples

Maintains data entry of logs as required
Onsite at assigned facility 3-5 days per week
Face to face meetings with members and family while confined in facility
Assist with discharge planning as needed
Schedules post-discharge follow-up appointments with members’ primary care physician as well as specialty physician as needed
Conducts Post Discharge Calls to members as assigned
Effective communication skills with internal and external providers and health plans
Actively participates in inservices, training, staff meetings, and other departmental meetings / committees consistent with Monarch HealthCare‘s core ideals and values
Processes appeals within required turnaround time as required
Maintain confidentiality of all member information and MHC business
Regular consistent attendance
3 years related experience in a medical setting and / or training with an understanding of health plans and health care benefits
May require driving between office location and various facilities

Patient Care Coordinator Resume Examples & Samples

Assist with inbound and outbound members, providers and physician calls per day in a busy call center environment
Accurately obtain and enter patient shipping information
Process hourly reports
Process employee access request
Update internal metrics board
0-1 years relevant work experience; Call Center environment or in a pharmacy setting: retail, mail order, hospital long term care, or specialty preferred
Pharmacy Technician Certification: National preferred, state license a minimum
Detailed oriented with excellent organization skills; Ability to adapt in a dynamic work environment, learn quickly, solve problems and make decisions; data entry experience and solid computer skills required; willingness to work a flexible schedule for peak times; excellent verbal and written communication skills as well as excellent customer service skills

Associate Patient Care Coordinator Resume Examples & Samples

Understand insurance programs and basic managed care principals such as referrals and prior authorization
Must understand all aspects of the patient visit from open to close
Ability to manage waiting room and keep patients flowing smoothly
Must have an understanding of what customer service is and how to maintain it in the clinic setting
Must be able to resolve patient issues and problems in a positive manner
Knowledge of CPT / ICD-9 coding
CPR certification required within 30 days of hire
1+ years of experience in a health care environment
Money handling experience
Experienced Medical Assistant in an adult medicine setting

Patient Care Coordinator Resume Examples & Samples

Greets patients as they arrive and manages wait time
Collects co-payments, co-insurance and deductibles and issues receipts
Manages medical records (maintains, files / scans, prepares for schedule)
Ability to accurately sort and file materials by alphabetic or numeric systems

RN Patient Care Coordinator Medical Surgical Days Resume Examples & Samples

Current Certification in BLS & ACLS required
3- 5 years of RN experience in an acute care setting
Ability to perform Administrative duties as assigned

Patient Care Coordinator Resume Examples & Samples

Act as primary liaison for the patient with hospital, referring provider, insurance carrier, and outside agencies and staff from other health providers to coordinate activities involved in pre-operative planning
Assist patients with completing insurance forms and requests for information by providing documentation to facilitate coverage for scheduled visits, admission, and/or procedures
Manage referrals in a complete and timely manner with special attention to urgent conditions/requests; must be able to prioritize multiple competing projects and be able to meet deadlines
Schedule diagnostic and pre-op procedures as well as pre-anesthesia appointments
Schedule surgeries directly into operating rooms, and cancel and reschedule surgeries independently
Pre-authorize proposed healthcare/surgery prior to admission
Coordinate supporting documentation to facilitate and coordinate patient care involving agencies outside of Harborview
Coordinate pre-admission tests, pre-surgery appointments/tests, and procedures
Complete appropriate documentation for planned admissions and surgeries
Manage records confidentially in accordance with medical center policies/procedures and RCW’s
Prepare pre-anesthesia packets and assure related electronic forms are completed
Maintain an organized method for tracking patient care along healthcare continuum
Assist patients in coordinating services and scheduling pre- and post-operative appointments
Ensure a complete medical record is present at the time of patient visit, admission, and/or procedure
Manage intake of all referral requests, ensuring complete information is received and entered into the computer system
Triage patient phone calls according to severity of need; follow through and resolve patient requests in a timely manner
Build/manage Provider and Resident templates via Epic application
Ability to organize and manage multiple projects
Strong coordination and organizational skills
Resourcefulness in problem-solving
Ability to take and follow through with delegated tasks

Patient Care Coordinator Resume Examples & Samples

Possession of a high school diploma or equivalent
Foreign degrees must be evaluated for U.S. equivalency
A minimum of five (5) years of progressively responsible administrative experience
Experience scheduling patient appointments and maintaining patient records
Understanding of clinical operations in order to provide adequate patient care arrangements
Strong organizational skills with the ability to successfully manage competing priorities
Ability to follow through with delegated tasks and take accountability
Knowledge of purchasing requests, accounting policies and facility planning
Ability to efficiently compose correspondence, prepare reports from raw data, design and set up filing systems
Knowledge of medical/scientific objectives and terminology
General familiarity with requirements of clinical protocols
Knowledge of special ambulatory care regulations

Senior Patient Care Coordinator Resume Examples & Samples

Obtains all pertinent documentation necessary for admission: History and Physician, Insurance info, Labs, Med List, Orders, etc
Directs all daily patient referral and intake operations including providing direct oversight of the establishment and implementation of intake
Coordinates with Medical Director/Nurse Practitioner to schedule initial palliative consult visit with patient
Ensures compliance with all state, federal and CHAP referral/intake regulatory requirements
Establishes and maintains positive working relationships with current and potential referral sources, internal and external
In cooperation with Clinical Services Manager, ensures seamless transition of patients to hospice by providing telephonic patient/family education and preparation for home care, plan of care initiation, and coordination of care with multiple service providers
Gathers, collates, and reports referral statistics including key customer referral trends. Tracks weekly/monthly COR numbers
Maintains an accurate listing of current daily census including activities related to admissions, discharges, pending referrals and transfers
Identifies opportunities for additional or improved services to meet unmet customer needs
Maintains comprehensive working knowledge of the hospice contractual relationships and ensures that patients are admitted according to contract provisions. Assists with maintaining facility and hospital contracts/files
Coordinates information sessions, legals, and admissions schedule with CSM and ED
LPN/LVN with current active license
1+ year of experience using a computer and Microsoft Office (Word, Excel, and Outlook)
Previous experience with intake and referral management
1+ years of healthcare experience
Previous experience working with EMR (Electronic Medical Records)
Insurance authorization experience
Hospice or Home Health Care experience

Patient Care Coordinator Float Resume Examples & Samples

Act as primary liaison for UWMC/UW Medicine and represent departmental physician(s) with the hospital, patient and family, referring physicians, outside agencies, staff from outside hospitals and general public by providing information and advice regarding UWMC hospital services
Use effective oral and written communication with a variety of Health Care Professionals, patients and their advocates, hospital and clinic personnel both at UWMC and other medical facilities, representatives of insurance companies and other organizations related to the health care industry
Use a variety of computer systems such a EPIC, PHS, ORCA/Mindscape, One Health Port, Microsoft Products, Provider One
Maintain knowledge of billing and medical record documentation requirements, diagnostic tests and procedures and specialized pre-procedure instructions with guidelines set by the department or clinic Chairperson or Medical Director

Patient Care Coordinator Regional Heart Center Resume Examples & Samples

Facilitate the delivery of optimal patient care
Make initial contact and provide information to the patient or the referring physician on behalf of the Surgical Specialties Clinic providers
Act as primary liaison for UWMC/UW Medicine and represent departmental physician(s) with the hospital, patient and family, referring physicians, outside agencies, staff from outside hospitals, and general public by providing information and advice regarding UWMC hospital services
Work independently under the general direction of a physician or their designee
Use effective oral and written communication with a variety of healthcare professionals, patients, patient advocates, hospital and clinic personnel at UWMC and other medical facilities, representatives of insurance companies, and other organizations related to the healthcare industry

Associate Patient Care Coordinator for Pediatric Office Resume Examples & Samples

Collects co-payments, co - insurance and deductibles and issues receipts
Collect, record and balances payments
Answers phones and schedules appointments
Experience with high volume call handling
Effective communication and customer service skills
Bilingual English / Spanish

Patient Care Coordinator Resume Examples & Samples

A minimum of three (3) years of progressively responsible administrative experience, including experience in a clinical/medical setting
Knowledge of record keeping, data management, and medical terminology with the ability to understand clinical operations in order to provide adequate patient care arrangements
Must be organized, detail-oriented, and able to multi-task
Ability to comply with applicable Office of Human Research Program regulations
Ability to efficiently compose correspondence, prepare reports from raw data, and design and set up filing systems
Experience with Microsoft software applications
General knowledge of scientific, safety, or medical technologies
Familiarity with regulatory requirements and guidelines for clinical research

Patient Care Coordinator Resume Examples & Samples

Assist patients with completing insurance forms and requests for information by providing documentation to facilitate coverage for scheduled visit, admission and/or procedure
Manage referrals in a complete and timely manner with special attention to urgent conditions/requests. Must be able to prioritize multiple competing projects and be able to meet deadlines
Coordinate supporting documentation to facilitate and coordinate patient care involving agencies outside of HMC
Schedule complex surgeries and/or procedures, which includes day surgeries and those requiring hospital admission. This may involve coordination with other specialty services such as Neurosurgery, Burns/Plastics, Vascular, and others
Prepare pre-anesthesia packets and assures related electronic forms are completed
Arrange for special equipment that may be required for specific surgeries
Maintain an organized method for tracking patient care along continuum
Assist patients in coordinating services and scheduling pre and post-operative appointments
Ability to organize and manage multiple projects; strong coordination and organizational skills
Exercise proactive, prudent judgment and decision-making skills to solve problems consistent with the responsibilities of the position
Ability to recognize and effectively prioritize information/assignments and follow-up
Exhibit well-developed critical thinking skills, particularly in ambiguous situations
Ability to operate with minimal day-to-day direction or oversight and ability
Ability to take and follow through with delegated tasks and accountability

Senior Patient Care Coordinator Resume Examples & Samples

Onsite at assigned facility 3 - 5 days per week
Schedules post- discharge follow-up appointments with members’ primary care physician as well as specialty physician as needed
3+ years related experience in a medical setting and / or training with an understanding of health plans and health care benefits

Patient Care Coordinator Resume Examples & Samples

Accurately obtain and enter patient information, including shipping, insurance and payment information
Provide patients with price quotes, order status, insurance verifications and proof of deliveries
Call Center environment or in a pharmacy setting: retail, mail order, hospital long term care, or specialty preferred
Detailed oriented with excellent organization skills
Ability to adapt in a dynamic work environment, learn quickly, solve problems and make decisions
Willingness to work a flexible schedule for peak times
Excellent verbal and written communication skills as well as excellent customer service skills

Associate Patient Care Coordinator Resume Examples & Samples

Collects co-payments, co-insurance, and deductibles and issues receipts
1-2 years of related work experience including data entry
This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination or a doctor’s diagnosis of disease

Patient Care Coordinator Resume Examples & Samples

6+ months of experience using a computer and Microsoft Office (Word, Excel, and Outlook)
6+ months of Customer Service experience analyzing and solving customer problems in a professional environment
6+ months of experience working with Medical Records
6+ months of Telephonic experience

Associate Patient Care Coordinator Resume Examples & Samples

Data entry experience
Bilingual English/Farsi
EMR Experience

Patient Care Coordinator Resume Examples & Samples

Collects co - payments, co - insurance and deductibles and issues receipts
Processes walk - in patients and visitors
Travel to other offices within the group as needed
1+ year of Medical Assistant experience
Experience utilizing EMR EClincalworks

Patient Care Coordinator Resume Examples & Samples

Make outreach to patients regarding deliveries and supplies
Review medical files with the pharmacist
Assist pharmacy if someone is out
Current Pharmacy Technician license in the State of Florida or the ability to obtain before start date
Available to work overtime (rare but possible during weekend, as needed)
1+ years of experience working with EMR (Electronic Medical Records)
1+ years of insurance authorization experience
Hospice or Home Healthcare experience

Patient Care Coordinator Resume Examples & Samples

Ensures all correspondence is scanned and / or filed in timely manner
Ability to read and interpret office forms and insurance cards and understand referrals
ICD - 9 and CPT coding experience

Hospice Patient Care Coordinator Resume Examples & Samples

Establishes, maintains and closes patient medical records according to regulations
Responsible for obtaining all necessary signatures from physicians, staff and others as necessary for authorizations, certifications, doctor’s orders and release of information from hospice to other parties
Audits medical records in accordance to written criteria including all required documentation, authorizations and necessary signatures
Purges medical records one year after date of final discharge
Performs secretarial duties related to screening calls and facilitating communication for Clinical Services
Managers and other staff between patients, families, and other companies
Keeps daily schedule for all team members
Enters patient care information into data base, monitors event tracking including recertification dates, and
Provides back up documentation to the Billing Department as requested
Prepares agenda and attends weekly team meetings
Orders DME, maintains records of order, tracks delivery dates and notifies the vendor of patient death or discharge and coordinates the pick-up of equipment
Enters patient care data on computer when needed
Provides relief for other hospice Admin Support staff
Monitors event tracking including recertification dates and provides back up documentation to the Billing department as requested
Contributes to achieving the company’s mission
Works collaboratively with others to achieve goals
2+ years of experience working in a Medical office
1+ years of experience in a Call Center
Must be able to type 45 wpm
Must be proficient in Microsoft Office including Excel and Word
Must be available to travel to the Cincinnati office with alternating virtual traing up to 4 weeks
1+ years of Hospice experience
1+ years of Medical Terminology experience

Patient Care Coordinator Resume Examples & Samples

Ensures quality customer service for internal and external customers
Responds to incoming customer service requests, both verbal and written
Identifies and assesses customers' needs quickly and accurately
Solves problems systematically, using sound business judgment
Partners with other billing and eligibility department representatives to resolve complex customer service inquiries
Monitors delegated customer service issues to ensure timely and accurate resolution
Applies appropriate communication techniques when responding to customers, particularly in stressful situations
Places outgoing phone calls to complete follow-up on customer service requests as necessary
Responds to customer service inquiries in writing as necessary
Maintains timely, accurate documentation for all appropriate transactions
Makes corrections and adjustments
Consistently meets established productivity, schedule adherence, and quality standards
Adapts to procedures, processes, and techniques to meet the more complex position requirements
Addresses special (ad-hoc) projects as appropriate
Seeks involvement in continuous quality improvement initiatives
Responsible for collaborating and telecommunicating with members to coordinate order deliveries, support member adherence services, and provides customer service for Specialty medications
1+ year of customer service experience, analyzing and solving customer issues -or- 1+ year of experience in an office environment using phone and computer as primary job tools
1+ year of navigating a computer while on the telephone
Experience using a Windows PC computer with the ability to learn new and complex computer applications

Patient Care Coordinator Resume Examples & Samples

Triages incoming communication during workday hours for the geographic team/region and follows up with physicians, RN Case Managers and other members of the team to facilitate appropriate service provision and follow up
Assists in document control processes, including but not limited to, clinical review of Face to Face documentation and physician orders, authorization/reauthorization assessments requiring clinical follow up. Reports problems immediately to the Clinical Managers
Directs incoming communications and inquiries to the most appropriate level of service and ensures a seamless hand off that promotes a superior customer experience and supports the field staff in the provision of primary case management
Provides assistance to clinical staff in follow up communication with MD offices and referral sources as applicable
Works in collaboration with the Clinical Managers to assure appropriate resource utilization
Monitors admissions, discharges and re-hospitalizations and communicates with the appropriate clinical liaison or facility to facilitate continuity of care between settings
Assists with admission reviews and other clinical record or quality improvement program reviews as appropriate
Provide clinical supervision and sign off on clinical documents such as MD orders, plan of care
Participates in interdisciplinary team conferences as appropriate
Works with clinical staff to build clinical skill and manage caseloads. Provides one on one education with clinical staff – carrying out educational standards, and clinical programming
Works collaboratively with all team members, and office support staff to coordinate patient care utilizing community resources as needed
Participates in and/or implements agency and/or health system initiatives to promote effective management of patients being served
Follows agency policy and procedures and adheres to standards of practice within agency guidelines
Administers direct care within the regulated scope of practice and per registered nurse case manager job description
Acts as an Advisor to Clinical staff
Performs other duties as may be required or assigned
Current Massachusetts RN license with a bachelor's degree in nursing preferred
Minimum of one year recent home health experience required; three years preferred
Provides own transportation and auto insurance and abides by all laws, rules and recommendations for safe driving while on duty. Maintains a valid driver's license
Must be able to travel to all geographical locations within the branch/company
Demonstrates ability to work independently within a fast paced environment
Must be available for on call on weekends, evenings and holidays on a rotating basis Must have the clinical knowledge and critical thinking ability to effectively plan and provide coordination of patient care consistent with standards and regulations
Must have exceptional interpersonal and customer services skills
Must be able to effectively solve unique problems as they arise or identify appropriate resource for hand off
Must have requisite knowledge of current Hospice and Home Health Medicare, Medicaid, State and Federal regulations and Joint Commission accreditation standards
Must be able to demonstrate problem-solving abilities and have excellent telephone, interpersonal and written communication skills. Strong commitment to teamwork and customer service, both internally and externally, is required
Demonstrates proficiency in use of computer technology
Ability to work in a fast paced home care office setting

Senior Patient Care Coordinator Resume Examples & Samples

Schedules post - discharge follow - up appointments with members’ primary care physician as well as specialty physician as needed
Actively participates in services, training, staff meetings, and other departmental meetings / committees consistent with Monarch HealthCare‘s core ideals and values
1 year of face to face patient contact
Skilled nursing

Senior Patient Care Coordinator Resume Examples & Samples

Position is on- site at Fountain Valley Hospital-Must reside within 15 miles of this hospital
Schedules post - discharge follow-up appointments with members’ primary care physician as well as specialty physician as needed
3+years related experience in a medical setting and / or training with an understanding of health plans and health care benefits
3+years of managed care experience

Patient Care Coordinator Resume Examples & Samples

Provides data entry, filing, tracking time frames and status of case files and mailing letters to patients and providers
Reviews denials and determines whether the decisions are retro/ claims DOS or prospective DOS, and whether they are NCB or medically necessary. Sorts appropriately
Monitors system approval queues and prints member letters, ensuring that all approvals are printed and mailed by end of business day
Prepares envelopes and letters for mailing according the UM policy
Receives appeal requests from health plans and/ or QIO, logs requests, researches and provides requested information
Works with claims department to redirect claims related appeal requests
Generates reports for analysis by department using the data entry system
Assists with CMS organization determination reports as needed
Sound knowledge of medical terminology
Proficient software computer skills
Possess planning, organizing, conflict resolution, negotiation and interpersonal skills
Ability to interact with individuals and with multidisciplinary teams
Ability to demonstrate excellent customer service with patients, providers, and health plan and interacting with other internal departments within the organization

Associate Patient Care Coordinator Resume Examples & Samples

Must be able to work 37.5 hours per week, from 5 PM to 1 AM on Monday, Tuesday, Wednesday, Thursday and every other weekend (one Saturday, one Sunday)
Must be comfortable in high-stress, fast-paced environments
Patient registration experience

Associate Patient Care Coordinator Resume Examples & Samples

Must be able to work 30-hours per week, from 1:00 AM to 9:00 AM on Sunday, Monday, Tuesday and Wednesday. Must also have the flexibility to work occasional holidays
Patient Registration experience
Knowledge of Health Insurance

Senior Patient Care Coordinator Resume Examples & Samples

1+ year of experience using the telephone and computer as the primary instruments to perform job functions
Ability to work in multiple systems/programs simultaneously
Long Term Care experience
Working knowledge of Medicare Regulations
Unrestricted, Florida-Licensed LPN experience
Familiarity with usage of Microsoft SharePoint
Experience in a Health related, Telephonic Customer Service setting

Patient Care Coordinator Resume Examples & Samples

Verifies all financial/insurances information and charge into appropriate system
Keep abreast of current insurance regulations in order to provide assistance to patients-Maintains current knowledge base
Intermediate proficiency with Windows PC applications (this includes the ability to learn new and complex computer system applications)
Ability to accommodate 6 weeks of training, between the hours of 8:00 am and 6:00 pm
Ability to work a planned Per Diem work schedule, with no guaranteed hours, however, when needed the position calls for the availability to work between 8:00 am – 6:00 pm, Monday through Friday
Bilingual fluency in English and Spanish

Associate Patient Care Coordinator Resume Examples & Samples

Function as first contact for customer service issues and resolve complex issues
Enforce customer service standards, billing functions to include patient check in and out process, cash handling, demographics and insurance information in IDX
Oversee and monitor impanelment and call process making adjustments as needed to meet customers’ expectations, mediate patient issues and manages the administrative aspect of the patients’ visit, ensuring that customer service standards are met
Complete daily deposit
Generate and analyze purchasing, payroll, provider productivity, impanelment, missing charges, staffing and any other management requested reports
1+ yrs. front desk experience in a healthcare environment
CPR certified or willing to become within 30 days of hire
Medical terminology knowledge

Patient Care Coordinator Resume Examples & Samples

Edits transcribed reports
Ensures transcribed reports are distributed to referring physicians within 72 hours
Researches reports not distributed within 72 hours
Incorporates corrections and/or additions to reports requested by radiologist and clinics
Scans reports into PACS for permanent retention
Maintain a calm and courteous demeanor and conduct business in a professional manner
Must know medical terminology specifically terms used in Radiology
Two to five years of experience working in a radiology clinic/department
Computer proficient

Patient Care Coordinator Resume Examples & Samples

Candidates must be able to travel approximately 50% of the time within Manhasset and Great Neck, NY
Candidates must be able to work a planned Per Diem work schedule, with no guaranteed hours. However, when needed; the position calls for the availability to work between 8:00 am – 6:00 pm, Monday through Friday
1+ year of insurance reimbursement and financial verification experience
Intermediate proficiency with Windows PC applications, which includes the ability to learn new and complex computer system applications
Must be able to accommodate 6 weeks of training, between the hours of 8 AM and 6 PM

Senior Patient Care Coordinator Resume Examples & Samples

Respond to and resolve on the first call, customer service inquires and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility and claims, financial spending accounts and correspondence
Help guide and educate customers about the fundamentals and benefits of consumer-driven health care topics to include managing their health and well-being by selecting the best benefit plan options, maximizing the value of their health plan benefits and choosing a quality care provider
Intervene with care providers (doctor's offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance when needed
Assist customers in navigating myuhc.com and other UnitedHealth Group websites and encourage and reassure them to become self-sufficient
Own problem through to resolution on behalf of the customer in real time or through comprehensive and timely follow-up with the member
Research complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues
Meet the performance goals established for the position in the areas of: efficiency, call quality, customer satisfaction, first call resolution and attendance
Ability to use Microsoft Excel to sort, filter, formulate and display data
Ability to use Microsoft Word to generate professional correspondence
Ability to work regularly scheduled shifts within our hours of operation, where lunches and breaks are scheduled, with the flexibility to adjust daily schedule, and work over-time and/or weekends, as needed
Active, Texas State Board of Pharmacy License

Associate Patient Care Coordinator Resume Examples & Samples

Function as first contact for customer service issues and resolve complex issues in a convenient care clinic
Oversee and monitor call process making adjustments as needed to meet customers’ expectations, mediate patient issues and manages the administrative aspect of the patients’ visit, ensuring that customer service standards are met
Generate and analyze purchasing, payroll, provider productivity, missing charges, staffing and any other management requested reports
1+ yrs. customer service experience
Customer service experience in the medical field

Patient Care Coordinator Resume Examples & Samples

Comfortable working Monday, Tuesday, Friday, Saturday, and Sunday 7am-3:30pm
Familiar with Cerner system
1+ year of customer service experience
Experience using a computer and Microsoft Office (Word, Excel, and Outlook)

Patient Care Coordinator Resume Examples & Samples

Remain knowledgeable of OneCare’s benefit structure. Guide members in understanding and accessing the benefits they are entitled to under Medicare and Medi-Cal, through the OneCare program
Develop rapport, establish and maintain effective interpersonal relationships with internal and external contacts at all levels. Expedite the resolution of member and Provider concerns
Communicate effectively, both verbally and in writing with individuals from varying cultural and ethnic backgrounds. Knowledgeable principles and techniques to serve populations in diverse social and ethnic groups
Facilitate communication of initial care plan to the primary care physician (PCP), PMG CalOptima and member, as indicated
Assist member in meeting their preventive care goals (i.e. HEDIS measures, Evidence Based Outcome Measure activities)
Assist member with scheduling of appointments
In collaboration with clinician and Social Workers, facilitate referrals to LTSS, behavioral health and community resources
Facilitate warm transfers to member’s assigned case manager or social worker in accordance with member needs, when appropriate
Notify member’s care team of key event triggers (i.e. transitions of Care, falls, unsafe home)
Maintains and keeps in total confidence, all files, documents and records that pertain to the operation of business of Cap Management Systems
Attends all mandatory training
One year Managed care experience (HMO, Medi-Cal/Medicare, Long Term Services and Supports and Community Health services) preferred
Preferably with proficient EzCap, Word, Excel computer skills
Ability to speak second language is preferred

Patient Care Coordinator Resume Examples & Samples

Records and processes orders and/or inquiries received by fax, mail, telephone, and/or through patient
Direct contact
Provides timely response to patients’ inquiries by telephone and/or email in an in or outbound service center, consistent with service and quality standards
Coordinates patient care by scheduling orders, communicating information to the patient regarding shipments, assessing supply needs, verifying patient information, notifying the pharmacist of issues or changes in the patient’s condition
Creates patient activities as a reminder for the following tasks including but not limited to follow-up calls for patients, to initiate discharge of service, to contact a patient's doctor's office, to mail a letter to a patient, and any other reminders necessary as it relates to a patient's care
Contacts the pharmacists to alert them of any changes in patient's condition, compliance issues due to patient not taking medication or side effects, or to transfer a patient directly to pharmacist for counseling
Complete all additional special handling duties as assigned including but not limited to drug shipment notifications and Adverse Drug Event Reports
Complete other stages of the order process as assigned including but not limited to scanning prescriptions, imagine indexing, preQA, load insurance information, run test claims, work issues and facilitate prior authorizations
Provides typed documentation of all communications received from calls and provides notification of any urgent orders, shipping related issues and any errors, complaints or compliments to the appropriate party or system
Experience entering data into databases (ex: Excel)
Basic keyboarding skills (for example: operate by touch the letter, number and symbol keys with minimal errors)
Basic Internet Explorer skills experience to include opening a browser, typing in URLs in the correct location, using a search engine, bookmarking a site, navigating using back/forward/stop buttons, and filling out forms online
Basic level PC skills experience (for example: start up and shut down computer, use mouse to point and click, start and close programs, switch between programs, save files, print documents, access information on-line, etc.)
At least 1 year of experience in call center experience
Experience in a healthcare or pharmacy setting
Experience in calculating benefit usage balances, co-pays, days of supply, and other health insurance mathematical calculations

Patient Care Coordinator Resume Examples & Samples

Act as primary liaison for UWMC/UW Medicine and represent departmental physician(s) with the hospital, patient and family, referring physicians, outside agencies, staff from outside hospitals, and the general public by providing information and advice regarding UWMC hospital services
Triage medical information in a specific medical or surgical specialty
Use effective oral and written communication with a variety of healthcare professionals, patients and their advocates, hospital and clinic personnel at UWMC and other medical facilities, representatives of insurance companies, and other organizations related to the healthcare industry
Use a variety of computer systems such as EPIC, PHS, ORCA/Mindscape, One Health Port, Microsoft Products, and Provider One
3-4 years of experience in medical settings, preferably coordinating cardiovascular subspecialty clinic care
Proven ability to multi-task and prioritize
Ability to maintain calm demeanor in stressful situations
Ability to independently assess and act appropriately on multiple situational factors
Experience working with surgeons, physicians, and other medical staff personnel
Computer skills allowing individual to manage multiple computer applications at one time
Previous work in an academic medical setting is desirable

Associate Patient Care Coordinator Resume Examples & Samples

Complete assigned work, which may include reviewing, monitoring, scheduling and completing referrals and notifies ordering providers by tasking or faxing in all pertinent systems
Schedule approximately 900 appointments per month in the IDX Touchworks system for the Cardiology Department
Coordinate scheduling, process At Risk and Expedite referrals and work with contracted network providers outside our company
Ensure demographics including insurance information are correct in IDX and updates as necessary
Work closely with the department providers, managers, supervisors, staff members and the referral department
Assist co-workers and team members with duties when requested, to include but not limited to, floating to other areas
Accurately maintain patient records, utilizing Touchworks, in accordance to HIPAA and established SMA policies and procedures
Answer all phone calls from phone queue
1+ yrs of experience in hospital, clinic or physician’s office
Bilingual proficiency in English and Spanish
Experience with IDX Touchworks scheduling

Ows-patient Care Coordinator Resume Examples & Samples

Working knowledge of hospital organization and procedures
Excellent listening and communication skills
Must develop and foster excellent client and staff relations

Patient Care Coordinator Resume Examples & Samples

Strong strategic thinking and decision-making abilities
Conflict resolution skills and ability to maintain personal composure when priorities quickly change
Demonstrates a positive attitude and overall pleasant demeanor
Full command, verbal and written, of the English language. Multilingual a plus
Strong computer skills including Microsoft Office with a strong aptitude of Excel
Communications clearly and effectively with nurses, administration, and physicians
Maintains patients files
Prepares patient treatment charts
Updates patient information
Answers telephones, orders supplies and enters physician orders
This position requires completion of a diploma or certificate course in the field of health information management, or medical terminology from an accredited provider and three (3) years prior experience in healthcare field, or an Associate’s Degree with concentration in healthcare, administration, or business and one (1) year related experience. Strong interpersonal communications and organizational skills are required. Candidate must be able to efficiently and accurately prioritize and multi-task. Candidate must have strong written and verbal communication skills

Ows-patient Care Coordinator, ED Resume Examples & Samples

Able to multi-task, and be goal and detail oriented
Works well under pressure and deadlines
Schedules appointments
This position requires completion of a diploma or certificate course in the field of health information management, or medical terminology from an accredited provider and three (3) years prior experience in healthcare field, or an Associate’s Degree with concentration in healthcare, administration, or business and one (1) year related experience
Strong interpersonal communications and organizational skills are required
Candidate must be able to efficiently and accurately prioritize and multi-task
Candidate must have strong written and verbal communication skills

Ows-patient Care Coordinator, NE M-F Resume Examples & Samples

Understands customer service as it relates to position and delivery of care
Handles administrative duties and provides back-up support with additional functions as required
Performs other Functions as required and trained to perform

Patient Care Coordinator Resume Examples & Samples

Perform assessment of clinical data received via telephonic, electronic and written transmission to determine TRICARE benefit, acuity of needs, appropriate level of care, appropriate services requested, and complete an authorization determination
Acquire and appropriately apply knowledge of TRICARE Manuals, ValueOptions® Clinical Criteria, most current DSM, URAC standards, recognized therapeutic modalities, treatment planning, pharmacology, and discharge planning when performing first level medical necessity review
Act as a resource and provides oversight and guidance and assistance to support functions assigned to non-clinical staff
Assist with special projects and other duties assigned by management
Provide assistance with calls that have been identified by non-clinical staff to be of a potential crisis situation (i.e., threaten of harm to self or others)

Patient Care Coordinator Resume Examples & Samples

Outreach to enrollees to provide assistance or guidance, such as information about out-of-pocket costs, identification of service providers, encouragement for and facilitation of preventive screenings and chronic care services
Triage to services, such as Care Management and other internal services. Works collaboratively with the ACO ICT, Network Management, and physician offices to ensure optimal patient experience and clinical outcomes
Assists in the distribution of materials to the provider's offices, such as tool kit and quality data
Assists in the enhancement of communication and care coordination between multiple physicians caring for an ACO patient
Attends network meetings such as GMM, OMM, and others
2+ years of physician office practice operations or patient customer service case management
Working knowledge of medical terminology and/or equivalent combination of education and experience
Proficient with Microsoft Word, Excel and Outlook
Experience with ACO

Patient Care Coordinator Resume Examples & Samples

Acts as a liaison between physicians, nursing staff and other departments
Answers incoming calls and routes to appropriate staff
Collects outside CT scans and pathology slides, records arrival times, and fills out appropriate requests to be read by NIH personnel
Communicates with various clinical administrative support offices/clinics/diagnostic centers concerning the scheduling of patient appointments, new and existing work scopes and clinical protocols (surgery, x-ray, etc.)
Consults with patients to schedule appointments, biopsies and surgery, and enters patient ID and demographic data into the system to update clinic and physician schedules
Arranges travel including lodging, meals and direct bill requests
Designs and sets up filing systems and office procedures
Enters/updates clinic and/or physician appointment schedule availability into the central appointment computer
Updates and maintains calendar events
Maintains roster of all patients and tracks their appointments
Provides appointment information to patients, including medical materials required, dates and times, clinic information, hospital maps, travel and hotel information
Maintains patient database, patient education folders and status board for clinic patients
Obtains up-to-date patient records and other pertinent information prior to appointments or admission
Delivers slides/blocks to pathology for review
Delivers films to library and/or to the UOB
Sets up research records for clinic appointments
Labels and files patient medical records (internal and external)
Organizes and tracks pathology slides; sends pathology slides back to originating hospital; maintains pathology mailing list; logs in and files pathology airbills; scans, logs and distributes pathology reports
Copies, distributes and files consent forms
Sends patient appointment reminders
Prepares patient protocol calendars and diaries for patients returning to clinic on protocol
Track patients discussed at the weekly UOB conference
This position it located in Bethesda, Maryland
Must be fluent in Spanish
Must be able to obtain and maintain a Security Clearance
Candidates with these desired skills will be given preferential consideration

Patient Care Coordinator, RN Resume Examples & Samples

Registered Nurse with current in-state RN license
BA/BSN degree
Computer skills, including data entry and use of data base systems

Patient Care Coordinator Resume Examples & Samples

Consults with patients and clinical staff to identify appropriate dates and type of appointments
Requests medical records from outside facilities when needed
Arranges travel, lodging, meals, and direct billing inquiries for inpatients and outpatients utilizing the Admission Travel Voucher System (ATV)
Collaborates with various clinical administrative support offices, clinic staff, and the diagnostic center concerning scheduling needs
Prepares various patient form packets required for clinic appointments including all appointment demographics and necessary paperwork
Tracks and monitors the annual renewal times for patient financial assessments
Requests social work reviews utilizing the ATV
Prepares, examines, and verifies internal reports for completeness, propriety, adequacy, and timeliness
Scans protocol data into CRIMSON, the internal database system
Files routine patient information, tests, reports, etc. into patient research records
Performs work independently under the guidance of the supervisor, physicians, nurses, and other administrative personnel
A minimum of three (3) years progressively responsible clerical experience including a minimum of one (1) year in a clinical/medical office
Knowledge of medical terminology and understanding of clinical operations in order to provide adequate patient care arrangements
Ability to identify specific requirements and criteria for each type of appointment (e.g., new, follow-up, specialty case)
Knowledge of record keeping, data management, and computer databases
Must be able to obtain and maintain a security clearance
General familiarity with requirements of clinical protocols and knowledge of special ambulatory care regulations

Patient Care Coordinator Resume Examples & Samples

Call Center experience or related customer service experience
Passion for customer service and member satisfaction
Aptitude for quickly learning and navigating new technology systems and applications
A positive attitude, flexible, and highly motivated
Ability to work 9:30am-6:00pm Monday-Friday with overtime on Saturdays as needed
Bilingual in English and Spanish - able to read, write, and speak both fluently

Patient Care Coordinator Resume Examples & Samples

Acts as liaison between company, patients, Insurances, Pharma and Provider’s office via phone, fax, and e-mail communications
Explains all company programs and services to patients and physician’s office staff including what to expect with Diplomat's specialty services, what to expect in shipments and patient's rights
Contacts patients to schedule deliveries, confirm address, inform of any co-payment involved and notify of payment responsibilities
Communicates with patients as needed based on prescription refills and refers any medication or illness related questions or concerns to a board licensed healthcare professional including but not limited to: nurses, pharmacists, or supervised pharmacy interns
Maintains documentation of calls to and from patients, caregivers, insurances, providers, and Pharma
Knowledgeable of all areas of the pharmacy industry, medical billing, or medical background is preferred
Ability to multi-task and be detail oriented
Ability to works efficiently without creating distraction or disruption to other employees
Ability to relate well and communicate effectively with other employees and patients
Ability to work well with various personalities and work as a team
Should be independent and self-motivated
Ability to work and accomplish goals with little to no supervision
Must be dependable and maintain levels of confidentiality
General knowledge of internet navigation and research
Knowledge of e-mail, fax transmission, and copy equipment are essential

Patient Care Coordinator Resume Examples & Samples

Provides support to field staff, assisting with physician orders, infection control measures that protect both staff and patient (OSHA), coordination of visits and laboratory results
Provides effective communication to patient/family, team members, physician, and other health care professionals to ensure coordination of services; provides appropriate referrals as necessary
Under direction of the RN, assists in identifying the patient’s physical, psychosocial, and environmental needs as evidenced by documentation and team report
Participates in planning and implementing plan of care and duties assisting the RN; Assists filed staff with communication between all involved parties
Current State License; LPN
Negative TB screen, and Hepatitis profile
One (1) years of experience as an LPN
Home Health/Hospice experience preferred
Proven knowledge of nursing skills performed under accepted nursing standards

Patient Care Coordinator Resume Examples & Samples

Assess and establish whether patient needs co-pay assistance
Contact patients to schedule medication delivery
Create delivery label with third party courier service
Maintain courtesy and professionalism when communicating technical information
Contribute to the team effort by accomplishing related departmental goals in an efficient, timely, and accurate manner
Demonstrated experience in customer service
Strong oral and written communication skills in English (bilingual/Spanish a plus)
Possess a high level of motivation, team orientation, and professionalism
Ability to detect problems and take prompt corrective action in a fast-paced environment
Ability to quickly learn all utilized pharmacy software systems
Proficiency in all Microsoft Office software
Quick Learner
Ability to work well with various personalities and within a team

Patient Care Coordinator Float Resume Examples & Samples

Use effective oral and written communication with a variety of healthcare professionals, patients, their advocates, hospital and clinic personnel at UWMC and other medical facilities, representatives of insurance companies, and other organizations related to the healthcare industry
Use a variety of computer systems such as Epic, PHS, ORCA/Mindscape, One Health Port, and Microsoft products
Maintain knowledge of billing and medical record documentation requirements, diagnostic tests and procedures, and specialized pre-procedure instructions with guidelines set by the department or clinic Chairperson or Medical Director
Epic skills strongly desired
Knowledge of medical terminology desired

RN Patient Care Coordinator DDU Per Diem Days-jfk Memorial Hosptial Resume Examples & Samples

Previous experience or demonstrated skills in leadership and management
Successful completion of Critical Care Course or equivalent within one (1) year
Completion of at least one (1) pre-approved RN III performance improvement activity
AB508 Recommended

Associate Patient Care Coordinator Resume Examples & Samples

Responsible for compiling, managing and sorting data to facilitate weekly IDT Conferences in each market
Communicates timely information relevant to scheduled conferences to all members of the Interdisciplinary Care Team via email, phone or fax
Ensures member notification of conference is timely and facilitates special arrangements if member requests participation
Monitors data and reporting to ensure all members are included in an annual IDTC for care plan review to maintain compliance with CMS regulations
Maintains knowledge of benefits, network, CMS regulations and WellMed policies
Conducts Provider education sessions on IDTC processes
Participates in market Patient Care Committees as needed for clerical support
Assist Clinical Care Analyst with maintenance of member data for reporting and team assignments
Maintains DM data and performs weekly reporting to the care teams within the markets and telephonic staff to assist with management of case loads
Non-clinical staff is not responsible for conducting any Care Coordination activity that requires interpretation of clinical information
Proficiency with Microsoft Office applications to include Word, Excel, Visio, PowerPoint and Outlook
Strong attention to detail and excellent organizational skills
Must have the ability to multi-task in a fast paced and deadline driven environment
Must be able to maintain professionalism and a positive service attitude at all times
Ability to facilitate process completion within specific time parameters

Patient Care Coordinator Resume Examples & Samples

Handles customer account transactions, provides customer assistance, and performs and/or oversees cashiering operations. Responsible for obtaining “expert” level knowledge of the inter-workings of various insurance plans and staying abreast of insurance plans in the process of being added, deleted or changed. Collection of co-pays, co-insurance, self-pay, fee-for-service, and payment on account
Reconciles daily cash deposit in accordance cash balance policy and procedures. Settlement of EDC credit card machines to include reconciliation of transactions against settlement
Review and identify charges for patient encounters in assigned area
Verify correct codes (CPT, ICD 9, ICD 10) are being entered into the system
Input of demographic changes and time of service information,
Preferred - One (1) year of previously related experience or Medical Receptionist certificate from an accredited institution
Ability to type and enter efficiently and accurately at 25-30 WPM
Ability to work independently and willingness to learn
Windows navigation skills
Skilled in a variety of MS Office software applications

Associate Patient Care Coordinator Resume Examples & Samples

Answers phones, provides necessary information and takes appropriate messages
Contacts various departments and clinical services, as needed
Ability to work 22.5 hours per week, 3 days per week, from 9:00 am to 5:00 pm every Thursday, 5:00 pm to 1:00 am every weekend, and have the flexibility to work occasional holidays

100

Patient Care Coordinator Resume Examples & Samples

Bachelor's degree required, preferably with an emphasis in healthcare administration, business, or related field
An equivalent combination of education and experience may be considered
Excellent communication skills, both verbal and written, are required
Ability to provide a high level of customer service is required

101

Patient Care Coordinator Resume Examples & Samples

Provide lead support and direction to front office and non-clinical staff in pulmonary practice. Function as first contact for customer service issues
Front office medical experience
Pulmonary experience

102

Associate Patient Care Coordinator Resume Examples & Samples

*Varied schedule to include 1 weekend day, 1 week day afternoon shift***
1+ years of experience working in a front office medical setting
Knowledge of Insurances (HMO, PPO, Medicare)

103

Medical Center Lead Patient Care Coordinator Resume Examples & Samples

Coordinate front office staff schedules and calendar to ensure consistent adequate coverage for patient volume
Coordinate with management for build out of provider schedules, manage any schedule changes. Add new providers and build out schedule as needed
Manage therapy pool schedule and coordinate with any use with Personal Trainers
Coordinate Weekly Progress Reports
Run daily admin audit report and coordinate update with other admin
Oversee running therapist 2 week reports –coordinate with admin contacting patients on wait list to ensure therapist schedule is maximized
Oversee management of physician referrals, ensure correct and up-to-date adding and tracking of primary care physicians. Run monthly reporting for all medical departments for Physician Consultant Coordinator
Coordinate with Membership team regarding patient guest memberships
Greet patients and answer incoming front office calls in courteous, helpful and personable manner
Patient check-in/check-out, appointment scheduling and provider notification upon patient arrival
Provider schedule modifications and communication as needed
Check front office voice mail daily
Scan and input documents to electronic patient medical charts
Oversees and is responsible for daily cash; medical supply and copay collection and payment entry
Coordinate referrals from physicians adding referring physicians to practice management system
Assist department managers in staff meeting preparation including front office related topics, tasks, training, and reports and spreadsheets as needed
Two years related experience preferred
Current CPR Certification required (From either Red Cross or American Heart Association)

104

Medical Center Patient Care Coordinator Resume Examples & Samples

Greet patients and answer incoming front office calls in courteous, helpful and personable
Register patients according to established protocols, inform patients of medical office procedures and policy
Patient check-in/check-out, schedule patient appointments
Keeps patient appointments on schedule by notifying provider of patient’s arrival: notifying provider and patient of any service delays
Maintains accurate patient accounts by obtaining, recording, and updating personal and financial information
Assists patients to complete all necessary forms and documentation including medical insurance verifications
Send faxes, mail and other patient and clinic correspondence
Reporting statistics as required
Responsible for daily cash; medical supply and co-pay collection and payment entry
Protects patients’ rights by maintaining confidentiality of personal and financial information
College degree in related field preferred
Knowledge of medical terminology, procedures and diagnosis
Working knowledge of healthcare insurance preferred
Experience in a medical environment preferred

105

Patient Care Coordinator Resume Examples & Samples

As first line of contact, will assist approximately 80-100 inbound and outbound members, providers and physician calls per day in a busy call center environment. Answer questions related to pharmacy benefits, while maintain productivity standards and performance guarantees where applicable. Responsible for ownership of customer issues and ensuring 100% follow-up to customers
Accurately obtain and enter patient information, including shipping, insurance and payment information. Provide patients with price quotes, order status, insurance verifications and proof of deliveries. Process all order changes including, order cancellations, return authorizations, reships and request for credits
Handle customer accommodations independently with good judgment and involving a Supervisor/Manager when necessary
Complete pharmacy technician functions and ensure the highest level of quality outcomes
High school diploma or equivalent; Bachelor’s degree preferred
2-3 years relevant work experience; Call Center environment or in a pharmacy setting: retail, mail order, hospital long term care, or specialty with consistent performance results preferred
Thorough, demonstrated understanding of medical/pharmacy terminology; Strong technical and interpersonal skills; Ability to adapt in a dynamic work environment and make independent decisions; Excellent verbal and written communication; Ability to adapt to change

106

Patient Care Coordinator Resume Examples & Samples

Greet and check in patients; collect and post payments at time of check-in
Send evaluations reports and plans of care to referring doctors and ensure documents are returned with signatures if required
Liaison between patient and clinical staff
Liaison between patient and insurance specialists/financial counselor, if needed
Set up new cases in medical records system
Make charts for new patients
Coordinate referrals, including setting prescriptions and authorizations
Answer all incoming calls
Provide patient service; answer questions
Reply to and complete tasks sent by treatment providers
Optimize clinic patient load through rescheduling canceled or broken appointments, filling canceled appointment time slots, and preventing lapses in patient episodes of care
Maintain cleanliness and organization in front desk area
Balance cash drawer; accurately record cash/check transactions in cash log; make bank deposits
Ensure that payments collected in collections software and medical records system match at the end of each day
Accurately utilize electronic medical records software and payment collection software
Pull charts for next day and file charts after treatment
Discharge patients in electronic medical records system
Purge and shred patient charts after discharge
Comply with published Health Insurance Portability and Accountability Act’s [HIPAA] Privacy Rules Policy and Procedures as well as Rehab Associate’s Compliance Plan
Assist other patient care coordinators and all clinic team members. This involves teamwork and the ability to get along with others in order to foster a cohesive work environment
Monitor and respond to internal email communications in a timely manner
Optimization of appointment scheduling
Policy and procedure compliance
Ability to communicate and resolve problems via excellent problem-solving skills and the scientific problem solving process
Excellent attendance record and punctuality
Strong organizational skills and ability to efficiently handle numerous tasks and responsibilities
Ability to communicate effectively with clinical professionals, patients, and other team members

107

Senior Patient Care Coordinator Resume Examples & Samples

Schedule, track and confirm various types of Nurse Practitioner (NP) home visits
Document outreach, NP visit activity and case information completely, accurately, and in a timely manner in EHR
Maintain and update team risk lists
Provide daily support to NP’s in the field as needed(confirm addresses, phone numbers, reschedules, cancellations)
Identify and update demographics, member contact info and care levels in EHR
Fax NP encounters to PCPs
Fax patient orders to vendors (i.e. lab companies)
Notify pharmacies of new prescriptions and authorizations of refills as ordered and/or authorized by the Provider
Participate in quality monitoring process and closing gaps in care as directed
Demonstrate a high level of customer service behavior at all times
Attend regular staff meetings as scheduled
Assist with gathering and organizing of appropriate medical records (e.g. history and physical, lab work, test results)
Performs other administrative and care coordination duties as assigned by supervisor
Coordinates appropriate referrals to case management staff
Demonstrates sensitivity to issues and show proactive behavior in addressing customer needs
Conducts urgency screens of new members and triages as needed
Monitors EMR for note completion and assigns patients to appropriate provider and program
Develops program reports for internal and external customer
Prepare materials for meetings
Coordinate supplies for providers in the field, ordering, distributing etc
Gather and organize information for leadership to distribute to team
Prior Healthcare experience
Prior experience with Medical Terminology
Experience working with Microsoft Word and Excel
Must have previous experience utilizing a PC
Associate’s Degree (or higher)
Experience working with chronically ill population
Strong Organizational skills
Strong Verbal and written Communication skills

108

Assoc Patient Care Coordinator Resume Examples & Samples

1+ yrs. customer service experience in an office environment
CPR certified or willing to become certified upon hire
Medical / healthcare experience

109

Patient Care Coordinator Resume Examples & Samples

Assists with the coordination of patient activities in the program, such as screening telephone calls, using discretion ascertaining the purpose of the call and demonstrating thorough knowledge of the clinical program by providing information or making appropriate referrals
Contacts Patient/Study Coordinators to set-up screening appointments
Identifies solutions for day-to-day scheduling issues by adapting processes and procedures with consideration to the coordination of patient care
Notifies patients and nursing units of date and time tests are scheduled for patients
Prepares appropriate travel and admission documents for patients
Prepares new patient workbooks for the clinic, maintains clinic charts and organizes chart room
Requests copies of films (CT Scans, PET, Nuclear Medicine Scans) for patients and has them sent to their local Medical Doctor (MD) or other treatment facility, as needed
Retrieves and sends out information for patients and their referring MDs
Coordinates with NIH Medical Records for paperwork to be filed in patient charts (e.g. PK Order Sheets, signed consents)
Sends Screening Packets as needed for emergency screens and in Study Coordinator’s absence
Coordinates and assists with the patient care aspects of the program’s clinical activities
Requests films for tumor measurement sessions weekly
Completes Procedure Request Forms and deliver them to the appropriate person or department
Schedules tests needed for study evaluation, as well as protocol-specific tests, including MRI, CT, ultrasound, EKG, x-rays, blood tests, etc
Tracks data entry time points, monitoring the time of research records in an effort to ensure timely data entry and more importantly, timely data submission to our monitoring agency
Ability to efficiently compose correspondence, prepare reports from raw data, and design/ set up filing systems
Knowledge of general scientific and safety technology and terminology

110

Patient Care Coordinator Resume Examples & Samples

Demonstrate a thorough understanding of the claims deferral process, WLEX workload system, deferral codes, WLEX template documentation, PGBA liaison and electronic communication tools, hold list, timeliness standards for processing, POS, late penalties, external and personal work list, denial codes, imaging systems, letter database, second level review, INForm system for DUT processing of claims, reconsideration and appeals, and appropriate use of the MSR system for building and reviewing authorizations
Possesses and demonstrates basic understanding of claims as they relate to utilization management (UM), specifically to ABA services. Is able to access and move through claims screens. Understands MSR system and interrelationship between MSR authorization and claims payment. Demonstrates a collegial, professional working relationship with the VO Claims Analyst and Claims Department. Shares information as appropriate across departments to facilitate deferred claims processing and completion
Ability to review ECHO referrals received through all reports, directly referred by fax, telephonic, or web based pend system. Verifies that beneficiary meets ECHO criteria. Completes referral in accordance to TRICARE policy standards
Demonstrates a working knowledge of the Comprehensive Autism Care Demonstration. For eligible beneficiaries, will authorize appropriate providers(s) for CACD services in accordance with SOP

111

Patient Care Coordinator Resume Examples & Samples

Acts as liaison between company, patients, and Physician’s office
Responsible for accepting new prescriptions and making sure all necessary information including insurance verification is available to process orders
Explains all company programs and services to patients and physician’s office staff
Communicates with patients as needed based on prescription refills and refers any medication or illness related questions or concerns to a board licensed healthcare profession including but not limited to: nurses, pharmacists, or supervised pharmacy interns
Responsible for processing of prescriptions and prescription refills through pharmacy dispensing software
Maintains documentation of calls to and from patients
Assists with prior authorizations
Refers under/uninsured patients to appropriate patient assistance programs and helps with applications
Keeps current with new treatment trends
Communicates patient status to physician’s offices/clinics

112

Patient Care Coordinator Resume Examples & Samples

Serve as the coordinator for all incoming requests for home health administration or injection training
Confirm patient eligibility based on business rules
Coordinate with agencies to identify an available nurse to service the patient, ensuring nurses have completed all pre-training requirements
Answer incoming patient and provider calls as they come into the ACD line
Work any follow-ups in your name by due date and communicate with providers regarding patient updates and changes
Accurately enter progress notes for patients so that other team members can access the status of a patient easily
Prefer at least 1+ years of experience working and understanding Insurance Verification/Benefits
Reading, writing, arithmetic, good communication skills, PC and word-processing skills, and working knowledge of the company products

113

Assoc Patient Care Coordinator, Montecito Resume Examples & Samples

Greet arriving patients and perform check - in procedures
Comply with customer services standards and billing functions to include patient check in process, cash handling and entering demographic and insurance information into system
Answer calls resolving routine issues. Accurately receive and record pertinent personal information, observing HIPPA guidelines
Schedule appointments and update demographic and empanelment information
Work on Error and bump list
Other duties as assigned to include, but no limited to, assisting coworkers, float to other areas and assist in cross training staff
Excellent computer skills in both Windows and non - Windows based applications
Experience in clinic, hospital or physician’s office

114

Patient Care Coordinator Resume Examples & Samples

Skillset in triaging patients questions to determine best path for respondent
Requires three or more years working in a hospital or medical office
Requires medical terminology background
Experience within transplant/cardiac/pulmonary
Must have experience with scheduling, testing and prior authorization (clinic visits and testing)
Experience working in high volume scheduling environment
Very organized person to manage daily expectations
Professional positive communications via telephone and in-person

115

Assoc Patient Care Coordinator Resume Examples & Samples

Answer all phone calls from 3 phone queues (scheduling, high priority and overflow)
Intake all demographic information for new patients
Update demographic information for existing patients
Request medical records from the primary care and referring physician for new patients
Schedule, reschedule and cancel patients’ appointments
Route calls throughout the office to the appropriate department
Relay messages from patients to the appropriate individual
Perform intake consultation requests from physicians for on call physician
Follow up on consultation requests until request has been completed
Work the @your service web site for HPN referrals
2+ yrs. recent medical phone scheduling experience or 2+ yrs. healthcare / medical call center experience
Computer keyboard skills

116

Affiliate Patient Care Coordinator Resume Examples & Samples

Under the direction of the Manager of Special Projects, reviews inpatient/ SNF logs and demographic information
Obtains discharge summaries and risk stratify patients
Contacts patient post discharge
Screens for urgent needs and insures that home health, etc. has arrived timely
Works with Affiliate PCP offices to arrange prompt follow-up post discharge
Other duties as assigned,
Preferred: Medical Background
Ability to multitask in a high paced environment with good organizational skills and attention to detail while maintaining the ability to prioritize
Display professional attributes through appearance and interactions with staff and customers
Ability to communicate effectively with patients and all levels of personnel in a professional, courteous and effective manner with proficient customer service skills
Must be able to display proficient telephone etiquette
Must be able to display accountability and dependability when carrying out assigned duties on a daily basis
Ability to accurately document and report findings and observations
Clinical knowledge and skills as determined by MA scope of practice
Knowledge of HIPAA regulations or ability to learn

117

Administrative Patient Care Coordinator Resume Examples & Samples

Review Electronic Health Records
Accurately log patient information
Search for documentation of medical studies
Create medical test requisitions (i.e. laboratory, imaging)
Patient Outreach
Follow - up of calls to complete the required quality gaps
Document management skills
Collaborative abilities (team player)
2+ years of experience working as an MA
Experience with medical referrals
Knowledge of Quality Metrics program

118

Patient Care Coordinator Resume Examples & Samples

Provides administrative clerical support for the day-to-day operations of the department. Contributes to optimizing customer satisfaction and the continuity and effective operation of the department
Coordinates daily patient scheduling. Responsible for providing customer focused, efficient and professional patient registration and order entry
Updates existing patient system information to ensure accuracy of demographic and insurance data. Obtains pre-authorization when needed from payor
Maintains proactive and effective communication with all members of the departmental team; communicates any concerns or issues regarding patient scheduling immediately
Responsible for the collection of physicians' orders, and in obtaining all relevant information related to the registration and order entry process
Composes, prepares and manages office correspondence, and hospital policies and procedures
Courteously facilitates and handles requests, complaints and communications with staff, physicians, and guests. Exercises good judgment, discretion and diplomacy in communications
Supports Nurse Navigators and Director in the success of the Care Assure program

119

Assoc Patient Care Coordinator, Oncology Resume Examples & Samples

Greet patients arriving into radiologic oncology clinic
Perform check-in functions within scheduling system
Responsible for benefits and eligibility
Obtain prior authorizations for office visits and simple procedures
Perform check-out functions within scheduling system
Schedule follow up appointments
Schedule imaging, lab tests etc. as ordered by medical staff
Scan and fax medical records
2+ years recent medical front office experience
Experience with electronic health records
Microsoft Office proficiency
Office experience in an oncology setting
Front office medical assistant experience
NextGen experience

120

Patient Care Coordinator Resume Examples & Samples

Coordinates and maintains open and consistent communication with with Nursing, Pharmacy and Reimbursement departments (participating in morning meetings, etc.) related to changes in status and documents in CPR+/AskAxelaCare. Assumes tasks, i.e., obtaining lab results, communicating with field RN’s/nursing agencies, verifying/authorizing insurance to facilitate the daily operations
Contacts patients regarding refills of on-going therapies, completion of 24-72 hour phone call. Reviews supply and drug needs, coordinates delivery/pick-up and updates medication profile. Documents all related interactions in the patient electronic/paper record. Refers clinical problems/concerns to the RN/RPh for review/input and resolution
Receives, reviews and evaluates the initial patient referral process. Identifies relevant ICD 9 codes/patient diagnoses, assists with data input/care plan/medication profile creation and insurance verification to assure AxelaCare services occur in a timely manner
Provides assistance with CPR+ data input. Collaborates with Nursing/Reimbursement in the tracking of Nursing notes and signed POT’s/ CMN’s/Rx’s/Patient Consents. Interacts with MD offices to facilitate paperwork
Triages incoming calls to appropriate person as indicated
Liaison for nursing agencies, where applicable
Direct patient contact involving: schedule and verify infusion appointments/drug shipments (if applicable), respond to nursing and/or customer service issues, patient financial hardships. Maintain current and accurate documentation in CPR+/AskAxelaCare
Receives and responds to patient/client questions or complaints regarding services/care rendered
Participates in QA and PI activities and branch operational meetings as requested
1+ years of experience working in an office setting using the telephone and computer as the primary instruments to perform job duties
Ability to maintain confidentiality and adhere to HIPAA requirements
Comfortable working Monday through Friday from 8:00 am - 5:00 pm with possible overtime and Saturdays as needed
Home infusion, DME, or Pharmacy experience
Intake/Insurance experience
Medical billing or coding experience
Experience with Medicaid and Medicare

121

Patient Care Coordinator Resume Examples & Samples

Greet and be attentive to 20/20, Anti-Aging, My Best 10 and physical therapy clients and co-workers
Welcome each client with a smile and be attentive to needs, make sure they are arriving on-time for all appointments
Check-in all dietitian, assessment, and doctor appointments with the Allscripts Software
Answer all 20/20, My Best 10 and Anti-Aging phone calls/voice mails and email inquires concerning current involvement or past involvement in the 20/20, My Best 10 and Anti-Aging program within 24 hours
General questions about the way the program is run
Specific questions about how to upgrade or downgrade 20/20 services and Anti-Aging
Sign up members/non-members for introductory seminars
Schedule or make needed changes to Dietitian, Assessment, and Staff Physician Appointments
Schedule Final Phase I & II cholesterol tests
Schedule 5, 10, 15, 20, and follow up assessments/consultations with the assessment team and staff physicians
Operate billing system
(Allscripts & CSI) by charging clients for contract fees
To close out till, produce the days summary, and turn in to Accounting at end of each day
Work closely with the accounting department regarding changes to memberships, contracts, and billing for all programs
Verify insurance eligibility and benefits for Medical Billing Dietitian appointments
Make daily reminder calls for Physician, assessment, charge dietitian, medical billing dietitian and initial dietitian appointments
Coordinate paperwork for sick call for cast members
Assist dietitians with projects when needed
Assist Staff Physicians with special projects
Assist with filing and copying when needed
Some experience required, preferably within a medical environment

122

Patient Care Coordinator Resume Examples & Samples

Upholds and supports the mission, objectives and policies of the TeamHealth Medical Call Center
Using approved scripting, collects patient’s responses/comments and enters the accurate, complete information in the transaction module
Displays tact and professionalism during all telephone encounters
Serve as an extension of the physician, promoting a warm, positive impression of the hospital visit and ensuring that issues related to the hospital visit are resolved
Appropriately manages the discharge patient population, ensuring timely calls (calls to be made 48-72 hours post discharge)
Creates a record of all call attempts, activities and outcomes in call center software
Thoroughly documents call conversations, including pertinent points of concern and notation of education/intervention conducted to assist the patient
Uses appropriate discretion and documentation of escalations to LPNs or Clinical Services Manager for clinical concerns/issues
Develops and maintains a positive work climate and supports the overall team efforts of the TeamHealth Medical Call Center
Openly communicates issues of concern to management team members
Works independently and efficiently, and recognizes and deals with priorities
Maintains confidentiality of all protected health information and other TeamHealth related information
Participates in staff development activities including orientation, continuing education opportunities, and staff meetings
Performs other non-clinical duties as assigned or directed

123

Senior Patient Care Coordinator Resume Examples & Samples

Resolves complex patients’ inquiries, while ensuring policies and procedures are followed
Act as Subject Matter Expert in the patient activities, including follow-up calls for patient's next order/refill, initiates the discharge of patient from services, contacts a patient's doctor's office to schedule delivery of an order, requests a letter be mailed to the patient if unable to make contact and any other reminders necessary as it related to the patient's care
Prioritizes and resolves order issues including working with shipping vendors/third party logistics to track lost or undelivered shipments and merchandise returns
Assists other departments on issues submitted through Windshield such as orders issues and processing them. Identifies urgency and coordinates resolution with any department to ensure patient care is optimal
Assists in training of new team members and ongoing staff training. May provide input to the Group Supervisors regarding employee performance
Act as Subject Matter Expert and provides timely response to internal or external customer order inquiries by telephone and/or email in an in or outbound service center, consistent with service and quality standards
Participates in Special Projects including by not limited to VIP process, Error Reporting and Rescue Reporting
Assist with reporting on patient orders
Assists with workflow management of the queues including assigning work; Assists with auditing and reporting of Patient Care Coordinators including compiling AUX reporting and order audits; Assists with scheduling as needed to ensure optimal coverage
High school Diploma/GED and at least 2 years of experience in Patient Care, healthcare, retail or customer service oriented role OR at least 1 year of experience as a Patient Care Coordinator or in a related position in Specialty Pharmacy
At least 2 years of experience providing customer service to team members and external customers, including meeting quality standards for services, and evaluation of customer satisfaction
Problem solving experience
Basic math skills including addition, subtraction, multiplication and division
Keyboarding skills basic level (for example: operate by touch the letter, number, and symbol keys with minimal errors)
Intermediate level keyboarding skills (at least 30 WPM, touch typing, formatting documents, 10-key numeric pad)
Intermediate level skill in Microsoft Excel (for example: using SUM function, setting borders, setting column width, inserting charts, using text wrap, sorting, setting headers and footers and/or print scaling)
Basic level PC skills (for example: start up and shut down computer, use mouse to point and click, start and close programs, switch between programs, save files, print documents and/or access information on-line)
At least 2 years of experience in a healthcare or pharmacy setting
At least 3 years of experience in call centers
Intermediate level skill in Microsoft PowerPoint (for example: applying a theme, formatting character spacing, inserting a picture, changing slide layout and theme colors, adding transitions, customizing slide numbers, changing chart style and/or formatting font)

124

Senior Patient Care Coordinator Resume Examples & Samples

Demonstrates great depth of knowledge and skills in own function and processing of authorizations and tasks
HS Diploma or GED with some college preferred
Proficient in medical terminology
2+ years of managed care experience
Excellent communication skills, particularly telephone skills
Self-motivated with effective critical thinking skills
General knowledge of managed care, third party payers, regulatory requirements, and government entitlement programs
Proficiency with Data Entry, on-line system applications

125

Patient Care Coordinator Resume Examples & Samples

Verify insurance eligibility & benefits
Verify copay/co-insurance
Request Prior Authorizations & Re-authorizations
Communicate with patients, account representatives, health plans, and reimbursement/billing team
2+ years of customer service experience analyzing and solving customer problems
Must be able to create, edit, save and send documents utilizing Microsoft Word and Excel
Experience working with Medicare and/or Medicaid Services
Experience working with ICD-10 and CPT codes
Experience in verifying insurance eligibility and/or benefits
Experience in prior authorization and/or re-authorization
Experience in verifying co-pay and/or co-insurance
Experience with CPR Plus
Experience in Home Infusion
Experience working in a Hospital, Physician's Office, or Medical Clinical setting
Bilingual English and Spanish (highly preferred)
Demonstrated experience utilizing communication skills both verbal and written in a professional setting
Ability to work independently as well as with a team
Comfortable with speaking to members on the phone

126

Patient Care Coordinator Resume Examples & Samples

Obtain necessary HMO/PPO referral authorizations for referrals received from other physicians
Obtain authorization from insurance plan for referrals to Specialists, as directed by our Primary Care Physician
Answer phone calls in a prompt, courteous and efficient manner

127

Patient Care Coordinator, Per Diem Resume Examples & Samples

Excellent communication and customer service
Previous experience in medical office setting preferred
Passing score of 80% or higher on Medical Receptionist test required

128

Patient Care Coordinator Resume Examples & Samples

Flexibility to customize approach to meet all types of communication styles and personalities
Expert in need identification, intake and listening skills
High degree of organizational skills and ability to multi-task
Requires strong interpersonal and communication skills to interact positively and work well with others

129

Patient Care Coordinator Resume Examples & Samples

Maintain and use supplies and equipment in a cost-effective manner
Respond to inquiries via the appropriate route (telephone, fax, or email) and forward to the appropriate individual
Experience working in Orthopaedic or Neurosurgery practice handling surgical scheduling
Demonstrated ability to work independently and multitask
Customer service experience and commitment to a positive team environment

130

Patient Care Coordinator Resume Examples & Samples

Interpersonal relations *follow through
Documentation/coding
Organization and the ability to develop and maintain rapport with the client, families and staff

131

Patient Care Coordinator Resume Examples & Samples

Scheduling experience or equivalent education/experience
Demonstrated oral and written communication skills
Expertise in use of Pathways Healthcare Scheduling (PHS)

132

Patient Care Coordinator Resume Examples & Samples

One year of clerical or customer service experience
Experience in a hospital or clinical setting
Proficiency with business software such as Microsoft Office
Experience with scheduling patient appointments
Experience in using a multi-line phone and greeting customers

133

Patient Care Coordinator Resume Examples & Samples

Minimum two years experience in a tertiary patient care setting involving interaction with a variety of medical services, contact with patients and families, and interaction with physicians
Knowledge of billing, coding and/or medical terminology
Prior experience providing a high level of customer service in a fast paced environment, including handling confidential data with discretion
Demonstrated PC skills. i.e. proficient with MS office products including Word, Excel and Outlook
Excellent organization, planning, and prioritization skills; able to manage multiple tasks and competing priorities
Knowledge of insurance authorization process
Preferred qualifications for this position include
BA/BS Health Related field
Nursing or Medical Assistant Certification

134

Optumcare Patient Care Coordinator Resume Examples & Samples

Participate in weekly interdisciplinary care team meetings, including prepare patient census report, maintain an accurate log of follow-up items
Perform outreach calls to patients to enroll in palliative care
Coordinate care for palliative care patients, including community resources, hospice, home health and durable medical equipment
Facilitate the communication of patient medical records and visit notes with collaborating healthcare providers and partners
Answer the telephone during regular business hours, respond to patient, family and provider inquiries and triage to team members as appropriate
Review off hour message log and confirm call was received by appropriate team member
Schedule initial patient visits, place pre-visit reminder calls and support rescheduling as needed
Conduct patient satisfaction surveys for performance measurement
Assist with mailing educational resources and marketing materials to patients and families, upon request
Office budget management and oversight, including support for clinician travel expenses
Document in the clinical management system
Sort all incoming mail for distribution, dispatch outgoing mail, and re-address undeliverable mail bearing incomplete or incorrect address
Basic (or higher) level of computer skills, with knowledge of Microsoft Office, including Word, Excel and Outlook
Bilingual or multilingual fluency, including the ability to read, write & speak

135

Associate Patient Care Coordinator Resume Examples & Samples

Greets patients and / or visitors to the department
Interviews patients and / or significant others and obtains relevant demographic and insurance data; obtains necessary signatures
Ability to work 37.5 hours per week, Monday through Friday, from 9 to 5

136

Patient Care Coordinator Specialty Rx Resume Examples & Samples

Maintain a neat and clean work environment to ensure company and government requirements are met. Remove out of date/expired medications using proper company procedures
Utilize all pharmacy systems to review patient profile, set up delivery, enter changes and establish assessment schedule
Initiates proper follow-up so patients therapy is not disrupted
Ability to probe and problem solve on behalf of the patient/customer, including transferring the call to the correct team member for resolution
Act as a liaison with contracted delivery service to track shipments, re-route shipment if needed
Gets Things Done
Conflict Resolution
Continuous Learner
Presentation & Verbal Communic

137

Patient Care Coordinator Resume Examples & Samples

High School Diploma / GED or higher
Comfortable working Monday-Friday from 11am-8pm with some weekends and holidays as needed
1+ years of customer service experience
Experience with Electronic Health Records (EHR)

138

Senior Patient Care Coordinator Resume Examples & Samples

Knows, understands, incorporates, and demonstrates the Optum360 and client Mission, Vision, and Values in behaviors, practices, and decisions
Demonstrating excellent customer service skills by facilitating communication between the hospital facilities and the payers
Demonstrating effective assessment skills relative to providing adequate documentation and/or response as requested and / or required by the payers
Accommodating payer requests for clinical reviews and Medical Record
Facilitating verbal discussion between the respective facility and the payer, as required
Becoming knowledgeable of payer assigned time frames
Understanding specific payer UM details
Collaborating and alerting facility Case Managers of: Additional payer needs, Requests for concurrent or retrospective review, Physician Advisor review
Providing support in the certification process to ensure timely authorization of inpatient days followed by timely and accurate documentation
Providing communication and / or documentation, as required, in order to ensure concurrent certification and payer updates via MIDAS
Facilitating the scanning, copying, and mailing of documents for deferred cases or for cases involved in a concurrent clinical appeal
Performing tasks within MIDAS to ensure documentation of TAR and commercial clinical denials
Tracking Medicaid / Medi-Cal cases to ensure timely receipt of any concurrent appeal decision by the payer
Monitoring payer and State portals and websites for documents related to commercial certification, Treatment Authorization Request (TARs), and Service Authorization Request (SARs)
Analyzes and displays data in meaningful formats; develops and communicates policies / procedures and other business documentation; conducts special studies and prepares management reports, including key performance indicators as they relate to the division (waiting / service times, staff productivity, accuracy, patient satisfaction, customer feedback, incident reporting, etc.)
Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Optum360’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior
Other duties as needed and assigned by the Manager
5+ years of experience in Acute Care Facility or Centralized Business Office performing one of various functions including Billing / Coding, Balance after insurance or self-Pay Collections, Appeals processing, Patient Access Department Patient Scheduling, Pre-Service / Financial Clearance, Registration, Financial Counseling, or other functions related to revenue cycle activities in a complex, multi-site environment
Experience using Microsoft Office (Word, Excel, and Outlook)
Knowledge of Medical Terminology through college level coursework or at least 2 years of on-the-job training
Basic knowledge of ICD-9 (10) and CPT coding
Maintains current knowledge of processes and systems, regulatory and 3rd party payer issues and requirements
5+ years of substantial experience and career growth in a Revenue Cycle role
Certification within Healthcare Financial Management Association (HFMA) and / or the National Association of Healthcare Access Management (NAHAM)
Bachelor’s in Healthcare Administration, Business Administration, Finance, Accounting, or a related field

139

Medical Assistant / Patient Care Coordinator Resume Examples & Samples

Familiarity with universal precautions, handling of bio-hazardous waste, specimen identification and transport. Experience using standard exam room medical equipment and computers
Strong oral and written communication skills to effectively communicate with patients of varying ages and multicultural backgrounds. Strong interpersonal skills. Must demonstrate customer service skills appropriate to the job
Must possess the skill, knowledge and ability essential to the successful performance of assigned duties. Ability to maintain a work pace appropriate to the workload. Ability to work well in a constantly changing environment
Flexibility to work at various clinic sites in the inland empire and different work shifts, including evenings, weekends, and holidays. Travel will be required between practice sites and administrative offices
Current Medical Assistant Certification
Bilingual-English/Spanish
Work experience in a neurology, pain management, women's health, and/or primary care clinic setting

140

Patient Navigator / Patient Care Coordinator Resume Examples & Samples

Associate Degree required; in lieu of degree four years of progressive medical hospital or office experience in insurance, coding and/or clinical
Seven (7) years of progressive medical office or hospital related experience preferably in patient care or healthcare administration
Advanced knowledge of anatomy and medical terminology
Strong communication, prioritization and organizational skills
Ability to work in a team environment; flexibility, adaptability, integrity, and interpersonal skills
Excellent professional customer service skills
Must be able to work independently, in a high stress environment and on multiple tasks simultaneously
Interpret and coordinate physician’s orders to schedule diagnostic tests, procedures, and/or clinical services. Act as liaison between the provider, internal and external medical staff in order to relate orders, procedures, and/or care plan to patient
Coordinates and schedules appointments across multiple modalities for patients to ensure seamless delivery of care. Schedules/reschedules patient appointments. Provides patient with pertinent information regarding preparation for services and schedule. Will interview patient/family prior to or on the first visit to verify demographics and financial information
Acts as the primary contact, orients and educates patient and their families by providing information regarding the care plan and facility information. Ensures patient understand every aspect of procedures, test and/or services being provided in a clear and accurate manner. Assist with resolutions of any issues, complaints or patient/family concerns regarding services
Coordinates an organized and efficient case flow, manages and revises all department scheduling templates, coordinates with clinical staff to work in, add-on patients and coordinate physician time preferences
In collaboration with management will coordinate and develop processes to improve patient throughput in order to create a seamless one-stop experience for the patients will educate clinical staff on new processes
Extract and collect data to report back to management

141

Patient Care Coordinator Resume Examples & Samples

Scheduling, registration and authorizations for Solid Organ Transplant Program
Obtain demographic/insurance information
Prepares Educational materials and resources for patients Updates patients, Transplant staff with appointments, contacts patients by phone and correspondence
Obtains medical records that include laboratory studies, diagnostic testing and consults for outpatient clinics. Follow up on pending test results as directed by physicians. Prepare Liver Outreach clinic by pulling charts and obtaining most recent laboratory data, medical records and diagnostic studies
Must be able to work independently and cooperatively with referring physicians and a multi-disciplinary team and take initiative when appropriate
Update charts for the pre and post-transplant patients on a daily basis and compile new patient medical charts
Fax prescriptions, standing lab orders, medical records, referrals and insurance authorizations
Works cooperatively with referring physicians, surgeons, hematologists, transplant coordinators, and social workers on a regular basis to assure that all participants remain informed
Accepts and performs other job-related duties as assigned by managers
3-5 years progressive experience working in a medical office or hospital setting. Computer and Internet skills and experience required - familiarity and comfort with MS Office products is essential. Financial Accounting policies and procedures, including (Word, Excel, PowerPoint and EPIC, Database.
Computer literacy in multiple programs such as EPIC, Patient Accounting, PowerPoint, Word, Excel
Must be well organized, accurate, work independently, and communicate effectively
Demonstrated ability to exercise good judgment and use of discretion in confidential situations
Demonstrated ability to independently seek out and obtain information
Excellent problem solving skills with the ability to prioritize multiple and diverse tasks
Ability to work effectively with individuals at all levels of the organization
Knowledge of principles and practices of customer service and telephone courtesy
These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education, or licensure/certification

142

Patient Care Coordinator Resume Examples & Samples

Data entry related to admissions, discharges and referral requests into online system as well as processes existing requests within established timeframes
Verify benefits and eligibility
Efficiently navigates and utilizes computer data entry programs not limited to: Practice Connect, Microsoft Office Outlook, Word, and Excel, Right Fax, Adobe Standard for fax attachment process
Face to face meetings with members in a clinic setting 2 days a week
Actively participates in in-services, training, staff meetings, and other departmental meetings / committees consistent with Monarch HealthCare core ideals and values
1+ years of experience working in healthcare / medical setting
Experience with Microsoft Office-word, outlook, excel
Experience as an medical assistant
Previous experience working telephonically

143

Patient Care Coordinator, Oncology Resume Examples & Samples

Provide lead support and direction to front office and non - clinical staff. Function as first contact for customer service issues
Oversee and monitor impanelment and call process making adjustments as needed to meet customers’ expectations, mediate patient issues and manage the administrative aspect of patients’ visit, ensuring that customer service standards are met
Complete daily deposit. Accountable for adherence to business compliance audits criteria
Develop and oversee efficient customer service processes including waiting room management
Responsible for compliance requirements as dictated by clinic needs
Function as safety representative and completes monthly building safety inspections and submits appropriate maintenance requests as needed
Microsoft Office experience

144

Patient Care Coordinator Resume Examples & Samples

Prepare rooms for procedures and room clients
Assist with photo management and education of products and services
Coordinate follow up appointments and pre/post care in collaboration with providers and fellow team members
Conduct patient calls for appointment reminders and follow up after appointments to enhance the customer experience
Provide coverage for reception and support clinic events
Staff table in club to educate members regarding services offered
Serve as a brand ambassador to members and the surrounding community to promote aesthetic services and programs
1-2 years of sales or retail experience required
Aesthetics, Med Spa, Dermatology or Plastic Surgery industry experience preferred
Friendly team player that can take initiative and provide high quality patient experience
Strong communication skills with attention to detail

145

Patient Care Coordinator Resume Examples & Samples

Verifies all financial / insurances information and charge into appropriate system
Keep abreast of current insurance regulations in order to provide assistance to patients
Candidates must be able to work a planned Per Diem schedule, with no guaranteed hours. However, when needed; the position calls for the availability to support the day and evening shift (5 AM - 11 PM), various days
Some college or higher

146

Patient Care Coordinator Resume Examples & Samples

As first line of contact, will assist approximately 80-100 inbound and outbound members, providers and physician calls per day in a busy call center environment
Answer questions related to pharmacy benefits, while maintain productivity standards and performance guarantees where applicable
Call Center environment or in a pharmacy setting: retail, mail order, hospital long term care, or specialty with consistent performance results preferred
Pharmacy Technician Certification: National preferred, State license a minimum
Thorough, demonstrated understanding of medical/pharmacy terminology; Strong technical and interpersonal skills
Ability to adapt in a dynamic work environment and make independent decisions

147

Patient Care Coordinator Resume Examples & Samples

Conduct interviews to obtain demographics, insurance information etc. and enters data into the registration system
Communicates the Collection Policy to patients. Collects and documents co-pays and/or deductibles received at point-of-service
Obtains appropriate signatures on medical, legal and financial forms. Prepare charts, registration forms and print identification chart labels and patient identification wristband. Forward required items to patient care unit
Uses Teletracking to assign beds for maternity patients
Escort all patients to the patient care unit post registration
Use Surgical Information System (SIS) to retrieve scheduled surgical, cardiology and pre-surgical testing cases
Perform a variety of diverse office/clerical duties supporting the department's operations; including, but not limited to, answering telephone, maintaining files, sorting mail, keeping inventory of supplies, and informing management of all activities, needs and problems
Experience with Microsoft Word (create correspondence and work within templates), Excel (data entry, sort/filter, and work within tables), and Outlook (email and calendar management)
Candidates must be able to work 37.5 hours per week. They will work Tuesday through Friday, from 11 AM to 7 PM, and then Saturday from 8 AM to 4 PM. Candidates must also have the flexibility to adjust daily schedule and work over-time, weekends and holidays as needed
Proficient keyboarding skills with the ability to type at least 40 WPM
Associate's or Bachelor's Degree (or higher)
Experience in Hospital, Physician's office setting, Healthcare Insurance Company, revenue cycle vendor and/or other revenue cycle-related role
Understanding of Insurance Policies and Procedures
Previous experience in EMR (Electronic Medical Records)
Clerical experience

148

Patient Care Coordinator Resume Examples & Samples

Provide the highest level of customer service is provided to patients, fellow employees and referral sources
Obtain accurate insurance information, including eligibility and benefits, verification and pre-authorization
Provide counseling to patients advising them of their financial responsibility once benefits have been verified
Obtain any and all co-payments and over-the counter cash when applicable. Complete cash receipts per guidelines
Maintain accurate and complete patient files, ensuring that they are in compliance with the Hanger Compliance Policies
Ensure the privacy and security of protected health information per HIPAA rules
Assist with patient follow-up as directed
Assist with quality assurance to ensure patient satisfaction with Hanger Clinic services as necessary
Comply with the system of internal controls to ensure proper handling of cash receipts, including billing system data entry and bank deposits
Enter patient demographics and insurance verifications as appropriate
Efficiently manage multiple phone lines
Record written documentation that is clear, concise and accurate
File all patient charts and other documentation, following established guidelines
Coordinate scheduling of clinician schedules to ensure proper coverage of patient appointments and out-of-office calls
Process and monitor referrals/authorizations/prescriptions to ensure complete and final information is received in a timely manner
Strong interpersonal, oral (including telephone) and written communication skills
Ability to key 30 words per minute with accuracy required
Ability to work with handicapped individuals
Understanding of Alpha filing system
Understanding of medical reimbursement and terminology and an understanding of front office (receptionist) duties preferred
Ability to use all necessary office equipment, facsimile machines, calculator, postage machine, copier, etc
High school diploma or equivalent combination of education and experience required
Minimum one to two years of office experience required. Experience in a receptionist position or experience with medical front office procedures preferred
LPN or BSW strongly preferred

149

Patient Care Coordinator Specialty Rx Cranberry Township Resume Examples & Samples

Model excellent patient care by respecting, engaging and enthusiatically meeting or exceeding all patient and physician needs
Adhere to all company, state and federal policies, laws and regulations including HIPAA
Explains benefits and financial responsibilities and supplies financial assistance contact information
Follows assessments to ensure patient care is optimized (patient on hand quantity of medicine, correct address, insurance changes, side effects)
Assist team members with tasks to ensure department runs efficiently
Adaptability
Customer Focused

150

Patient Care Coordinator Resume Examples & Samples

Registered nurse with a current state license
Minimum two (2) years experience as staff nurse in an acute care hospital or home health agency
Minimum one (1) year supervisory experience
Must have 24-hour access to a reliable motor vehicle and must maintain a valid driver's license and maintain automobile insurance that complies with state and company regulations
Ability to assess and respond to the needs of patients and families in a home setting
Skilled in nursing practices
Ability to cope with family emotional stress
Tolerant of individual lifestyles
Must be able to maintain confidentiality regarding patient and company proprietary information
Must possess computer skills at a level necessary to accomplish the job

151

Lead Patient Care Coordinator Resume Examples & Samples

Schedules patient appointments including office visits (consult and follow up) and non- invasive testing pursuant to PPS’s & CCM outpatient scheduling policies and procedures
Identifies patients’ important needs, answers to their questions, and assists with informed patient decisions that may arise prior and/or post office visits/testing appointment time
Provides detail patient educations/instructions as directed and in conjunction with CCM physicians, nurses and other clinical staff
Interacts with involved CCM clinical team members to expedite and facilitate scheduling and completion of testing, procedures and office visits; maintains ongoing communication regarding variance from the care plan in regards to scheduling
Collaborate with clinical and non-clinical staff and other members of the patient's health care team to develop an individual action plan to meet the patient's current needs
Communicate and coordinate with patient, appropriate members of patient's health care team in developing, executing and reviewing results of care coordination efforts
Consistently meets or exceeds PPS / CCM department productive benchmark (scheduling volumes, call volumes, accuracy of the appointment scheduled, documentation, etc.)
May also act as back-up to subordinate staff and/or carry workload similar to a Patient Care Coordinator
Respond to escalated telephone calls from patients
Ensures patient satisfaction is obtained by answering questions, resolving more complex issues and using proper phone etiquette
Remain available, during shift, as directed by Supervisor to meet incoming call volume
Effectively communicate with patient and referral sources to ensure complete resolution
Schedules, coaches, and organizes work assignments
Ensures work is performed accurately, efficiently, and timely
Provides training for new employees
4 – 6 years’ related customer service experience
Excellent project and time management skills
Ability to interact with, support, and influence positively the behavior and activities of physicians

152

Senior Patient Care Coordinator Resume Examples & Samples

Coordinates member education on evidence-based guidelines through educational mailings, community-based events and direct outreach calls
Coordinates physician education through in-service trainings and transparency of data
Coordinates meetings, prepares agendas, assembles presentation materials, and other supportive duties as assigned
Supports continuous quality improvement initiatives through research and testing of initiatives to assess success and scalability
Manages data entry into the quality reporting database, analyzes data integrity and works with provider offices to provide support / education on correct use of the application
Helps prepare and coordinate data validation audits
Attends conferences and meetings related to HEDIS/ Pay-for-Performance / CMS Stars/ ACO Quality Reporting as required
1 year of experience in healthcare setting
Experience with project coordination
Experience with reporting and analysis
Proficient in MS Office: Word, Outlook, Excel
Ability to travel locally up to 25%

153

Patient Care Coordinator Relief Resume Examples & Samples

High school diploma or equivalent. Medical terminology training
Prior employment in customer service and a health care environment preferred
Articulates and demonstrates commitment to the philosophy, values, mission and vision of the organization

154

Patient Care Coordinator Resume Examples & Samples

Respond to and resolve on the first call, patient service inquires and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility and claims, financial spending accounts and correspondence
Intervene with care providers (doctor's offices) on behalf of the patient to assist with appointment scheduling or connections with internal specialists for assistance when needed
Own problem through to resolution on behalf of the patient in real time or through comprehensive and timely follow-up with the patient
Research complex issues across multiple databases and work with support resources to resolve patient issues and/or partner with others to resolve escalated issues
Provide education and status on previously submitted pre-authorizations or pre-determination requests
1+ year phone Customer Service experience
6+ months Pharmacy experience
Ability to create, edit, copy, send, and save documents and correspondence in Microsoft Word
Bilingual Fluency in Spanish and English

155

Patient Care Coordinator Resume Examples & Samples

Answer inbound calls from patients and providers regarding appointments and general inquiries
Refer calls to nurse triage team according to protocols
Track appointments and document information completely, timely, and accurately
Make outbound calls to remind patients of appointments or to coordinate resolution of care opportunities with patients, providers, and pharmacies
Escalate transactions when defined by protocols
Demonstrate active listening and empathy in all interactions
Demonstrate effective communication through proper tone, pace, volume, grammar, and pronunciation
Demonstrate courtesy in each interaction
Control the interaction to ensure each of the consumer?s inquiry is handled completely and efficiently
Meets key performance goals established including quality and attendance
Maintain confidentiality and adhere to HIPAA requirements
Must have good attendance record
1+ year of telephonic customer service experience, handling moderate to complex transactions
1+ year of healthcare experience, including familiarity with medical terminology
Must be able to navigate a PC and open applications
Basic knowledge of Microsoft Excel
Ability to work a flexible schedule, including evenings, nights, weekends, and holidays
Experience working in a physician, provider, and/or medical office

156

Patient Care Coordinator Resume Examples & Samples

Supervises and works in conjunction with the staff to provide the highest standards of care for the patients
Ensures the quality and appropriateness of care, the availability of services, and appropriate staffing for patient care
Provides leadership and assistance to all staff members regarding patient care issues
Ensures that staff members have an understanding of state and federal regulations and company policies and procedures
Implements the Quality Improvement Plan and/or Risk Management activities for the Hospice to assure the delivery of quality service
Participates in rotating on-call
Ensures protection of confidential information that is stored, handled or maintained by following Company policies and procedures related to confidentiality and/or HIPAA regulations
Ensures that staff members provide requested / updated personnel / needed information in a timely manner

157

Patient Care Coordinator Resume Examples & Samples

1+ years of experience using a computer and Microsoft Office including Microsoft Word (creating and editing documents), Microsoft Excel (formulas and vlookup), and Microsoft Outlook (create emails and schedule meetings)
Available to 9:00 am - 5:30 pm Monday through Friday, some Saturday's, and overtime (rare but possible during weekend, as needed)
Current Pharmacy Technician license in the State of Florida

158

Associate Patient Care Coordinator Resume Examples & Samples

Handling a high telephonic volume
Determining and collecting patient financial liability
Discussing and making payment arrangements when applicable
Escalating accounts when necessary
The Patient Registration Representative adheres to the organization's policies and procedures for resolution of patient financial liability
Additionally, the Patient Registration Representative is an information source for patients and families by explaining hospital policies, patient financial responsibilities and Patient Rights and Responsibilities
Properly identifies the patient to ensure medical record numbers are not duplicated
Collects and enters required data into the ADT system with emphasis on accuracy of demographic and financial information in order to ensure appropriate reimbursement
Work is typically reviewed by others
1+ years of Data Entry experience
Ability to work 9:30 am - 6:00 pm Monday through Friday
Previous EMR Knowledge
Knowledge of Medical Terminology

159

Patient Care Coordinator Resume Examples & Samples

Accurate, timely and organized maintenance of facility database
Coordination of communications between Appeals team and local market staff
Researching issues and customer concerns
Demonstrates understanding of CMS compliance guidelines for NOMNC delivery, and awareness of and adherence to HIPPA guidelines, as all notices must meet compliance guidelines and HIPPA requirements
Demonstrates understanding of relevant computer systems, applications, and platforms
Demonstrates ability to identify and exceed customer expectations and improve the customer experience by responding in a timely and professional manner to all requests and concerns. Consistently meeting commitments to customers, as well as escalating customer feedback when appropriate and building strong relationships
At least intermediate proficiency with MS Excel and the ability to conduct data entry, use sort / filter functions, and create / edit spreadsheets
Experience with MS Word and the ability to create, edit and send documents
Experience with MS Outlook and the ability to send / receive emails
Experience working in a metric driven environment, where goals are needed to be met on a daily / weekly / monthly basis
Ability to work between 6am to 4pm Pacific Time
Experience working in a team environment and the ability to collaborate with others
Prior telecommuting experience
Self-motivated, ability to work with minimal supervision
Ability to maintain metrics

160

Patient Care Coordinator Resume Examples & Samples

Manage & track HSE funding applications for new patients & order numbers for new prescriptions (ROI)
Set up new patients and maintain existing patient data in JDE and Siebel Homecare
Irish Leaving Certificate (UK A Level Equivalent)
Minimum 2 years Customer Service experience
Tenacious
Confident telephone manner
Friendly, professional manner
Comply with regulations and standards and protect Baxalta/Shire’s public reputation

161

ACO Patient Care Coordinator Resume Examples & Samples

Develops strong relationship with ACO practices
Acts as a resource for physicians and staff regarding ACO operations, network provider options, and systems
Outreaches to enrollees to provide assistance or guidance, such as information about out-of-pocket costs, identification of service providers, encouragement for and facilitation of preventive screenings and chronic care services
Triages to services, such as Care Management and other internal services. Works collaboratively with the ACO ICT, Network Management, and physician offices to ensure optimal patient experience and clinical outcomes
Researches benefit issues and communicates findings to patients and providers
Assists in the distribution of materials to the provider’s offices, such as tool kit and quality data
Assists in the development of solutions for provider offices, to enable more operational efficiency and effectiveness as they care for ACO patients
2+ years of experience working in a healthcare/ medical office setting
Experience with Microsoft Office- Word, Outlook, Excel
Previous Sales experience
Experience working with Medicare patients
Experience with high volume calls

162

Associate Patient Care Coordinator Resume Examples & Samples

Enters patient pre - registration, registration or admission information into computer; verifies accuracy
Must be able to work 37.5 hours per week, from 10:00 AM to 6:00 PM, four days a week and every other weekend (one Saturday and one Sunday). Must also have the flexibility to adjust daily schedule and work overtime, weekends and holidays as needed
Customer service experience in a medical setting
Experience with Windows PC applications, which includes the ability to learn new and complex computer system applications
Must be comfortable in high - stress, fast - paced environments

163

Patient Care Coordinator Assistant Resume Examples & Samples

Sends information to patients as directed
Routes medical records and compiles chart
Requests and receives diagnostic films and pathology slides as directed
Performs Intake Liaison duties as needed, including but not limited to, routing and delivering medical records and other information to the clinics
Provides telephone coverage for SCCA Reception on a limited basis
Performs other duties as needed
Minimum of 1 year administrative/customer service support in a professional environment
Ability to work independently, organize and prioritize concurrent responsibilities and demands
Ability to communicate verbally in person, on the phone, and in writing in a clear and concise manner
Proficient in the use of word processing (MS Word), email (Outlook), and data entry in a Windows-based environment
Ability to work in a high pressure, deadline oriented, and complex health care environment
Ability to review work to identify and eliminate errors and omissions

164

Senior Patient Care Coordinator Resume Examples & Samples

Completes the notification in the software program
Ensures / verifies the member is eligible and qualifies for the skilled benefit
Benefit determination for all our facilities, covering the entire stat by ensuring appropriate utilization and consistent application of the benefits
Benefit determination: involves receiving electronic assessment tool from the field Practitioners and ensures correct contract for each provider
Notifies Long Term Care Facility designated staff, providing the skill details both telephonically and electronically
Ensures review / discharge dates are timely
Utilizes effective communication skills, demonstrating the ability to speak and write clearly and to listen actively
Demonstrates ability to identify and exceed customer expectations and improve the customer experience by responding in a timely and professional manner to all requests and concerns
Consistently meeting commitments to customers, as well as escalating customer feedback when appropriate and building strong relationships
Experience with Microsoft Excel with the ability to create/edit spreadsheets, use sort / filter functions, and utilize data entry skills
Experience using Microsoft Word and Microsoft Outlook in a professional environment
3+ years of administrative or clerical responsibilities in a professional environment
Familiarity with Microsoft SharePoint
Experience in health related telephonic customer service setting
Ability to utilize a Windows PC and learn new applications easily
Ability to work with changing priorities and workloads
Ability to take initiative and apply critical thinking skills
Ability to function independently and responsibly with minimal need for supervision
Excellent communication skills and appropriate phone etiquette
Ability to build and maintain relationships with clients, both internal and external

165

Patient Care Coordinator Resume Examples & Samples

Collects medical and patient data such as diagnosis, treatment, proof of eligibility, and insurance verification; submits claims to a wide variety of payment sources, including Medicaid, Medicare, and other third-party reimbursers; and prepares correspondence for collection of accounts
Verifying patients’ insurance coverage
Handling collections on unpaid accounts
Prepares and submits clean claims to various insurance companies either
2-3 years of medical billing experience in a medical office setting
3 years Customer Service experience

166

Patient Care Coordinator Resume Examples & Samples

Current licensure in the state of Montana as a Registered Nurse (RN)
Basic Life Support (BLS) for Healthcare Providers Certification
Medical/surgical experience
Experience in an Oncology setting

167

RN Patient Care Coordinator for Cardiac Cath Recovery Resume Examples & Samples

Minimum of three (3) years clinical experience, preferably with cardiac background, and a minimum of two (2) to three (3) years utilization management experience, are required
Effective verbal and written communication skills required
Demonstrated ability to use a computer system, including word and spreadsheet packages, to manage, analyze and interpret financial information
Licensure as a Registered Nurse (RN) in the state of Maryland, or eligible to practice due to compact state agreements outlined through the MD Board of Nursing, is required

168

Patient Care Coordinator Resume Examples & Samples

Label all UOB patient medical record (internal and external) notes with patient Medical Record number
Print and submit to Medical Records for filing
Organize and track pathology slides; send pathology slides back to originating hospital; keep pathology mailing list up to date; log in and file pathology air bills; scan, log and distribute pathology reports
Copy consent forms after clinic and distribute to UOB Research Nurse; mail to patient; file into patient’s chart and deliver original to Medical Record department
Collect outside medical records, including radiology images and pathology slides to be read by NIH personnel
Return path slides to Histology lab and pick up new pathology slides
Enter patient travel authorizations (ATV’s) daily
Prepare and provide detailed schedules for patients
Ensure patient is educated regarding pre‐operative studies and procedures
Confirm all necessary pre‐operative tests/studies have been ordered and completed
Notify clinical staff of patients who call to cancel and/or reschedule surgeries
Coordinate off‐site registrations and obtain medical record numbers for patients using the SOP
Perform tracking on new patient calls
Enter/update surgery and/or post‐operative follow‐up appointments into the surgical/clinical calendar
Maintain calendar with current updates for the weekly Radiology Conference
Schedule imaging studies and consults needed prior to surgery, such as: neurosurgery, endocrinology, cardiology, and internal medicine
Confirm appointments in CRIS system
Reschedule surgeries (only as instructed by clinical staff)
Submit inpatient unit and day hospital pre‐admit forms prior to patients’ arrival
Experience working with all levels of medical staff
Experience scheduling surgeries in the Operating Room (OR)
Experience scheduling in Cardiology

169

Patient Care Coordinator Resume Examples & Samples

Triage calls from referring physicians, patients, family members, and others wishing to access care at SCCA
Requests medical records from referring physicians and outside institutions, reviews them for content and completeness, and organizes them into designated categories for clinician review
Schedules and coordinates patients’ appointments
Collects and enters patient demographic and insurance information and enter into registration databases
Assists with the financial clearance process as necessary
Receives and responds to patient feedback
Responds to other patient requests as appropriate
Distributes work to the Patient Care Coordinator Assistant I or II as appropriate
High school graduate or equivalent, Bachelor’s degree (BA or BS) preferred
Minimum of 2 years’ experience in a patient care setting preferred
Ability to work independently, organize, and prioritize concurrent responsibilities and demands
Proficient in the use of word processing (MS Word), email, and data entry in a Windows-based environment
Ability to solve complex problems and meet patient needs
Experience with Epic or other scheduling and registration software preferred

170

Patient Care Coordinator Resume Examples & Samples

Oversee and monitor empanelment and call process making adjustments as needed to meet customers’ expectations, mediate patient issues and manage the administrative aspect of patients’ visit, ensuring that customer service standards are met
2+ yrs. experience in a medical clinic, physician’s office, dental office or hospital
Knowledge of benefits and billing

171

Assoc Patient Care Coordinator Resume Examples & Samples

Greet patients and check patients in and out. Ensure demographics including insurance information is correct in IDX and update as necessary
Manage patients’ expectations about visit and ensure visit and referral process are understood
Schedule appointments as necessary. Work with back office to get patients seen who walk in or call for appointment
Answer telephones and take messages or routes incoming calls as per Southwest Medical policy. Document all calls and messages appropriately according to policy. Ensure that issues such as refills and provide request are taken care of

172

RN Patient Care Coordinator Resume Examples & Samples

Identify and refer quality issues to Quality Improvement
Document, identify and communicate with Health Partners, Care Managers and Discharge Planners to establish safe discharge planning needs and coordination of care
Provide guidance to and assist with oversight of LPN and LISW medical management staff
Assist Team Leader with special projects or research, as requested
Completion of an accredited registered nursing (RN) degree program is required
Med/surgical acute clinical care experience is preferred
Medicaid/Medicare/Commercial experience is preferred
Two (2) years utilization review and/or case management experience is preferred
Familiarity of the healthcare field
Change resiliency

173

Patient Care Coordinator Resume Examples & Samples

Prospective, retrospective and concurrent review of inpatient admissions, outpatient procedures, homecare services and durable medical equipment
Coordinate care and facilitate discharge to an appropriate level of care in a timely and cost-effective manner
Identify and refer appropriate members for Care Management
Provide guidance to non-clinical medical management staff
Attend medical advisement and State Hearing meetings, as requested
Completion of an accredited physical therapy (PT), occupational therapy (OT), or speech language pathology degree program is required
Minimum of three (3) years clinical experience is required
Medical management experience is preferred
Basic data entry skills and internet utilization skills
Knowledge of Microsoft Word, Excel and Access
Proper grammar usage and phone etiquette
Customer service oriented

174

Patient Care Coordinator Emergency Department Resume Examples & Samples

Must be proficient in the work of a Registered Nurse
Demonstrates excellent communication and collaboration skills
Demonstrates an ability to defuse challenging situations in a professional manner
Ensures frequent patient rounding is conducted per unit protocols

175

Per Diem Patient Care Coordinator Resume Examples & Samples

Register patients according to the department policy and procedures
Enter patient information into appropriate system
High School Diploma / GED
1+ years of insurance reimbursement and financial verification experience
Ability to work a planned Per Diem work schedule, with no guaranteed hours
Ability to create, edit, copy, send, and save documents, correspondence and spreadsheets in Microsoft Word, Microsoft Excel, and Microsoft Outlook
Ability to travel approximately 50% of the time within Manhasset and Great Neck, NY
Some college experience or higher

176

Per Diem Patient Care Coordinator Resume Examples & Samples

Maintains current knowledge base
Ability to work a planned Per Diem work schedule, with no guaranteed hours, however, when needed the position calls for the availability to work between 8:00 AM - 6:00 PM
Must have the ability to create, edit, copy, send and save documents, correspondence and spreadsheets in Microsoft Word, Excel and Outlook

177

Senior Patient Care Coordinator Resume Examples & Samples

Coordinate inbound / outbound calls - patient calls, appointments, DME, referral updates
Provide daily support to NP’s in the field as needed (confirm addresses, phone numbers, reschedules, cancellations)
Notify pharmacies of new prescriptions and authorizations of refills as ordered and / or authorized by the Provider
Experience working with Microsoft Word and Microsoft Excel
Previous experience utilizing a PC
Associate’s Degree or higher

178

Assoc Patient Care Coordinator Resume Examples & Samples

Work within the surgery scheduling department assisting schedulers to process patients
Gather all pre-op testing for patients to give to physician
Check eligibility
Confirm surgeries with patient / hospital / physician / anesthesia / equipment
Schedule post-op appointments
1+ years recent medical front office experience
Knowledge of Nevada health insurance
Prior authorization and benefit verification experience
Bilingual in Spanish and English

179

Patient Care Coordinator Resume Examples & Samples

1-2 years of experience in a medical practice preferred
Demonstrated ability to type, as well as the ability to operate business office equipment including copy machines and fax machines required
Demonstrated proficiency in PC applications including Windows and word processing required
Demonstrated organizational, interpersonal, oral, and written communication skills required
Demonstrated ability to work independently required

180

Patient Care Coordinator Resume Examples & Samples

Provide subject matter expertise of product coverage, insurance benefit coverage, AbbVie sponsored co-pay cards and alternative forms of coverage for supported products
Assists patients with treatment compliance by scheduling and entering medication orders into the pharmacy information system
Enter patient demographic, health insurance, specific clinical/financial information, and prescription information into the pharmacy information system and notify the physician of

181

Patient Care Coordinator Resume Examples & Samples

Preferred: One (1) year of previously related experience or Medical Receptionist certificate from an accredited institution
Ability to communicate effectively. Ability to multi-task and work under pressure
Attention to detail. Windows navigation skills. Skilled in a variety of MS Office software applications

182

RN Patient Care Coordinator Resume Examples & Samples

In conjunction with the Director, the Clinical Coordinator is responsible for the day to day operation of the agency by providing supervision and direction to clinical and non-clinical staff
Responsible for assignment and coordination of services for all admits
Monitors staff productivity within HHRG (fiscal) while knowing when to increase visits to achieve greater outcomes (quality)
Responsible for assuring that clinical documentation meets accepted standards of care, regulatory, operational and financial requirements
Facilitates coordination of care through case conferences and other activities to ensure interdisciplinary care is occurring
Performs OASIS and HIS submissions as regulated
Participates in the recruitment and selection of qualified clinicians. Provides oversight to the following Team Lead preceptor duties

183

Patient Care Coordinator Resume Examples & Samples

Two (2) years experience in medical/health care office required, hospice experience preferred
Ability to plan, organize, and prioritize work effectively
Strong computer skills with working knowledge of other office equipment

184

Lpn-patient Care Coordinator Resume Examples & Samples

Graduate of an accredited high school or equivalent. LPN or higher with applicable Tennessee state license preferred
Minimum of 1 year professional office experience
Possesses detailed knowledge of Medicare, home care rules and regulations
Must be self-motivated & maintain a positive upbeat attitude
Possesses excellent computer skills and experience using Microsoft Office
Possesses excellent verbal and written communication skills with the ability to communicate across all levels of authority and to patients
Maintains a valid driver’s license and insurance as applicable to the position

185

Patient Care Coordinator Resume Examples & Samples

Communicates with various clinical administrative support offices/clinics/diagnostic centers concerning scheduling of patient appointments, new and existing work scopes and clinical protocols (Surgery, X-ray, etc.)
Consults with the patient, chooses the appropriate appointment, and enters ID and demographic data supplied by patient to secure an appointment in order to update clinic and physician schedules
Composes correspondence on various administrative issues including patient letters and notices to the patient’s home and physicians
Provides patients with information about their appointments including, medical materials the patient will need to bring, dates and times, clinic information, hospital maps and appropriate travel and hotel information
Arranges Admission Travel Voucher (ATV) travel including lodging, meals and direct bill requests and enters data in the ATV system daily
Obtains up-to-date patient records and other pertinent information prior to patient appointments or admission
Maintains a roster of all patients and tracks their appointments
Attends weekly meetings and schedules surgeries and all clinic visits
Helps coordinate new patient screening appointments between protocol investigators and the outpatient clinic scheduling staff
Maintains the patient database, patient education folders and status board for clinic patients
Collects outside CT scans and pathology slides, records arrival times, and completes appropriate requests to be read by NIH personnel
Delivers slides/blocks to pathology for review and films to the film library
Maintains relevant documents and e-documents that are easily accessible for reference

186

Rn-patient Care Coordinator Resume Examples & Samples

Bi-lingual or multi-lingual skills preferred
Collaborates with patient placement specialists, lead nurses and unit managers on patient flow issues
Interprets and adheres to policies, procedures, standards, laws and regulations regarding patient care; provides advice and counsel following established policies and procedures
Communicates accurately and effectively both orally and in writing to patients, staff, physicians and the media
Provides leadership to staff and takes corrective personnel actions when necessary, in absence of manager
Maintains a variety of documents and reports such as nursing administrative report, staffing and acuity sheets and patient admission log. Assists in direct patient care as needed

187

Patient Care Coordinator Resume Examples & Samples

A competitive pay scale
A collaborative and compassionate environment
Comprehensive benefits plan including health, dental and vision
Vacation time + sick time + personal days, tuition reimbursement, retirement contributions and more!

188

Patient Care Coordinator Rn-med Surg Oncology Resume Examples & Samples

Demonstrates role model attributes such as a positive attitude, approachable and calm demeanor
Demonstrates excellent organizational, time management and prioritization skills
Demonstrates the ability to think critically
Demonstrates the ability to operate outside of departmental structure to achieve goals

189

Patient Care Coordinator Resume Examples & Samples

Administrative resource for staff
Screening of clinical phone calls and directing them as needed
Completion of C2 forms for pharmacy
New Hire Onboarding
Welcome and follow up calls to all new patients
IDG prep and console facilitation during the IDG meeting
Staff – Monthly schedules, monitoring of PTO and availability
Updating EMR with current staff availability
Workflow: Scheduling, Quality Reviewer Tasks, Supply Requisitions, Assign LP for SOC
Field: EOB’s, on sight coordination for hospital discharges, f/u on client concerns, partner with marketers periodically at accounts
Monitoring of some HR concerns: attendance, compliance records (license, insurance, PPD, etc.)
Monitoring of productivity requirements through scheduling
Monitoring of the use of service intensity during last 7 days
Monitoring and ordering of in-house office supplies and some back up clinical supplies
Graduate of an accredited medical assistant or vocational nursing program
Three years nursing or medical office experience preferred. Community health/hospice or medical/surgical experience is preferred
If LVN, currently licensed as an LPN/LVN in the State
Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order

190

Patient Care Coordinator Resume Examples & Samples

Certified in, or the ability to pass, CPR training and certification
Knowledge and ability to use computer applications. Ability to complete data entry functions
Well-developed communication skills, both written and oral. Able to communicate effectively with individuals and groups representing diverse perspectives
5:30-2p, 7-3:30p,3-11:30p, 6:30-3:30p; Wkends when required

191

Lead Patient Care Coordinator Resume Examples & Samples

Leads and oversees the daily duties and workflow of assigned staff within a designated department. Assists the manager/supervisor with special projects with a defined timeline for completion and order supplies for department. Liaison between PCC, and manager/supervisor, and nursing support staff. Assist managers in preparing the department for regulatory and/or internal inspections
Provides guidance and training to assigned staff responsible for all aspects of admitting, registering, scheduling and verifying patient insurance policies. Super User trainer. Coaching other PCCs in completing assignments. Assist the manager/supervisor in training teammates on departmental policies & procedures and participate in the interview process for PCC candidates
Handles customer account transactions, provides customer assistance, and performs and/or oversees cashiering operations. Direct work flow of the staff level PCCs
Participates and monitors the revenue cycle to ensure completion of charge tickets. Reports discrepancies to appropriate authorities. Performs charge entry functions and trains others to do the same. Reconciles charge ticket batching entries. Oversees and assists the PCCs with charge entry/TES edits reconciliation. Runs Pivot Reports with Flowcast information and assists the manager and revenue cycle team as needed
Participates and attends professional meetings. Adheres to policies, procedures and regulations to ensure compliance and patient safety
Conduct PCC meetings for purposes of training
Reconciles ACD Reports and recommends changes in PCC behavior to affect improvement of the metrics. Responsible for the Master/Templates of the provider schedules under the supervision of the Manager. Functions as Timekeeper for the department
Effectively understands instructions and shares knowledge with the staff across the department. Functions as the first level oversight of front line customer complaints
Required - Two (2) years of directly related experience, medical office experience
Ability to type and enter data efficiently and accurately. Ability to work independently. Ability to communicate effectively. Knowledge of office procedures. Knowledge of insurance plans. Skilled in a variety of software applications

192

Patient Care Coordinator / LPN Required Resume Examples & Samples

Two+ years of experience in patient care coordination role in home care setting
Ability to handle multiple deadlines and fast paced environment
Must demonstrate the ability to communicate effectively with all members of the health care team

193

Patient Care Coordinator Days a-p Resume Examples & Samples

Clinical expertise appropriate to the specialty
Collaborates with support departments to get services to patients or to the unit
Participates in quality reviews for clinical care

194

Patient Care Coordinator Weekends South Progressive Cardiology Resume Examples & Samples

Makes rounds on patients to ensure that care is being delivered according to plan
Assists with emergency situations, unit admissions/overload, and supports staff in direct care activities
Ensures immediate response to patient and/or family concerns
Creates a positive work environment and contributes to Associate retention

195

Associate Patient Care Coordinator Resume Examples & Samples

Collects co - payments, deductibles and patient's financial responsibility
Properly handles credit card and cash transactions in accordance with PCI - DSS standards and guidelines
Determining and collecting patient financial liability, and referring patients to the patient registration specialist as needed for assistance with financial counseling and / or clearance
1+ years of experience working in a hospital Patient Registration department, physician office setting, healthcare insurance company, revenue cycle vendor, and / or other revenue cycle related roles
Must be flexible to work Monday - Friday and some weekends for the following shifts (4:00 PM - 2:30 AM, 6:00 PM - 4:30 AM, and 9:00 PM - 7:30 AM)
Knowledge of charity care programs as well as the various government and non - government programs offered

196

Patient Care Coordinator Resume Examples & Samples

1-2 years of administrative experience in a healthcare setting preferred
1-2 years of direct patient care experience preferred
Experience in oncology setting preferred
Exemplary customer satisfaction skills are a priority, including dealing effectively with the public, both in person and over the telephone
Establish and maintain positive and professional cooperative working relationships, fostering a team environment
Excellent time management and organizational skills, with the ability to effectively multi-task under pressure
Ability to handle sensitive/confidential information
Ability to exercise independent and critical thinking and use good judgment when appropriate
Excellent written, interpersonal and verbal (including phone) communication skills
Knowledge of medical terminology, medical procedures and equipment
Experience and competent in using EMR and other computer based programs
Competitive candidates will have demonstrated clerical experience and previous experience working with patients. Inherent to success in this position are strong organizational skills, the ability to multi-task under pressure and manage multiple deadlines
Occasional evening and weekend hours will be required

197

Patient Care Coordinator Assistant Resume Examples & Samples

We are patient-centered. Everything we do must be linked to our ability to deliver better, safer outcomes for our patients
We are innovative. We nurture an environment that fosters unconventional thinking, a passion for discovery, and the open-mindedness to invite discovery from unexpected places
We are respectful. We are deeply respectful of our patients, their families, and each of our colleagues who serve them in so many different and important ways
We are collaborative. We understand that asking for and offering help in how to do better is not just a right, but among our most important responsibilities
We are agile. We cannot just be comfortable with change; we must embrace it as proof that we are making progress
We are responsible: Because our work is focused on people's well-being, we approach it with the highest level of ethical, fiduciary, and environmental responsibility

198

Patient Care Coordinator Resume Examples & Samples

Scan insurance cards, making sure that all paperwork is filled out correctly and signed
Collect co-pays and co-insurance, deductibles and balances
Print schedules for medical assistants and physicians
Coordinate patient check out process
Confirm all FFS eligibility for all locations and update eligibility form in EHR
Issue referrals for outside specialties
Answer phone calls from 3 phone queues (scheduling, high priority and overflow)
Collect insurance information
Route calls throughout the office to appropriate department
Coordinator intake consultation requests from physicians for on call physician
2+ years medical front office experience
Bilingual English and Spanish

199

Patient Care Coordinator Resume Examples & Samples

Assist enrollee in scheduling appointments
Participate in ICT meeting as appropriate
This position works directly with the Orange County Medi - Cal population including Seniors and People with Disabilities as well as Medi - Call Family and Medi - Cal expansion plans
Proficient in use of Microsoft Office applications: working knowledge of Outlook, Word and Excel
1+ years of experience working in a customer service role
1 year of experience working in a healthcare environment
Experience working with seniors or persons with disabilities
Work experience in a clinical setting with knowledge of medical terminology
HMO, Medi - Cal, Medicare and health services experience
Able to remain organized and multi-task in a fast-paced environment
Bilingual in English / Vietnamese or English / Farsi or English / Korean

200

Associate Patient Care Coordinator Resume Examples & Samples

Manages medical records (maintain, file, scan, prepare for schedule)
Ensures all correspondence is scanned or filed in timely manner
High school Diploma or GED
2 + years of experience in health care facility, medical office, hospital, or fast paced medical scheduling department, managed care facilities or customer service call center
Intermediate proficiency with Windows based applications
Experience using an Electronic Medical Record (EMR)

201

Patient Care Coordinator Resume Examples & Samples

Communicates the Collection Policy to patients. Collects and documents co-pays and / or deductibles received at point-of-service
Obtains appropriate signatures on medical, legal and financial forms
Prepare charts, registration forms and print identification chart labels and patient identification wristband. Forward required items to patient care unit
Uses TeleTracking to assign beds for maternity patients
Perform a variety of diverse office / clerical duties supporting the department's operations; including, but not limited to, answering telephone, maintaining files, sorting mail, keeping inventory of supplies, and informing management of all activities, needs and problems
Experience with Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort / filter, and work within tables), and Microsoft Outlook (email and calendar management)
Experience in Hospital, Physician's office setting, Healthcare Insurance Company, revenue cycle vendor and / or other revenue cycle-related role

202

Associate Patient Care Coordinator Resume Examples & Samples

Manage the patients’ expectations about the visit and ensure that the visit and referral process are understood
Answer telephones and take messages or route incoming calls as per SMA policy and document all calls and messages appropriately according to SMA policy
Ensure that issues such as refills and provider requests are taken care of
Complete Post Visit Survey calls to patients
CPR certified, or able to attain certification within 30 days of employment
1+ year of experience and / or training as a Medical Assistant
1+ year of experience in a healthcare and / or clinical setting
1+ year of experience working with Electronic Medical Records (EMR) and/or Practice Management Software systems
Experience with NextGen EMR systems

203

PCC Patient Care Coordinator Resume Examples & Samples

Provides direct customer service and front desk assistance for assigned department to include but not limited to registering, scheduling and verifying insurance and arriving patients. Electronic eligibility verification, updating patient demographics, ensure required referrals and prior authorization are in place for patient visit. Manage No-show list. Schedules wait list, follow-up, x-ray, referral appointments
May be required to analyze medical records and charge entry information for financial reimbursement within the guidelines and procedures. Work TES charge entry edits
Adheres to policies, procedures and regulations to ensure patient safety and regulations. May attend departmental meetings and provide constructive recommendations for areas improvement
Knowledgeable in appending modifiers based on payer specifics, insurance and authorization requirements
Verify correct use of modifiers, mapping and linking codes with services, notes have been signed, orders and procedures entered into system,
Work with providers and management to facilitate information and answer questions
Excellent Customer Service skills

204

Associate Patient Care Coordinator Resume Examples & Samples

Responsible to greet patient and check patent in and out. Ensure demographics including insurance information are correct in IDX. Updates as necessary
Manages the patient's expectations about the Imaging Exam and ensures that the process is understood
Schedules and arrives all Imaging Exams as necessary in Imagecast. Collects appropriate co-payments and posts
Answers phone and takes messages or routes incoming calls as per SMA policy. Documents all calls and messages appropriately according to SMA policy
Print hard copy digital images and burns CD of digital images for patients as needed
Communicates with clinical personnel about service issues and complaints
Assists co-workers and team members with duties when requested, to include but not limited to, floating to other areas
Understanding of insurance programs and basic managed care principals such as referrals. Must understand all aspects of the patient visit from open to close. Ability to manage waiting room and keep patients flowing smoothly. Must have an understanding of what customer service is and how to maintain it in the clinic setting. Must be able to resolve patient issues and problems in a positive manner. Must possess computer skills window based applications, organizational skills, and customer service skills
Minimum one to two years experience in a health care environment. Must be able to meet all health requirements prior to employment and periodically thereafter, as required by company policy and state regulations to verify that he/she is free from communicable disease and physically able to perform assigned duties

205

Patient Care Coordinator Resume Examples & Samples

Coordinates patient care across the care continuum, being a liaison between patients and their families and clinics, and serving as an advocate for the patient
Demonstrates clinical leadership as evidenced by previous work-related activities and work performance
Works with patients and families on patient "Self-Management Support."
Oversees and demonstrates competence in utilizing the disease management database

206

Patient Care Coordinator Resume Examples & Samples

Review contents of referral to ensure complete and accurate information has been received
Create a patient profile from a scanned or faxed image image by entering correct patient and provider information to ensure all other groups can successful serve the patient
If certified pharmacy technician, conduct initial check of prescription to ensure clinical accuracy for processing
Communicate with providers regarding referral status, prescription clarification, missing information or patient concerns so that all information is collected and accurate before it reaches other teams for furthering processing
Updating concise progress notes to ensure other roles within the workflow are able to quickly assess the status of the referral
Communicate with patients in regards to shipping out orders, answering their questions/concerns to make certain they receive outrageous customer service
Direct incoming calls from patients and providers to the appropriate individuals to make sure referrals are processed in a timely manner
Enter new provider information (i.e., National Provider Identifier) accurately into the system so that the Business Intelligence group can complete their reporting
Prior experience working in a Pharmacy setting preferred

207

Patient Care Coordinator Resume Examples & Samples

High school graduation and four years of related administrative experience; or an equivalent combination of education and experience
Experience with ICD9 and CPT coding
Customer service experience
Proficient with Microsoft Access, FileMaker Pro
Computer literate, proficient with MS Word and Excel, Outlook
Proficient in LCR/Invision reporting
Proficient in Provation software

208

Lpn-patient Care Coordinator Resume Examples & Samples

Works with Supervising RN, case managers and on call nurses to assure implementation of telemonitoring on designated patient population
Monitors daily results and communicates with the supervising RN, patients, care manager/on call nurse when results are outside the pre-established parameters. When requested results need to be faxed to PCP
Troubleshoots with patient/family/care manager/on call nurse when required
Participates with the outcome evaluation process of the Telemonitoring service
Performs the role of Liaison between the Telemonitoring vendor and home care organization
Coordinates delegated aspects of the Telemonitoring program
Receive phone messages /relay information to on call RN on weekends for Referral Center
Requires a basic knowledge of computers (Windows environment), and a demonstrated desire to learn clinical applications
Requires an understanding of process improvement methodologies
Requires strong problem solving skills and the ability to manage highly detailed issues
Requires effective communication skills, both verbal and written
Must possess an understanding of adult learning principles and effective teaching skills

209

Patient Care Coordinator Resume Examples & Samples

Participates in the agency QA/PI activities
Monitors cases to ensure compliance with regulatory agencies
Demonstrates commitment, professional growth, and competency
Monitors assigned cases to ensure compliance with requirements of third party payors
Adherence to and compliance with information systems security is everyone’s responsibility. It is the responsibility of every computer user to: Know and follow Information Systems security policies and procedures. Attend Information Systems security training, when offered.Report information systems security problems
Two (2) years of experience as a Licensed Practical Nurse (LPN) and one year in Hospice

210

Patient Care Coordinator / Home Health Resume Examples & Samples

Graduate of an accredited nursing program (LPN or RN)
Strong organization and communication skills
Ability to forecast needs and set priorities

211

Patient Care Coordinator Specialty Rx Cranberry Resume Examples & Samples

Document all patient/client/provider contact in appropriate computer system
Act as a liason to retail pharmacy locations to make sure prompt ordering and filling on prescriptions to meet patient needs
Assist in the execution of all company initiatives/programs and participate in staff meeting
Report errors, omissions, incidents to pharmacist
Have knowledge of all appropriate service and business metrics and assist team on action plans to improve outcomes
Respect for Self and Others
Open to Feedback

212

Patient Care Coordinator Trauma Intensive Care Unit Nights Resume Examples & Samples

Participates actively in the planning and distribution of patient assignments
Current certification as a BLS/ACLS Healthcare Provider
Previous charge nurse experience preferred

213

Patient Care Coordinator Resume Examples & Samples

Schedule all outpatient surgical procedures at the outpatient surgical centers and hospital if necessary
Schedule all inpatient surgical procedures at participating hospitals throughout the valley
Coordinate anesthesia coverage for surgical procedures with the anesthesia department
Prepare packets and ensure they are mailed in a timely manner to all patients scheduled for surgery
Ensure all authorizations for insurance has been obtained
Act as liaison between inpatient and outpatient centers and surgeon’s office
Answer incoming calls in a timely manner and route as necessary to appropriate areas
1+ years of medical/healthcare office experience
1+ years experience as a hospital or surgical center scheduler
MS Office, Word and Excel

214

Patient Care Coordinator Resume Examples & Samples

Act as liaison between physicians, nursing staff and other departments
Answer incoming calls and route to appropriate staff
Collect outside CT scans and pathology slides, record arrival times, and fill out appropriate requests to be read by NIH personnel
Communicate with various clinical administrative support offices/clinic/diagnostic centers concerning scheduling of patient’s appointments
Consult with the patient, choose the appropriate appointment, and enter ID and demographic data supplied by patient to secure an appointment
Communicate with various clinical administrative support offices concerning new and existing work scopes and clinical protocols (Surgery, X-ray, etc.)
Help coordinate new research patient screening appointments between protocol investigators and the outpatient clinic scheduling personnel
Compose correspondence on various administrative issues including letters to patient’s home physicians and patient’s appointment letters
Correspond directly and through e-mail and letter with patients to arrange ATV travel, lodging including travel exception, direct bill request, lodge request and meals, and enter data in the ATV system
Design and set up filing systems and office procedures
Enter/update clinic and/or physician appointment schedule availability into the central appointment computer
File routine patient information, tests, reports, etc. into patient research records
Maintain calendar with current updates for the weekly clinic meeting
Maintain roster of all patients and track their appointments
Provide potential new patients information about their appointments; including, medical materials the patient will need to bring, dates and times, clinic information, hospital maps and appropriate travel and hotel information
Maintain patient database, patient education folders and status board for clinic patients
Maintain relevant documents and e-documents that are easily accessible for reference
Place appropriate forms correctly in research records
Obtain up-to-date patient records and other pertinent information prior to the patient’s appointment or admission
Provide administrative and secretarial services, as well as patient care coordination
Schedule patient procedures and imaging studies
Deliver slides/blocks to pathology for review
Deliver films to film library
Make follow-up clinic visits and track patients discussed in our weekly conferences (therefore, attendance at the weekly conference is mandatory)
Schedule surgeries and biopsies

215

Associate Patient Care Coordinator Resume Examples & Samples

Manage patients’ expectations about the visit
Schedule appointments as necessary; work with back office to get patients seen who walk in or call for appointment
Basic Microsoft Office skills
Access to reliable transportation that will enable you to travel to client and patient sites within a designated area
Cash handling experience in a work setting

216

Patient Care Coordinator Resume Examples & Samples

0-1 years relevant work experience; Call Center environment or in a pharmacy setting: retail, mail order, hospital long term care, or specialty with consistent performance results preferred
Thorough, demonstrated understanding of medical/pharmacy terminology
Strong technical and interpersonal skills
Excellent verbal and written communication; Ability to adapt to change

217

Senior Patient Care Coordinator Resume Examples & Samples

Schedule patients for surgery (hospital, physician, anesthesia, equipment)
Review all pre-op paperwork with patients answering all questions
Schedule patients for pre-op appointments
Collect surgery copays and deductibles
Notify physician of any abnormal labs
Obtain prior authorization
Confirm surgeries with patient, hospital, physician, anesthesia, equipment
Adjust physician schedules as needed
Experience in greeting patients, collecting co-pays, faxing etc
CPR certified or wiling to obtain upon hire
At least 1 year experience of surgery scheduling experience in a healthcare setting

218

Patient Care Coordinator Resume Examples & Samples

Facilitates pharmacy daily workflow schedule of activity by coordinating patient pharmacy refill and supply needs for timely compounding and delivery
Contacts patients and reviews supplies, and script of medication changes, doctor visits, and signs or symptoms to report to the clinical pharmacist or nurse for review and assessment
Obtains patient labs and enters results into patient medical record and facilitates getting information to other healthcare team members
Enters pharmacy related documentation and data including patient information, pharmaceutical refills, ancillary supplies, and DME into patient medical record
Submits accurate and timely prescription drug claims for adjudication upon fill and as requested
Notifies Pharmacists, Nurses and other staff regarding potential problems, issues or complaints
Documents written and verbal communication as required
Identifies and resolves patient service problems and keeps management informed
Participates in activities associated with the Performance Improvement plan by collecting and submitting data and supporting the action plan
Provides support / assistance to pharmacy team and warehouse
Participates in special projects and performs other duties as assigned
Pharmacy Technician experience

219

Patient Care Coordinator Resume Examples & Samples

Extensive knowledge of a word processing and spreadsheet software applications. MS Office preferred
Working knowledge of managed care: overall understanding of HMO, PPO, and capitation; obtaining insurance approvals, billing, and co-payments, and handling patient flow
Proven experience handling perturbed patients/customers and dealing with sensitive issues
Familiarity with scheduling and rearranging appointments
Pleasant speaking voice and demeanor
Neat, professional appearance
Stellar organizational skills
Ability to manage multiple tasks and work independently
Attention to detail and to work under pressure are also important

220

Patient Care Coordinator Resume Examples & Samples

Excellent oral, written, and interpersonal skills necessary
Experience may be substituted for degree
At least two years of experience in marrow transplant or medical oncology program or a related field preferred
Knowledge of patient privacy rights
Self-starter/multi-tasking. Able to prioritize workload well. Must possess excellent phone skills and etiquette
Clinical experience is required

221

Patient Care Coordinator Resume Examples & Samples

Responsible for utilization review and assisting with discharge planning activities (i.e.: DME, home health services) for members enrolled with a CareSource Management Group line of business, and monitoring the delivery of healthcare services in a cost effective manger
Maintain knowledge of state and federal regulations governing CareSource, State Contracts and Provider Agreements, benefits, and URAC standards
Prospective and retrospective review of elective inpatient admissions, outpatient procedures, homecare services and durable medical equipment
Document and communicate with CareSource and Provider Care Managers and Discharge Planners to establish discharge planning needs and coordinate care
Nursing Diploma (LPN) required, or
Bachelor’s Degree in Social Work (LSW) required
Minimum of (3) three years’ medical/surgical acute care or clinical experience required
Two years’ utilization review and/or case management experience preferred
Experience with Medicaid, Medicare, Commercial and Managed Care preferred
Communication Skills; written and verbal
Proper grammar usage

222

Patient Care Coordinator Resume Examples & Samples

Graduate from an accredited program of licensed practical nurse or such work experience as to satisfy this education
Proficient in computer skills, including Microsoft Office (particularly Excel), and Electronic Medical Records/Cerner experience is preferred
Self-disciplined, energetic, passionate, and innovative
Highly organized and well-developed oral and written communication skills
Demonstrate sound judgment, decision-making and problem solving skills
Able to maintain confidentiality with all aspects of information in accordance with practice, State, and Federal regulations
Able to lift up to 25 pounds, and able to stand, bend, stoop, kneel, pull, climb, reach, lift, and perform repetitive movements of the upper extremities

223

Patient Care Coordinator / LPN Required Resume Examples & Samples

LPN Licensure Required
Able to successfully interact with people in a professional manner in face to face situations as well as by telephone
Able to organize work procedures, assume responsibility and present a positive image to the community
Possesses clerical skills, i.e., writing, filing, and typing

224

Patient Care Coordinator for Wellmed Resume Examples & Samples

Manages cashier box and daily deposits according to company policies
Ensures all correspondence is scanned and / or filed in a timely manner
Bilingual in Spanish / English

225

Patient Care Coordinator Resume Examples & Samples

Outreach to all health plan members to explain clinical programs
Enrollment of new patients into systems
Demonstrates a high level of customer service behavior at all times
Participates in quality monitoring process
Processing referrals for durable medical equipment and referrals to specialist
Patient satisfaction calls
Expedites emergency calls as needed
Attends regular staff meetings as scheduled
Maintains confidential health information according to state and federal regulations including HIPAA
Responsible to assist with gathering and organizing of appropriate medical records (e.g. history and physical, lab work, test results)
Filing and faxing
Comfortable working Monday - Friday from 8:00am – 5:00pm
Experience using a computer and Microsoft Office (Microsoft Word, Microsoft Excel, and Microsoft Outlook)
Able to type at least 25 wpm or higher
2+ years of previous experience in healthcare or customer service related experience
Telephonic customer service experience
Experience with Medical Terminology
Health insurance experience

226

Patient Care Coordinator Resume Examples & Samples

Computer experience (word processing)
Type 50 wpm
Attention to detail, strong organizational skills
1-2 years of healthcare experience

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