Patient Care Coordinator (Part Time) - Edgewood, Pittsburgh, Pa

Overview
Greater Purpose and Core Values:
Athletico’s Greater Purpose is to empower people, inspire hope and transform lives. We accomplish this by providing exceptional, progressive, and cost-effective fitness, performance and rehabilitative services through personalized care that emphasizes education and prevention of future injury. This is accomplished through building on our Core Values of one team, understanding our business, recognition, people-focused, accountability, continuous innovation and trust and integrity, which are the foundation for our unique culture.
Job Summary
The Patient Care Coordinator (PCC) is responsible for managing (daily, weekly, and monthly) operations as outlined in the Front Office Manual, adhering to policies and procedures, scheduling, accurately entering patient demographics, verifying insurance, collecting monies, charging entry, and properly documenting accounts. The PCC is flexible, adaptable to change, and learns new skills. The PCC possesses excellent customer service skills and acts as a liaison to the Clinic Director, Front Office Manager, and Director of Front Office Operations.
Benefits Offered With This Part Time Position

• Home & Auto insurance discounts
• Pet insurance discounts
• Pre-Tax & Roth 401K (for 21+) with quarterly company match
• Commuter Benefits
• Student Loan Resources
• Perks at Work discounts
• Employee Assistance Program

Responsibilities
Essential Functions:

• Attempts to maintain the continuity of care when scheduling patient appointments
• Takes inventory regarding supplies and communicates this to the Clinic Director and Front Office Manager
• Forwards all medical record requests, subpoenas, checks, and any other documentation received to the billing office
• Stays prepared for frequent audits, which are conducted by management, to ensure all policies are being adhered to and the clinic is in operating order
• Participates in regular meetings and any other training as requested by management
• Efficiently/Accurately uses any technology/software used in the office to complete the job or as required by management
• Accurately enters charges as needed, reviewing charges/encounters and completing coding edit checks
• Ensures that all visits performed are properly authorized and makes efforts to minimize the occurrence of any unauthorized visits
• Accurately enters patient demographics, insurance, and case information
• Utilizes the Front Office Manager or Clinic Director as a resource for questions and problem solves challenging situations
• Understands the importance of productivity in regards to scheduling and recapturing appointments and missing-in-action patients. Proactively rescheduling appointments in the current week as well as the duration of the prescription
• Ensures that all “Plan of Cares” for Medicare are signed and returned by the physician within 30 days of the patient’s initial evaluation
• Answers all inbound calls within the third ring using Pivot’s greeting, transferring and taking messages as needed
• Accurately verifies benefits via phone, asking detailed questions outside of what is provided, and sets up accounts accurately
• Travels to an off-site location/corporate location for training or other Pivot locations in the event of necessity
• Has a clear understanding of front office operations and performs these operations as presented in the PCC manual, Scheduling/Billing/EMR manual, or any other manuals developed or deployed by the management team
• Scans all patient documents within 24 hours of receipt, using the appropriate naming convention of each document and scans the document to the appropriate case
• Responsible for all components of scheduling appointments and properly documenting accounts as needed
• Audits each visit to ensure there are valid prescriptions/proper authorizations/referrals/pre-certifications and collects monies due each visit
• Maintains a neat and organized workspace and ensures cleanliness within the office
• Excels in the area of customer service
• Effectively manages time in regards to hours worked/breaks and documents this information in the appropriate software daily
• Reconciles all over-the-counter collections daily and drop off deposit cash/checks at the designated bank within an appropriate time frame
• Adheres to Pivot’s policies, procedures, and core values
• Submits expense reports in a timely manner as directed by management
• Routinely completes all the HIPAA privacy and security training as required by the Pivot management team. Staff must adhere to these privacy policies
• Fills out patient forms where applicable and explains the details surrounding the paperwork presented to the patient
• Follows up and reviews daily reports and proactively communicates the need for a prescription/authorization/referral/pre-certification to ensure there are no delays with patient care
• Utilizes websites only in instances in which the websites are relevant and approved by Pivot Physical Therapy. (e.g., insurance websites for authorization, National Provider Identifier (NPI) websites, etc.)
• Completes daily, weekly, and monthly operations and reconciliations and ensures accuracy prior to sending to the Front Office Manager
• Collects all monies that are due prior to each visit including, but not limited to, copayments, deductibles, coinsurance, payments on statements, supplies, gym memberships, self pays, and attorney checks. Documents all monies in the system appropriately and provides system receipt
• Maintains and performs a warm, friendly, and welcoming relationship with all patients, Pivot staff, medical and non-medical professionals, and vendors and visitors

Additional Responsibilities

• Runs errands outside the clinic as requested by management
• Provides front office and technician services (cleaning therapy beds, laundry, organizing supplies and closets, and ensuring safety of the clinic and machinery)
• Sets up clinic food deliveries
• Maintains overall cleanliness of clinic (vacuum, wash dishes, water plants, etc.)
• Performs other duties as assigned by management

Qualifications
Required Education, Skills, and Abilities:

• Effective time/priority management skills
• Related experience in a clinical setting (e.g., physician, dental, chiropractic, or physical therapy)
• Excellent documentation skills
• Ability to troubleshoot when necessary
• Ability to interact with patients, clinical, and administrative staff in a pleasant, courteous, and respectful manner
• Understanding of medical billing practices and medical terminology (HCFA 1500, CPT and ICD 9 codes)
• Action-oriented and approachable
• Active listening skills and ability to adapt to change
• Proficient in utilizing Microsoft Office, Word, Excel, and all other technical or software systems
• Friendly and a positive attitude is a must
• Excellent customer service/interpersonal/communication skills and proper phone etiquette
• Strong sense of decision making and judgment
• A team player and effective at building/fostering teamwork as well as maintaining composure when dealing with conflict
• High school degree or equivalent
• Ability to manage self and organize multiple priorities

Athletico provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.