What are the responsibilities and job description for the Patient Care Coordinator position at Mobility Ideal Health?
A Patient Care Coordinator (PCC) plays a crucial role in healthcare facilities, such as hospitals, clinics, and long-term care centers. The specific job duties and responsibilities of a Patient Care Coordinator can vary depending on the healthcare setting and the organization's needs. Below is a general job description (JD) for a Patient Care Coordinator:
Job Title:
Patient Care Coordinator Job Summary: A Patient Care Coordinator is responsible for ensuring the seamless delivery of healthcare services to patients, maintaining effective communication between healthcare providers, patients, and their families, and optimizing the overall patient experience.
Key Responsibilities:
Patient Communication: Act as a primary point of contact for patients and their families, addressing their inquiries, scheduling appointments, and providing necessary information. Explain treatment plans, procedures, and billing instructions to patients, ensuring they understand their care, financial responsibility, and follow-up requirements. Explain the purpose of the prescribed DME and billing criteria.
Care Coordination: Collaborate with healthcare professionals, including physicians, nurses, and allied health staff, to ensure the proper coordination of patient care. Monitor and update patient records to reflect their current condition, treatment plan, billing requirements, and progress.
Appointment Scheduling: Schedule and reschedule patient appointments as needed, considering the availability of healthcare providers and the urgency of the patient's condition. Follow up with patients to remind them of upcoming appointments and tests. Inform patients of their financial responsibility.
Insurance Verification: Verify patients' insurance coverage and assist them with understanding their insurance benefits and out-of-pocket costs. Process insurance claims and coordinate billing with the billing department. Document all billing steps in our EMR. Verify that all documents are received, and billing codes are proper and in compliance with Federal and State regulations.
Patient Advocacy: Advocate for patients' needs and concerns within the healthcare system, ensuring they receive appropriate care and support. Help patients access necessary resources and community services. Help patients with insurance claims and their accuracy.
Quality Assurance: Ensure that patients receive high-quality care by monitoring and reporting any issues related to patient safety, satisfaction, or the quality of care provided. Participate in quality improvement initiatives and compliance with healthcare regulations.
Discharge Planning: Assist in the discharge planning process, coordinating post-hospital or post-treatment care, including home health services, medical equipment, or rehabilitation services.
Documentation: Maintain accurate and up-to-date patient records, documenting all interactions, prescriptions, code selections, and care coordination activities.
Team Collaboration: Collaborate with other healthcare professionals to enhance patient care and improve care delivery and financial processes. Participate in care conferences, billing, and organizational meetings to discuss patient progress, financial processes and care plans. Communicate with management if you are aware of any non-compliance issues.
