Patient Care Coordinator - FT Weight Management

At Houston Methodist, the Patient Care Coordinator position is responsible for serving as an initial point of contact for patients, employees, clients, medical staff and other callers seeking help from the department. The Patient Care Coordinator performs duties including but not limited to coordinating needed physician referrals and appointments, is responsible for obtaining and recording eligibility and benefit information for patients receiving services and initiates authorization process in a timely manner. This position has the ability to perform more complex processes related to insurance verification, authorization, and financial clearance. The Patient Care Coordinator will also utilize effective communication skills in all interactions with patients, coworkers, insurance companies, physicians etc. This position performs duties including but not limited to coordinating needed physician referrals and appointments, assisting with department initiatives, demonstrating independent actions necessary to provide competent and professional assistance to meet the needs of the healthcare team and patients. This position coordinates, records and transmits information pertinent to the resource management of patients to next level of care providers and performs a wide variety of administrative duties of a higher complexity in support of department operations.

Requirements:

Qualifications:

LICENSES AND CERTIFICATIONS - REQUIRED

• N/A

KNOWLEDGE, SKILLS, AND ABILITIES

• Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations

• Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security

• Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles

• Ability to manage a fast-paced environment, to review clinical documentation for Medical Necessity and payer requirements, and have a high level and knowledge of medical terminology, CPT, International Classification of Diseases ICD-10 preferred. Knowledge of Medicare, Medicaid, and managed care reimbursement methodologies

• Ability to work under pressure and balance many competing priorities

• Adapts to multiple ongoing priorities with minimal supervision, including organizing workflow and actively participating in problem-solving

SUPPLEMENTAL REQUIREMENTS

WORK ATTIRE

• Uniform No
• Scrubs No
• Business professional Yes
• Other (department approved) No

ON-CALL*
*Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.

• On Call* No

TRAVEL**
**Travel specifications may vary by department**

• May require travel within the Houston Metropolitan area Yes
• May require travel outside Houston Metropolitan area No

Company Profile:

Houston Methodist is one of the nation’s leading health systems and academic medical centers. Houston Methodist consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the heart of the Texas Medical Center, and seven community hospitals throughout the greater Houston area. Houston Methodist also includes an academic institute, a comprehensive residency program, a global business division, numerous physician practices and several free-standing emergency rooms and outpatient facilities. Overall, Houston Methodist employs more than 27,000 employees and is supported by a wide variety of business functions that operate at the system level to help enable clinical departments to provide high quality patient care.

Houston Methodist is an Equal Opportunity Employer.