Patient Care Coordinator Ortho and Sports Medicine Institute

Primary City/State:

Phoenix, Arizona

Department Name:

Orthopedic Surgery

Work Shift:

Day

Job Category:

Administrative Services

Those who have joined the Banner mission come from all walks of life, united by the common goal: Make health care easier, so life can be better. If changing health care for the better sounds like something you want to be part of, we want to hear from you!

This position will be at the Orthopedic & Sports Medicine Institute and Concussion Clinic located at Banner University Medical Center in Phoenix. Whether you have back pain, joint issues, torn ligaments or a complex fracture, we treat all injuries and disorders of the musculoskeletal system. Our doctors use advanced surgical and minimally invasive techniques to reduce pain and get you moving.

As a PCC on this team, you will be an integral part of the patient's Banner experience looking to provide each person with the best customer service and patient care while managing care coordination with surgical patients. We work with various sports teams from the local area, Phoenix Suns, Brewers, Diamondbacks, and the Phoenix Mercury Team.

This is a full time, day shift, Mon-Fri, 8-5.

Locations: 755 E McDowell Rd., 2nd Floor, Phoenix, 1320 N. 10th St, Phoenix, and 7400 N Dobson Scottsdale. Will require AZ fingerprint clearance card.

University Medical Center Phoenix is a nationally recognized academic medical center. The world-class hospital is focused on coordinated clinical care, expanded research activities and nurturing future generations of highly trained medical professionals. Our commitment to nursing excellence has enabled us to achieve Magnet™ recognition by the American Nurses Credentialing Center. The Phoenix campus, long known for excellent patient care, has over 730 licensed beds, several unique specialty units and is the new home for medical discoveries, thanks to our collaboration with the University of Arizona College of Medicine - Phoenix. Additionally, the campus responsibilities include fully integrated multi-specialty and sub-specialty clinics and has operations in multiple locations spanning across the Phoenix metropolitan city.

POSITION SUMMARY
This position is responsible for providing personalized coordination, clarification and communication of all administrative aspects of care including patient needs assessments, insurance and authorization verification, registration, maintaining and handling of documentation, and scheduling of appointments. This position partners with the clinical care team to ensure a seamless experience for the patient and their family across the entire continuum of their treatment. This position assists with providing resources to help the patient maintain optimal care. This position performs follow-up tasks identified during the patient needs assessment for management of patients across the healthcare continuum or when the patient is in the continuum and needs additional resource support.

CORE FUNCTIONS
1. Performs patient intake process, which may include pre-registration/registration. Partners with the clinical care team to determine initial authorizations needed based on the predicted care treatment plan. Obtains patient insurance benefit information for all aspects of the treatment, including, but not limited to, inpatient and outpatient services, prescription drugs, and travel and housing, if necessary. May also answer questions regarding the authorization process and supply information to providers, patients and third party payors.

2. Acts as a resource for insurance coverage, which may include obtaining authorizations and notifications throughout the patient’s treatment. Obtains all necessary signatures and documentation required by the patient’s insurance plan. Accurately and completely documents all information into the patient records system to ensure maximum reimbursement. Monitors and updates information regarding insurance data, authorizations, preferred providers and changes in patient’s treatment plan. Partners with the clinical care team and insurance provider to ensure continued coverage of patient’s care and maximum reimbursement and minimized financial impact to the patient.

3. Provides administrative support in maintaining materials such as documents, proposals, routine correspondence, spreadsheets, composing and preparing routine reports, and maintaining records in a variety of business software and database applications for electronic medical records, billing, data management.

4. Schedules physician appointments, tests, procedures and surgeries and may provide patient with necessary preparation instructions. Prepares, processes, and manages patien