Patient Care Coordinator w/ Insurance Experience case scheduling

Essential Job Duties and Responsibilities:

1. The PCC has the responsibility to carry out duties as directed by My Houston Surgeons.  
2. Communicates on a regular basis with the designated My Houston Surgeons Supervisor(s). 
3. Alerts Supervisor(s) and seeks assistance when an activity or process change within the clinic changes or deviates from the current process. 
4. Follows and always maintains patient confidentiality appropriate with HIPAA compliance standards. 
5. Schedules appointments for patients from varying avenues to include but not limited to building rapport with patient, discussing fees, and educating patient on procedures. 
6. Answers inquiries through physician specific website email inquiries and other avenues.  Documents interactions through Nextech or designated spreadsheets.   
7. Maintains applicable consult spreadsheets, updating daily, and/or tracks scheduling tasks to ensure appropriate scheduled follow ups are conducted as outlined in separate – PCC document. 
8. Provides brochures/materials to patient with surgeon specific related items, Breast Reconstruction brochures and any additional information as needed. 
9. Tracks all steps of the surgery scheduling process (Consultations, Pre- and Post-Operative appointments, Surgery, Follow-Ups, etc.) 
10. Reviews lab/clearance protocols with patients and gives order as needed. Coordinates with clinical team members as needed. 
11. Ensures lab/clearance results are received prior to pre-operative appointment as needed. Coordinates with clinical team members as needed. 
12. Communicates with physicians in obtaining the appropriate CPT and ICD-10 codes for all procedures. 
13. Involves billing department to include authorization and pre-determination clearance for surgeries, any patient related financial questions. Responsible for communicating and tracking the progress of these items with the billing department. 
14. Maintains surgeons’ schedules by adding procedures/surgeries to all pertinent calendars. 
15. Contacts surgical facilities to post and send orders, sends history and physical, follows facilities scheduling protocol, obtains quotes for facility and anesthesia fees, and confirms surgery the day before. Updates surgery orders as needed. 
16. Coordinates surgery dates with other surgeons PCC’s and books accordingly. 
17. Coordinates surgical assists as needed per surgeon request. 
18. Arranges special equipment for procedures to include but not limited to implants, machinery, etc. Ensures that appropriate personnel are notified as needed. 
19. Monitors surgeon’s schedules daily to assess if appointments need to be moved, any errors in scheduling, or appointments that may need additional information. Communicates with front desk and surgeons daily. 
20. Ensures pick sheets for procedures are sent when surgeries are being done at new surgery facilities.  
21. Attends training sessions as needed to increase knowledge base and skill level for the position. 
22. Other duties as assigned by My Houston Surgeons supervisors and physicians. 

Secondary Job Duties and Responsibilities:

1. Some tasks include filing, scanning, shredding, faxing, copying, mailing, data entry, etc. as needed
2. Ability to multitask while still maintaining a high level of proficiency and accuracy.  
3. Ability to lift up to 30 pounds on a regular basis. 
4. Schedules meetings/lunches with vendors with the Purchasing Coordinator and Physicians as needed. 
5. As assigned by administration, ensures kitchen is cleaned completely and all food put away at the end of each day; on Friday’s that a deep clean of kitchen and refrigerators is completed. 

Education/Qualifications/Experience:

Any combination of education and experience that would demonstrate a high level of proficiency and advanced understanding of healthcare operations. 

• Bachelor’s degree, preferred.
• 1 years’ job-related experience, preferred. 
• Knowledge of the medical industry, plastics specificity preferred 
• Microsoft Office Skills – must be highly proficient in Word, Excel, Power Point, and Vizio
• Nextech experience is a plus 
• Must have strong organizational and project management skills. 
• Must be a self-starter and able to independently move projects forward, prioritize tasks, and meet deadlines

Core Competencies:

• Excellent organizational & planning skills
• Excellent interpersonal skills to include maintaining confidentiality/discretion, exhibiting objectivity and openness to other’s views
• Excellent critical thinking, judgement, and decision-making skills 
• Customer service orientation and social perceptiveness are a must 
• Attention to detail is an absolute necessity; demonstrates accuracy and thoroughness while looking for ways to improve & promote quality 
• Ability to communicate effectively (verbal and written) with all team members to include listening, obtaining clarification, and responding appropriately to questions
• Ability to develop and maintain positive working relationships to promote a team environment 
• Ability to work independently with speed and accuracy 
• Always maintain professional appearance and performance 
• Knowledge of medical terminology
• HIPPA compliance 
• Self-directed and able to work independently 
• Handle sensitive information in a highly confidential manner. 
• Treats everyone with respect; upholds integrity, ethics, and organizational values 
• Dependable and punctual to work; ensuring work responsibilities are covered when absent. 

Cooperative, positive, courteous, and professional behavior and conduct is an essential function of every position. All employees must be able to work with others beyond giving and receiving instructions. This includes getting along with coworkers, peers, and management without exhibiting behavior extremes. Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the Supervisor(s). Additionally, the information contained in this job description has been designated to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position.