Patient Care Coordinator II

PHOENIX PHYSICAL THERAPY•Montgomery, AL

About The Position

The Patient Care Coordinator II supports clinic revenue goals by attracting new patients, managing administrative and operational functions, and coordinating patient interactions and needs. The role manages daily, weekly, and monthly front-office operations in accordance with the PCC II Front Office Manual and applicable policies and procedures. Key duties include scheduling, accurately entering patient demographics, verifying insurance, collecting payments, entering charges, and properly documenting accounts. The coordinator must be flexible, adaptable to change, and able to learn new skills. The position performs front-office operations as described in relevant manuals, greets and registers patients and visitors, explains patient paperwork, gathers and updates patient and insurance information, coordinates appointments, verifies coverage and authorization requirements, and collects and documents payments. It also involves reviewing reports, communicating to prevent delays in care, reconciling collections, maintaining a safe and healthy work environment, and occasionally assisting with clerical tasks or clinic cleanliness.

Requirements

High school diploma or GED.
Current CPR certificate.
Excellent customer service.
Ability to communicate effectively and professionally with a wide variety of people.
Strong organizational skills and attention to detail and accuracy.
Proficiency with Microsoft Word and strong data-entry skills with EMR systems.
Ability to handle multiple tasks in a very busy environment.
Ability to perform work under direct supervision, handle basic issues and problems, and refer more complex issues to higher-level staff.
Ability to use a phone consistently and regularly, maintain numbers in the correct order, and use a keyboard and mouse regularly.
Ability to climb stairs occasionally and lift up to 25 pounds occasionally.
Ability to sit for many hours at a time; more than 75% of the day is spent sitting at a desk.

Nice To Haves

Associate degree or college-level business courses.
Two years of previous experience in a medical billing practice.
Knowledge of medical terminology, including HCFA 1500, CPT, and ICD-9 codes.

Responsibilities

Learn and perform front-office operations according to the PCC II manual, Scheduling/Billing/EMR manual, and other applicable manuals.
Greet and register patients and visitors, notify staff of patient arrivals, and direct visitors to the appropriate department or examination room.
Complete or assist with patient forms and explain the paperwork presented to patients.
Gather and update patient demographics, insurance information, and case information.
Collect and enter insurance information and verify active coverage or eligibility.
Schedule appointments, document accounts, and maintain continuity of care when scheduling.
Schedule and recapture appointments, follow up with missing-in-action patients, and proactively reschedule appointments during the current week and for the duration of a prescription.
Collect monies due before visits, including copayments, deductibles, coinsurance, statement payments, supply and gym membership payments, self-pay amounts, and attorney checks; document payments and provide system receipts.
Audit visits for valid prescriptions and appropriate authorization, referral, or precertification, and collect amounts due.
Answer and transfer calls, arrange referrals, and relay messages.
Review daily reports and follow up and communicate proactively about prescriptions, authorizations, referrals, and precertifications to prevent delays in patient care.
Reconcile over-the-counter collections daily and deposit cash and checks at the designated bank within an appropriate time frame.
Verify insurance benefits by phone, ask detailed questions beyond the information provided, and set up accounts accurately.
Ensure visits are properly authorized and make efforts to minimize unauthorized visits.
Ensure Medicare Plans of Care are signed and returned by the physician within 30 days of the patient's Initial Evaluation.
Use websites only when relevant and approved by Phoenix Physical Therapy, such as insurance authorization and NPI websites.
Perform occasional clerical duties such as data entry, filing, or photocopying; duties may involve medical records or electronic health record systems.
Assist with clinic cleaning, disinfecting, and general cleanliness as needed.
Maintain a safe, secure, and healthy work environment by following standards, procedures, and legal regulations.
Perform other duties as assigned.