Panel Coordinator

Hillsboro Medical Center•Hillsboro, OR

2d•$25 - $34

About The Position

The Panel Coordinator provides complex coordination, analytical, and administrative support to a team-based patient care model in a primary care medical provider’s office. The role supports implementation of the Patient Centered Medical Home model by gathering and analyzing data, reviewing current processes, identifying improvement opportunities, and developing procedures, forms, and educational materials to support patient involvement and team performance. Working closely with Medical Home Specialists, the Panel Coordinator supports the evolving needs of the program and helps the clinical team work at the top of each team member’s scope of practice. The position also provides backup for other team members when appropriate.

Requirements

High school graduate or GED; a copy of the highest academic diploma or transcript is required upon hire.
One year of experience in a medical office setting, including high-volume direct patient contact, appointment scheduling, and obtaining managed care authorizations.
Previous use of EPIC, Solutions, Business Objects, and Crystal Reports, along with basic computer skills including word processing, Windows applications, and online scheduling; database skills are preferred.
Knowledge of medical terminology and CPT and ICD-10-CM coding methodology.
Current American Heart Association provider BLS certification upon hire or within 90 days of hire.
Professional appearance and conduct appropriate to the job.
Excellent customer service, listening, verbal, and written communication skills, including effectiveness in confrontational customer interactions and communication with customers from diverse ethnic and cultural backgrounds.
Strong organization skills and ability to multitask while handling frequent interruptions.
Knowledge of managed care insurance requirements, age-specific preventive health maintenance indicators, and disease-specific standards of care relevant to underserved family medicine populations.
Knowledge of barriers to care, including language, transportation, ability to cope, and self-advocacy, and ability to bring these barriers to the care team’s attention.
Knowledge of health plan pre-authorization requirements and coverage limits.
Ability to apply and share knowledge of community health and social service resources, including navigation and coordination of care outside the primary care medical home.
Ability to maintain confidentiality regarding staff, department, organizational, patient, and patient-family matters.
Ability to function as a cooperative and flexible team member using positive communication techniques.
Ability to proactively identify patients by running panel reports for diagnosis-specific and preventive care needs.
Ability to serve as an effective communication link between patients and clinic staff by gathering information from patients.
Ability to identify ways to improve customer service.
Ability to provide leadership to staff and manage conflict and concerns through communication and problem-solving techniques.
Personal computer skills, including working knowledge of Word and Excel.

Nice To Haves

Associate or bachelor’s degree in Business or a healthcare-related field.
Prior experience working in a Patient-Centered Medical Home.
Certification as a Certified Medical Assistant (CMA) from AAMA, Registered Medical Assistant (RMA) by AMT, Certified Clinical Medical Assistant (CCMA) by NHA, or Nationally Certified Medical Assistant (NCMA) by NCCT.
Bilingual in Spanish and English.

Responsibilities

Evaluate and analyze patient records against primary care standards to identify patients needing preventive services, diagnostics, or follow-up.
Coordinate services for patients in the assigned panel, focusing on care gaps and clinic strategies for specified populations, including patients with complex or chronic conditions or psychosocial issues.
Communicate directly with patients about preventive care needs and refer medical concerns to appropriate clinical staff.
Track clinic or population performance against key clinical quality metrics.
Review provider schedules and patient charts to help coordinate care visits and identify preventive healthcare needs.
Schedule patients for preventive care and follow up to ensure services are completed.
Work with the Medical Home team to develop, implement, and maintain chronic disease management programs.
Help optimize practice revenue, including pay-for-performance reimbursements and grant-related revenue.
Develop and provide ongoing panel evaluations for diagnosis-specific and preventive care needs.
Coordinate with the Health Plan Coordinator regarding needed pre-certifications for procedures, orders, or medications.
Review and take action on items in financial work queues.
Maintain appropriate notes and copies of documents in patient charts.
Update patient demographic records by entering information provided by patients into the computer concisely and professionally.
Respond to correspondence by phone or in writing as appropriate.
Maintain an organized work area and appropriate office supply levels.
Provide patient education about health plan issues as appropriate.
Run EHR reports for treatment plan orders, referrals, and procedures as needed.
Help patients find co-pay and drug assistance as needed.
Prepare and send medical information to third parties and referral physicians as needed.
Attend and actively participate in staff meetings.
Communicate supply needs promptly to the person responsible for ordering.
Attend insurance workshops and review insurance updates.
Complete mandatory education and licensure requirements to meet state, professional, and regulatory requirements.