Patient Care Coordinator

Explore opportunities with Kelsey-Seybold Clinic , part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together.??

Under the general direction of the Clinic Administrator, administrative supervisor and nurse supervisor, the Patient Care Coordinator performs both varied clerical and clinical roles to support physician(s) practice and patients. Administrative duties include scheduling surgical cases, scheduling office visits, verifying insurance benefits and interpreting medical plan benefits to maximize collections. Other administrative duties include secretarial support for physician(s). Clinical duties include supportive patient care functions for an assigned clinical area (under the supervision of a Registered Nurse or Licensed Vocational Nurse), ensuring the safety and comfort of patients and families according to legal, organizational and professional standards. Some duties may be delegated to the Patient Care coordinator by the physician or RN.

Primary Responsibilities:

• Administrative Duties:

• Timely preparation of hospital billing documents, per established guidelines, to include new patient charts/accounts for hospital patients, maintaining hospital list and inpatient status for hospital rounding physicians.

• Schedules patients for procedures, surgeries and/or hospital admissions

• Contact third party carriers to verify insurance coverage, benefits, and eligibility and referral authorizations

• Interface with patients to discuss account information and implement / monitor payment plans, when necessaryCollects any amounts due for professional services rendered prior to surgery when feasible

• Maintains physician timesheets, surgery calendars and any professional documentation

• Conducts all weekly and monthly physician productivity reports, per established timeframes and quality guidelines

• Provides secretarial support for site management and physicians to include: Assisting with telephone inquiries for physicians. Maintaining physician business/meeting calendar

• Completing all related copying, faxing and filing. Prepares complex and detailed reports, letters and correspondence

• Attends all staff and departmental meetings as well as assigned education classes

• Invoice Inquiry, i.e., review accounts on request and report back that all charges have been entered and/or payments collected. Conducts reconciliation process to ensure that all in- and outpatient procedures performed have been billed, per established guidelines

• Clinical Duties:

• Review doctor's schedule, abstract as needed, print PVS for each patient and request other relevant information needed for patient's visit that day

• Prepares and submits patient documents for scanning

• Monitor assigned in basket and complete work as needed-Overdue Results/Letters- as assigned by nurse or M.D.

• Schedule appointments and assist patient with specialty referrals and radiology testing

• Provide pre-printed patient educational material as directed by provider

• Proper disposal of confidential patient information-daily

• Follows HIPAA policy and procedures regarding patient confidentiality

• Patient Care:

• Monitor in basket for orders placed by physician and perform tasks that need to be completed (ie waived testing, EKG's, specimen collection, spirometry, hearing, vision); reports and accurately documents patient response

• Document observations related to health status and report findings

• Rooms patients on arrival as rooms become available

• Obtain patient's demographic information, history, chief complaint

• Verify patient allergies and documents vital signs per policy

• Reconcile medication list with patient at each visit and update preferred pharmacy

• Documents patient education to include patient's learning method, preferred language, if needs an interpreter and ability to read, and include appropriate education for office visit

• Complete questionnaires when appropriate (ie lead, TB, flu, New Patient Intake)

• Prepares patient and room for physician visit

• Assist physician with preparing patient for examination & minor office procedures

• Perform activities of daily living on patients as needed (ie emptying ostomy bags, changing adult and pediatric diapers) Transport patient within facility as needed

• Performs/Obtains: EKG, Waived Testing (Capillary Blood Glucose, Hemocult, Urine Pregnancy), Hearing & Vision Testing, Sterilization of Instruments,

• Collects & prepares lab specimens (Urinalysis, Pap Smear, Biopsy, Cultures) and transports to lab Perform CPR as needed and assist during times of emergency

• Departmental Maintenance:

• Monitor supplies, medications and forms and notifies appropriate staff when reorder needed

• Remove and tag broken equipment and notifies coordinator, supervisor, or manager

• Cleans exam rooms daily and documents on log

• Monitors supplies for expiration date and restock to par levels

• Perform sterilization of instruments and complete logs (assignment based on completion of sterilization class and delegation by appropriate nursing staff)

• Attends staff meetings

• Maintain a clean and organized work area with a minimum of personal items

• QA - Regulatory

• Complete daily logs as assigned by nursing staff:

• Waived testing (ie glucometer, urine dipstick and urine pregnancy logs) CLIA standards

• Refrigerator and room temperature logs

• Eye wash station

• Other QA logs

• Performs accurate, legal, & ethical documentation

• Maintain patient confidentiality

• Practice OSHA safety standards with proper disposal of biohazard waste

• Uses frequent hand washing or hand sanitizer (up to 10 times before have to wash hands with soap and water, unless hands visibly soiled) to prevent and control the spread of disease within the clinical setting

• Uses gloves and PPE as needed

• Uses aseptic or sterile technique as needed

• Verify equipment has a current PM label before use

• Identifies and reports potential barriers for the safe provision of patient care and maintains a safe patient environment

• Customer Service

• Works with patients to achieve excellent customer service and high levels of satisfaction

• Practices mutual respect among all members of the healthcare team

• Works with other staff to promote an efficient and effective healthcare team

• Demonstrates Kelsey-Seybold's Mission and Values

• Meets both Clinic and individual Customer Service goals and standards by maintaining 90% or greater of excellence in customer service

• Provides age appropriate interactions

• Answer and direct incoming calls to appropriate staff using a caring non-rushed tone

• Identify clinic, department, name and job title in health care team

• Ensure accurate information is obtained and communicated to licensed team members

• Report and provide documentation of all complaints to supervisor, manager or Clinic Administrator

• Utilize warm transfer process when redirecting patient to ensure needs are met

• Quality Improvement:

• Contributes and participates in the department and clinic process improvement plans (PDSA)

• Supports initiatives related to meeting AAAHC and other accrediting standards

• Follows all safety standards for patients, employees and visitors

• Recognizes and adheres to National Patient Safety Goals

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School diploma or GED

• 2+ years of insurance medical business administration experience

• 2+ years of previous KSC experience or 2+ years of secretarial experience

• 1+ years of direct face to face customer service experience

• 6+ months of experience as a Medical Assistant

• PC experience

• CPT/ICD coding, Medical terminology

• Special Skills

• Those hired into this position must complete the review/skill validation program within 180 days of hire

• Computer experience

• Basic Medical & Nursing terminology

• Working knowledge of Microsoft Office

• Proven typing skills 40 WPM with 10 or fewer errors and basic math ability

• Demonstrated Alpha/Num Forms Entry

• Demonstrated ability to use equipment and related supplies for selected patient population

Preferred Qualifications:

• Certified or Registered as a Medical Assistant

• Those hired from Externship must obtain certification within 1 year of employment

• Successfully completed externship at Kelsey-Seybold

• Ability to speak/understand Spanish

• Billing/claims experience

• Ambulatory Care experience

• Special Skills:

• EPIC experience

• Typing skills 55 WPM with 5 or fewer errors

• Demonstrated 10-key by touch

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.