Patient Serv. Coord. III

GENERAL SUMMARY/ OVERVIEW STATEMENT: Summarize the nature and level of work performed.

The Patient Services Coordinator III functions within the ambulatory practice as the pod/unit team leader coordinating administrative functions within the group. Assists Department administration with the effective management of the practice's daily operations and revenue enhancement. PRINCIPAL DUTIES AND RESPONSIBILITIES:

Indicate key areas of responsibility, major job duties, special projects and key objectives for this position. These items should be evaluated throughout the year and included in the written annual evaluation. Perform all duties and responsibilities of a PSC 1 and II.

Coordinates the scheduling of multiple appointments using multiple systems or resources. Investigates and resolves issues relating to and arising from the referral and/or billing process, which interrupts the delivery of care to a patient or the reimbursement for services rendered. Addresses patient questions, complaints and concerns.

Functions as the pod/unit resource for referral and insurance issues. Remains current on the changing issues impacting the health care insurers. Attends meetings as necessary.

Function as the pod/unit "Super User" for EPIC scheduling system. Possesses a thorough knowledge of all HMO, managed care, other third-party insurers, and available patient financial services/resources. Identifies and communicates to the Practice's leadership issues of process creating inefficiencies within the operation.

Assists in their resolution, working within the pod and with management for the department as a whole. Coordinates the workflow and schedules within the pod/unit to insure an efficient daily operation. Troubleshoots workflow issues, as needed, working with pod management to coordinate staffing and replacement coverage.

Conducts or arranges for pod/unit specific training for new secretarial hires, while coordinating with the practice-training mentor. Works to insure HIPAA Confidentiality and Privacy Policies is fully implemented. Assists with special projects as required.

Projects may include such topics as obligations to insurers, hospital issues of compliance and/or Operations Improvement Initiatives. QUALIFICATIONS: (MUST be realistic, neither overstated nor understated, and related to the essential functions of the job.) Associate degree in Secretarial Science/Business, or a Secretarial Training Certificate Program required, Minimum of 3 years work experience in medical group practice, billing and/or managed care setting required. SKILLS/ ABILITIES/ COMPETENCIES REQUIRED: (MUST be realistic, measurable, objective, and related to the essential functions of the job.) Demonstrated experience to interface with various levels of the practice, especially with the knowledge and issues related to manage care.

Thorough knowledge of EPIC system modules and its features, electronic medical record modules Demonstrated ability to work independently, with limited supervision, resolve issues, be organized, attentive to detail and achieve outcomes within the team. Demonstrates effective interpersonal and communication skills. Effectively interacts with all levels of management.

Demonstrates knowledge of HIPAA Confidentiality and Privacy policies. Demonstrates an understanding of Disaster protocols to include: fire, safety, code calls, per the mandatory training, as outlined by MGH and JCAHO guidelines.