About this role
REPORTS TO: Manager CLASS: Full-Time (The Employee must work as scheduled, including days, nights, evenings, weekends, and Public Holidays.) TYPE: Salaried
Primary Role:
The Patient Care Coordinator is responsible for providing outstanding customer service to the patients and their families, ensuring that the patients and their families understand their appointment and financial responsibilities. The Patient Care Coordinator is also responsible for the collection of co-payments at the time of service.
Responsibilities:
• Registration, scheduling appointments, referral management, and pre-registration.
• Patient flow – escorting the patient to and from appointments.
• Confirms patient insurance eligibility and/or benefits.
• Answer phone calls by the 3rd ring using the correct phone etiquette standardization.
• Provides customer service to patients inquiring about their patient statements.
• Determines required deposits, and processes the deposit into the patient receipt.
• Audit charts for correct demographics and insurance information.
• Update addresses in the computer system and email out new statements.
• Discuss and educate family members/patients on various services offered by the hospital and methods of payment for those services including but not limited to overseas, local insurance and private pay.
• Generate patient statements upon request.
• Performs all other necessary duties as required by the hospital to meet the goal of providing primary health care services.
• Ensuring the till float is balanced at the beginning and end of his/her shift.
• Determines required deposits according to the patient’s insurance coverage and check for all account balances with AR.
• Post all patient payments/deposits. Balances the cash drawer at the end of the day and deposits daily cash report in the safe.
• Assure, if payment can’t be made in full at time of service, a payment plan is obtained for PIF. If that arrangement isn’t possible, the patient will be referred to the AR department.
• Request change for till from courier when needed.
• Review the total unapplied patient receipt report to assure all deposits and payments are posted accurately.
• Report any overages and shortages on daily cash report.
• Ensure the name of the Doctor on the printed encounter sheet matches the name in the system and is the same physician the patient saw.
• If CPT codes are needed, it is the employee’s responsibility to get it from the department or cashiers Lead as quickly as possible.
• Prompt response to emails.
• Exceptional interpersonal, communication, and organizational skills.
• The cashier is not allowed to adjust a patient’s account or waive payment without the approval of the Patient Services Team Leads or Manager of A/R.
• Verify and sign witness of cash drawer for first shift swap.
• Credit Balance - Reallocate credit on the same accounts.
• Assign correct CPT codes from encounter/requisition sheet into the billing system, assign correct % of co-payment/deduction.
• Assist Patient Services Team Leads as required or assigned.
• Event support where needed.
Qualifications / Knowledge Requirements:
• High School Diploma or equivalent.
• 1-3 years’ experience in a medical office/hospital, or another equivalent experience.
• Diploma in Healthcare Administration or Medical Terminology preferred.
• Strong Analytical, oral, written communication skills.
• Prior knowledge or familiarity with health insurance and other third-party health providers’ guidelines.
• Proficient in Microsoft Word, Excel, Access, Outlook.
• Bilingual in Spanish a plus, but not a necessity.
Accountability:
The Patient Care Coordinator will be accountable to the Patient Services Manager.
Travel:
None expected.
Additional Skills & Abilities:
• Superior customer service skills to deal with patients, families and hospital personnel.
• Must be able to assess situations, identify issues/problems and prioritize duties.
• Demonstrate knowledge of skills necessary for communicating with all ages and diverse cultures.
• Must have basic mathematical skills.
• Must be able to use personal experience, knowledge and other outside resources to make logical decisions to solve problems.
• Experience in a hospital setting and understanding of hospital operations is preferred.
• Other duties as assigned by the Hospital Administration.
Benefits:
CTMH – Doctors Hospital Pharmacy offers a competitive benefit package that includes paid vacation, health insurance and pension in accordance with the Cayman Islands regulations.
KYD 3,300.00 to KYD 3,800.00 per month