Patient Information Coordinator Resume Samples

Description :

1. Develops interdisciplinary care plan and other case management tools by participating in meetings.
2. Coordinating information and care requirements with other care providers.
3. Resolving issues that could affect smooth care progression, and fostering peer support.
4. Providing education to others regarding the case management process.
5. Maintaining ongoing communication with utilization review staff regarding variances from the care plan or transfer/discharge plan.
6. Evaluates outcomes of care with the interdisciplinary team by measuring intervention effectiveness with the team, implementing team recommendations.
7. Complies with hospital and legal requirements by fostering nursing practices that adhere to the hospital's and nursing division's philosophy.
8. Protects self, co-workers, and patients by following policies and procedures to prevent the spread of bloodborne and/or airborne diseases.
9. Maintains quality service by establishing and enforcing organization standards.

Experience

5-7 Years

Level

Executive

Education

HS

Description :

1. Responsible for fostering high levels of customer service in coordinating all information provided to customers and their families.
2. Handle all requests and inquiries for patient information, dispersing the information with accountability to all regulatory entities and according to the facility's policies and procedures.
3. Coordinating patient information through all caregivers, insurance companies, billing departments, and patients according to the facility's policies and procedures.
4. Maintaining information flow according to the facility's established guidelines.
5. Meeting one-on-one with patients to facilitate the coordination of their health information with the facility and with their insurance companies or other payers.
6. Maintaining the confidentiality of all patient, client and facility information at all times, both while on and off duty.
7. Demonstrating a complete understanding of the release of information process, including guidelines in training manuals, regulatory manuals, and facility policies and procedures.
8. Keeping current what ongoing or new legislative issues related to release of information.

Experience

2-5 Years

Level

Junior

Education

Diploma

Description :

1. Manage schedules, input billing, answer phones, coordinate with doctors and nurse practitioners, hospital administrators, and schedule meetings.
2. Input all records for billing purposes, answer audits and keep up with all dictation that may be outstanding for each doctor.
3. Reconciliation of all rounding lists on a daily basis and forwarding any billing questions or denials to the correct representative.
   
4. Obtain and update demographics, emergency contact, and insurance information, including referrals/authorizations on all patients as needed.
5. Confirm/Verifies insurance benefits with the appropriate carrier via on-line verification systems or telephone inquiries.
6. Generates and completes all applicable forms and necessary communications while obtaining a signature for consent to treatment. 
   
7. Answers telephone calls and relays messages containing accurate and complete information including the name of the caller, affiliation, date and time of call, and call back number.
   

Experience

7-10 Years

Level

Management

Education

General

Description :

1. Interview and pre-register patients at the time of or prior to the visit date.
2. Input patient information into the computer to initiate a medical record and a bill.
3. Obtain and update demographics, next-of-kin, and insurance information, including referrals/authorizations on all patients as needed.
4. Confirm/verify insurance benefits with the appropriate carrier via on-line verification systems or telephone inquiries.
5. Obtain signature of patient or family member for consent to treatment and financial responsibility.
6. Respect patient confidentiality and withholds restrictive information according to HIPAA guidelines.
7. Schedule patient appointments in accordance with department-specific guidelines.
8. Distribute/triage phone calls to other areas and/or clinical providers.
9. Assist with administrative duties in the office including but not limited to scanning of medical records and faxing.

Experience

5-7 Years

Level

Executive

Education

BS

Description :

1. Support and contribute to the service excellence mission and abide by all departmental policies, procedures, and goals in the process of performing all job responsibilities.
2. Incorporates acts of dignity and respect in daily interactions.
3. Interview and register patients at the time of or prior to the visit date.
4. Obtain and update demographics, emergency contact, and insurance information, including referrals/authorization on all patients needed.
5. Confirm/Verifies insurance benefits with the appropriate carrier via on-line verification systems or telephone inquiries.
6. Generates and completes all applicable forms and necessary communications while obtaining signature consent to treatment.
7. Demonstrates the ability to operate and efficiently utilize all systems and office equipment.
8. Collects and records patient payment including co-insurance, co-payments, and deductibles at the time of service.

Experience

2-5 Years

Level

Junior

Education

Diploma

Description :

1. Input patient information into the computer to initiate a medical record and a bill.
2. Obtain and update demographics, next-of-kin, and insurance information, including referrals/authorizations on all patients as needed.
3. Confirm/verify insurance benefits with the appropriate carrier via on-line verification systems or telephone inquiries.
4. Obtain signature of patient or family member for consent to treatment and financial responsibility following HIPAA rules and regulations.
5. Collect and records patient payments at time of service.
6. Respect patient confidentiality and withholds restrictive information according to HIPAA guidelines.
7. Appropriately distribute/triage phone calls to other areas and/or clinical providers.
8. Assist with administrative duties in the office including but not limited to scanning of medical records and faxing.

Experience

2-5 Years

Level

Junior

Education

Diploma

Description :

1. Physician Services Division Interview and register patients at the time of or prior to the visit date.
2. Obtain and update demographics, emergency contact and insurance information, including referrals/authorizations on all patients as needed.
3. Confirm/verify insurance benefits with the appropriate carrier via on-line verification systems or telephone inquiries.
4. Schedule appointments based on business unit requirements.
5. Demonstrate the ability to operate and efficiently utilize all systems and office equipment.
6. Collect and record patient payment including coinsurance, co-payment, and deductibles at the time of service.
7. Respect patient confidentiality and withholds restrictive information according to HIPAA guidelines.

Experience

2-5 Years

Level

Junior

Education

Associate

Description :

1. Respond to incoming trauma emergencies; compile and disseminate patient information to appropriate staff.
2. Communicate with medical staff and share limited information with a patient representative.
3. Explain emergency room protocol and resolve patient/family inquiries.
4. Identify patient in crises and expedite appropriate support.
5. Assist patients with transportation, family contact, and information on community service programs.
6. Collaborate with members of clergy, police, medical examiner office and transplant consortium.
7. Provide clerical support to the ER team as needed (answering telephones, coordinate transfers between hospitals and stock medical supplies).

Experience

10+ Years

Level

Senior

Education

Diploma

Description :

1. Review patient's medical records for requested medical documentation form electronic and paper records using ChartMaxx and EPIC electronic medical records.
2. Receives and processes a large volume of request for patient information according to HIPPA and hospital guidelines for the patient.
3. Specializing in the protection of patient information, accidental or intentional from internal and external sources.
4. Responsible for invoicing all billable requests and collecting payment.
5. Responds to subpoena and court orders according to current legal statutes and hospital departmental guidelines.
6. Responsible for going to court for depositions when a subpoena is issued for medical records.
7. Responsible for educating the outpatient department on rules and regulations for release of information.
8. Provides backup telephone coverage for the reception area.

Experience

10+ Years

Level

Senior

Education

Certification

Description :

1. Utilizes professional interpersonal skills and works as a team member with patients, staff, and physicians.
2. Coordinates physician schedules and modifications and ensures affected patients and staff are notified of changes immediately.
3. Provides training and orientation for new PIAs, including weekly evaluation of progress and feedback to manager/director during the probationary period.
4. Communicates clear standards for performance and customer service to PIAs and ensures all clinic staff is updated on critical processes which affect clinic operations.
5. Actively seeks opportunities to provide constructive feedback to employees regarding accomplishments and areas for improvement.
6. Provides business leadership of the day to day operations in assigned areas in coordination with administration, RNs, MDs, and other areas as needed.
7. Coordinates patient flow and facilitate patient care according to policy.

Experience

10+ Years

Level

Senior

Education

MA

Description :

1. Interview and pre-register patients at the time of or prior to the visit date.
2. Input patient information into the computer to initiate a medical record and a bill.
3. Obtain and update demographics, next-of-kin, and insurance information, including referrals/authorizations on all patients as needed.
4. Confirm/verify insurance benefits with the appropriate carrier via on-line verification systems or telephone inquiries.
5. Respect patient confidentiality and withholds restrictive information according to HIPAA guidelines.
6. Schedule patient appointments in accordance with UPMC and department-specific guidelines.
7. Examined diagnosis codes for accuracy, completeness, specificity, and appropriateness according to services rendered.

Experience

7-10 Years

Level

Management

Education

BFA

Description :

1. Answer multi-line telephone system and schedule appointments, contact or page physicians according to department questionnaires, protocols, and templates.
2. Check physicians' schedules and organize patient flow.
3. Confirm/verify insurance benefits with the appropriate carrier via on-line verification systems or telephone inquiries.
4. Resolve and clarify issues with patient medications and collaborate with local pharmacies.
5. Obtain lab/x-ray reports, hospital notes, referral information, etc, at the doctors' request.
6. Interview and register patients at the time of or prior to the visit date.
7. Obtain and update demographic and insurance information of all patients as needed.
8. Collect and record patient payment including coinsurance, co-payment, and deductibles at the time of service.

Experience

2-5 Years

Level

Junior

Education

Nursing

Description :

1. Functions as a non-clinical liaison between patient and physician, with the hospital and Apogee.
2. Interact and follow through with patients for the purpose of providing excellent customer service.
3. Data entry of patient information for billing and verification of insurance.
4. Precisely completed appropriate claims paperwork, documentation and system entry.
5. Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test results, home care forms).
6. Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
7. Actively maintained a current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third-party requirements regarding billing.

Experience

7-10 Years

Level

Management

Education

Certification

Description :

1. Provided customer service to patients as they checked in and out of their appointments.
2. Made future appointments and completed reminder calls.
3. Verified patients insurance information and checked their eligibility.
4. Answered phones and directed them to the appropriate department.
5. Worked closely with the physicians to schedule patients for testing and obtained preauthorization for those tests.
6. Accepted co-payments at time of service and applied them to the patient's account and also worked to collect balances that were due to patients accounts.
7. Took consults from the hospital and gave them to the physicians.

Experience

5-7 Years

Level

Executive

Education

Associates

Description :

1. Create, maintain and update the clinician's schedules according to authorizations and patient needs.
2. Serve as the point of contact for all interactions with clinical team members, administrative associates, referral sources and patients.
3. Ensure adherence to company policies associated with record establishment, retention, maintenance, and confidentiality.
4. Prepare clinical records for new patients upon receipt of referral.
5. Complete quantitative administrative review of clinical records at the start of care and upon patient discharge.
6. Collected and recorded patient payments at time of service and prepared deposits.
7. Maintained working knowledge of all required computer systems.

Experience

5-7 Years

Level

Executive

Education

Diploma