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Patient Care Coordinator Resume Samples
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6-10 years of experience
Patient care, scheduling, and insurance checks. Cleaning and small repair of hearing instruments. Incoming and outgoing calls as well as telemarketing. Handling of office supply ordering and day-to-day office operations.
- Training of new staff and assist in new office set-up.
- Developed and implemented spreadhseets for tracking office sales and databases for tracking patient service which automated direct mailing and increased patient scheduling 10%.
- Consistently earned production bonuses for meeting or exceeding office goals.
0-5 years of experience
New owners for company. Maintained appointment schedules for doctor & hygienist via Dentrix G4’s automated system. Coordinated & presented patient treatment plans & financial arrangements. Verified insurance eligibility, updating patient records. Processed patient & insurance payments. Managed hygiene program. Managed unscheduled treatment plans. Updated patient letters & consent forms for automation.
- Assisted with financial conversion separating A/R from one owner to another
- Converted office from paper to paperless records within one (1) year
- Streamlined hygiene continuing care program via computerized records
- Increased treatment plan acceptance rate to 96% within 30 days
- Created weekly/monthly reports for tracking purposes with Word & Excel
0-5 years of experience
Manage and coordinate care for 300 patients, conducting Chronic Pain, Post Hospital and other assessments to prevent hospital readmission. Work one-on-one with patients to evaluate, educate, and motivate in understanding disease process, making lifestyle changes, managing medications & communicating w/ MDs.
- Achieved >90% of clinical goals and consistently generated improved health outcomes by educating and empowering patients in effective at home disease management.
- Earned 105% engagement rate by creating trust and rapport with patients and adopting Information- Motivation-Behavioral (IMB) Model to successfully pinpoint and shift core obstacles to change.
- Reduced hospital readmissions to .01% by using comprehensive process combining clinical, financial, and psychosocial approach to identify trends and early indicators, resolve barriers, and create strategy ensuring appropriate service/resource utilization by chronically ill patients.
- Attained 94% medical record completion rate, 2nd highest on team of 30 nurses, by employing highly effective interviewing techniques and meticulous oversight of reporting processes.
- Identify need for chronic case management, social work, and/or behavioral health care services, making interagency and interdepartmental referrals as necessary.
- Receive 10-15 patient success stories per month chronicling major improvements in health.
- Analyze financial and logistical barriers to at home care and assist patients in resolving.
0-5 years of experience
Greeted and checked patients in, while assuring all medical information is up-to-date
- Scheduled patients
- Established new patients and created electronic files for them
- Answered multi-line phones
- Collected co-pays, co-insurance and all other balances
- Faxed, scanned, and recorded all necessary medical documents
- Assisted physical therapists as needed and maintained cleanliness of facility
- Communicated with other doctor offices, imaging offices, and all other organizations as needed
0-5 years of experience
Ability to work well in a fast-paced, team oriented environment that requires a high degree of multi-tasking with minimal supervision
- Managed the patient schedule, worked with front office and back office staff to ensure organization
- Organized and maintained patient charting process, prioritized and reviewed charts for completeness
- Verified insurance for treatments, collected payment from patients, and reconciled daily cash reports
- Responsible for registration, appointment scheduling, telephone coverage and patient referrals
0-5 years of experience
Primary Liaison between the doctor and patient from first point of contact to completion of dental treatment.
- Answer an average of 25- 30 calls per day, addressing inquiries regarding payment agreements and cost savings to reduce fees for dental services. Accepting payments, answering inquires related to appointment scheduling needs that best services the patient.
- Assisting doctors organizing a comprehensive treatment plan, discussing patient accounts, insurance benefits and financing options.
- Consult with patients regarding treatment plan and determine insurance calculations and financial options
- Developed and maintained relationships with the patient’s insurance carriers.
- Provided training and assistance to new Patient Care Coordinators
- Within the Top 5 Patient Care Coordinator in sales for two (2) months consecutively
0-5 years of experience
Assist insurance carriers in the coordination of worker’s compensation patients home care needs to ensure a timely return to work.
- Facilitate flow of evaluation(s), orders, progress notes, and prescriptions from provider(s) to Nurse Case Manager or adjuster per One Call nursing department protocol.
- Review MD orders, and initial assessments on patient to communicate effectively with the provider and the insurance carrier providing updates on progress of patient.
- Utilize appropriate tracking tools, i.e. authorization logs, Outlook Calendar or Task function, to ensure follow-up on critical timelines.
- Building and maintaining a rapport with contracted and non-contracted vendors to negotiate pricing based on state fees and contractual agreements.
- Requesting authorization of DME equipment or medical supplies through the patient’s Workers Comp insurance carrier via phone, fax, or email.
- Supported three department processes and workflows and served as appointed backup support coordinator.
0-5 years of experience
Administratively supported several Aspire teams with tasks such as entering new patient referrals, sending faxes, adding documents to patient records, and other daily business functions.
- Collaborated, organized, and exclusively managed the MD report process in its entirety for last 60+ days.
- Supported Executive Ops Team with data reconciliation, patient zone mapping, and other operational tasks.
- Generated a daily hospitalization report for the TX markets, updated results into Trackvia/Salesforce, and informed the TX teams of any changes.
- Supported Billing/Credentialing team in several capacities including but not limited to entering Patient Demographics into Vision/Advanced MD and submitting claims.
0-5 years of experience
Managed patient care through use of patient care management system
- Performed fundamental patient intake, receives, and verifies patient insurance information.
- Scheduled initial appointment and follow-up visits.
- Addressed common medical and insurance questions via phone and e-mail.
- Provided physician referrals, calculates factors such as BMI, documenting co-morbidities.
- Advised patients what to bring to their appointments and directs them to website to obtain or complete new patient paperwork.
0-5 years of experience
Conducted new patient admissions and tracked communication using computer/cloud interface systems
- Educated and counseled prospective patients throughout the admissions process
- Consulted and coordinated with medical providers to obtain required information and documentation to fulfill admission requirements
- Recruited program members via email, phone screens and in person interviews
6-10 years of experience
Coordinated orders of new hearing aids, repairs and ear molds.
- Typed correspondence, maintained patient database, answered phones, scheduled appointments, ordered office supplies, filed and repaired hearing aids.
- Liaised with insurance companies to determine benefit coverage.
- Billed insurance companies and followed up to ensure payment.
- Trained new office staff.
0-5 years of experience
Managed Scheduling for staff of 25 RRTs
- Conducted continuing medical education of staff members
- Revised / deployment of protocols for department with regard to clinical practices and procedures
- QA data collection and billing procedures through EPIC EMT Systems
- Directed and provided direct patient care in high-acuity cardiovascular specialization hospital
0-5 years of experience
Serve as a key member of interdisciplinary healthcare team for a busy dermatology medical practice. Assist one MD as well as PA team in ensuring optimal patient care and smooth daily functioning of office.
- Consistently praised for efficient handling of administrative duties (e.g., answering phones, scheduling appointments, maintaining medical records, patient processing, billing and bookkeeping) that allowed the doctor to focus on the health concerns of their patients.
- Demonstrated proficiency in taking patient medical histories and chief complaints, as well as in performing venipunctures, injections and various diagnostic procedures, in office procedures and biopsies, also many cosmetic procedures (juvedram fillers, Botox, etc.)
- Ensured the cleanliness, sanitation and maintenance of all facilities, exam rooms and equipment.
- Helped implement practice’s quality assurance and control program. Efforts ensured compliance with HIPAA, CLIA and OSHA regulations; improved patient care/satisfaction; and lowered monthly overhead by 12%.
- Reacted calmly and effectively in emergency situations, and added the personal, caring touch that immediately put patients at ease.
- Accountable for the ordering and managing of supplies for the medical inventory.
0-5 years of experience
Coordinate and generate new business in home health, hospice and palliative services in new accounts, identify new markets and coordinate care for referred patients.
- Generated 100 plus home health and 32 hospice referrals
- Responsible for attracting and signing Medical Directors for hospice service
- Secured company’s first Northwest Ohio GIP hospital contract at Fulton Co. Health Center
0-5 years of experience
- Notified patients of abnormal laboratory and cytology test results and tracked the status of treatment plans and/or referrals
- Maintained an organized tracking system of all on-going follow-up activity
- Coordinated, logged and sorted incoming abnormal lab results in electronic medical records system, and consulted with clinician regarding plans
- Initiated telephone and written correspondence to patients regarding results and treatment plans
- Electronic medical record chart note documentation
- Performed mandatory STD reporting to Michigan Department of Community Health
- Assisted with scheduling patient appointments
0-5 years of experience
Facilitate transitions for the patients; confirming that recommended test and appointments are made and occur.
- Making certain that test result is integrated into the Electronic Medical Record, Reviewed, and acted upon by medical staff.
- Addressed patient’s interrelated medical, social developmental, behavioral, educational, and financial needs to achieve optimal health and wellness outcomes.
- Provided services to patients who have long term chronic illnesses, patients who need more education, and patients who require more time to understand medications or any other aspect of their care.
- Manage post hospital aftercare appointments and assist in discharge planning in accordance HEDIS.
- Monitored and provided support to patients from diverse population
- Checked patient’s Medicaid status and eligibility by using online EPACES
- Resolved any patient’s complaints or issues on the unit.
- Provided related admin support and complete projects by creating daily reports and memos.
0-5 years of experience
Answered, screened and directed all incoming calls to the appropriate department(s)
- Registered patients by entering all necessary information in GE/EMR/CPS systems
- Scheduled office visits for patients with 160+ providers
- Maintained patient waiting and cancellation lists
0-5 years of experience
- Scheduled staff clinicians to patients home to adhere to doctor’s orders, plan of care and patient needs.
- Maintained accurate records for 60-day episodes for hospitalized patients while updating financial departments and effectively communicated with patients’ family members and caregivers regarding patient’s health.
- Scheduled all recertifications, resume of care, post hospital, and daily SN visits.
0-5 years of experience
Supervised 10 Schedulers included PTO request, Reviews, Disciplinary Actions.
- Monitored Scheduling Call Centers Calls using Avaya CCR systems to ensure calls are being answered in timely matter, as well guaranteeing they were providing excellent customer service.
- Worked closely with our physicians to educate the schedulers on prefers/non-prefer patients to place on their schedules.
- Provided Monthly Call Center stat reports to Operations Director and Operations Committee.
- Assistant to our IT personal for any Cisco Phone issues.
0-5 years of experience
Acted as a liaison between all internal and external customers
- Proactively researched and resolved outstanding issues in order to foster collaborative relationships
- Followed and properly executed company policies and procedures
- Obtained and confirmed status of all referrals to ensure successful delivery of products and services
0-5 years of experience
Contributed to hospital operations by performing other job duties as may be required/assigned
- Responded and actively participated in hospital-wide disaster plans
- Prepared patients chart, admission record, and identification band as needed
- Prepared necessary paperwork for each patient
- Interviewed patient to obtain all account demographic and financial information for efficient billing processes
- Obtained physician orders and attaches them to the patient medical record to ensure that the patient is receiving the appropriate tests
- Collect hospital co-pays
0-5 years of experience
Responsible for contacting patients to update medications and set delivery for new or recurring medications based on physicians requests through prescription renewal
- Reviewed assigned patient list through Bioweb system and set tasks reminders to contact and update allergy list.
- Contacted physician’s offices to request and verify status of patient treatment options through medical assistants and length of treatment based on required guidelines for specific medications.
- Responsible for tracking medication deliveries and obtaining eta for those deliveries when available.
- Maintained delivery log for assistance with the weekly report.
0-5 years of experience
This position coordinates patient care with the best possible customer service in relation to their drug prescriptions, clinical services, billing inquiries, delivery scheduling and patient suggestions.
- Manages the patient, physician and pharmacy coordination of new referrals, as well as monitoring the system for next refill activity.
- Complete other stages of the order process as assigned; including but not limited to scanning prescriptions, Image Indexing, Pre-QA, Intake Prep and work issues.
- Coordinate patient care by scheduling orders, communicating information to the patient regarding shipments, assessing supply needs, verifying patient and payment information; identifying and communicating unique needs of the customer.
- Act as main point of contact to assigned hub groups and analyze and report data; using internal and external/client relationships to navigate and resolve issues.
- Provide monthly documented updates to Management.
- Create and update cheat sheets as needed to improve processes and ensure new materials are provided to all involved in the process.
0-5 years of experience
Outpatient Admissions Specialists
- Registered new patients in the outpatient surgery department upon arrival
- Acquired all insurance and medical benefits for accurate and timely bill payments
- Trained all new employees
- Assisted supervisor with case loads to ensure efficiency within outpatient department for both in and out patient procedures
- Served as an interpreter for the hearing impaired and deaf patients
0-5 years of experience
- Instruct patients on how to use home sleep studies for sleep apnea. Involves explaining medical terminology to patients and maintaining a high success rate of over 90% for valid test data.
- Provide speed and efficiency while importing paper records onto computer based record keeping system.
- Started out as a part-time data entry clerk while in college and eventually worked to become full-time member of the patient care team
- Decreased window for transmitting medical records to outside facilities from one week to forty eight hours.
- Facilitated transition from an outdated electronic medical records program to a new, modern charting system. Took on the role of teaching less computer-technical coworkers how to use the new program most effectively.
0-5 years of experience
Initiated outbound calls to current members regarding refills, new prescriptions requests and to update insurance information.
- Work closely within a team structure.
- Investigated and resolved issues dealing with a patient’s prescription and benefit information while working closely with the patient’s doctor office and peer pharmacists.
- Followed proper procedures for accurate and timely documentation on patient’s profile to protect their privacy and security per H.I.P.P.A. regulations.
- Handled excel reports, special projects and additional job tasks.
- Maintain professionalism and demonstrated excellent customer service to all peers and patients.
- Handled callbacks to patients and doctor offices after messages have been taken by inbound team.
- Contributed by handling inbound team call overflow.
0-5 years of experience
Responsible for answering all inbound/outbound calls, and assisting patients with questions/concerns both in person and over the phone. Assisting patients with scheduling or rescheduling appointments and manage front desk tasks.
- Responsible for arranging orders for all office supplies
- Answered multiple phones, scheduled patient appointments, advised on services offered
- Verified insurance coverage and authorized payments
- Confirming patient appointments
- Performed general office duties
- Attend and assist in all health fairs and seminars
- Received payments from patients for services offered in clinic
0-5 years of experience
Oversaw daily office operations and maintained patient schedule
- Utilized communication skills in handling potential new patients
- Advertised and marketed for new business, facilitated outreach programs, health fairs and lunch and learns
- Created, updated and sustained patient files and managed inventory
0-5 years of experience
Phone triage: handled telephone inquiries from patients/families, home care agencies, physicians, and other healthcare professionals by assessing patient’s needs and communicating resolutions following standing/verbal orders
- Processed physician orders in a timely manner
- Reviewed patient charts, updated medication list, and master problem list as needed
- Patient Prescriptions/Refills
- Assist physician with patient care in the home setting
- Adhere to HIPPA policy
- Reviewed all correspondence, labs/diagnostics, and phone messages prior to scanning them into the patient’s chart for physician review. Making sure all urgent patient care matters were addressed in a timely manner
- Experience in Electronic Medical Records-Aprima
0-5 years of experience
In this family owned and operated facility, I worked closely with their clients to maintain a well satisfied client base. I upheld the strict standards of the facility ensuring all clients were greeted properly and attended to in a timely manner. I processed client paperwork including in-patient and out-patient screenings, insurance, and medical history.
- Performed and developed X-rays
- Preformed some therapy on clients using hydro beds, electro shock therapy, and message beds
- Scheduled appointments
- Followed up with patients and returning clients
- Entered and reactivated patients through the company’s AMS system
0-5 years of experience
Assist all patients with follow up appointments; arrange specialty referrals, order/enter blood work and all imaging requests from all providers in the office (staff of 12).
- Point person for 6 providers regarding referrals, handle all referral inquires via phone, tend to patient needs with referrals within timely fashion.
- Point PCC for OB scheduling needs in office – maintain billing spreadsheet for our practice.
- Assisted with training new hires as well as allowed for shadowing opportunities for potential employees.
- Obtain prior authorizations on imaging orders or specialty care needed based on patient’s insurance. Maintain good working relationships with all specialty offices for referral purposes.
- Assist all clinical staff with necessary patient needs (i.e. obtaining previous records, assisting patient’s with insurance/billing issues)
6-10 years of experience
Maintain calendars and schedule appointments for high volume OB/GYN office with 26 providers
- Serve as main point of contact for patients: collecting co-payments/balances, updating information
- Liaison between patients and insurance companies
- Reconcile cash, checks and credit card payments daily
- Create, prepare, edit formal correspondence for patients
- Scanning/creating patient EMR
0-5 years of experience
- Organized and led an initiative to increase retinopathy screenings for diabetics and was part of a small team responsible for helping the clinic from 33% of exams complete to 70% complete.
- Encourage staff to complete patients’ needs at point of care for HEDIS and UDS requirements
- Pull monthly, daily, and yearly reports for presentation to Nurse Manager and Clinic Manager to identify negative trends or patterns.
- Use data to plan quality improvement initiatives and process improvement using PDSA model
- Supervise Americorps Patient Navigator and clinic volunteers
- Meet with an average of 10 patients per day for goal setting, diet and exercise coaching, and chronic condition updates
0-5 years of experience
Maintained contact with patient, family members, caretakers and medical providers.
- Coordinated delivery of prescriptions.
- Accurate documentation of comprehensive medical records.
- Utilized Medical Terminology and Pharmacology.
- Facilitated continuity of care and liaison between patient and doctor.
10+ years of experience
Contact patients to retrieve detailed medical history for CT’s, Mri’s, or Ultrasounds
- Confirm the patients appointment by phone or in person
- Responsible for demographics, insurance information, quoting prices and providing correct exam details/prep
- Can be in charge of up to 9 employees when manager/assistant manager is out of the office
- This position requires that I keep all employees on track and I am familiar with all company policies and protocols
- Processing Tools
0-5 years of experience
- Supported staff in activities to promote overall health and collaborated in the development of written materials.
- Executed follow up calls related to Colon Health Program.
- Scheduled patient appointments associated with Breast Health Program.
0-5 years of experience
Collaborate with caregivers, home health agencies, medical providers, and other office staff to manage the healthcare needs of over 300 elderly and home bound patients in the metropolitan DC area.
- Interview patients to assess current medical needs and develop action plans for care.
- Record patients’ medical history, vital statistics, test results and other relevant information in eClinicalWorks.
- Explain procedures, medications, and other physician-ordered instructions to patients.
- Complete preauthorizations, referrals, and prescription refill requests.
- Connect patients the resources they need to lead healthy lives, such as Adult Protective Services and skilled nursing services.
0-5 years of experience
- Coordinated services for all disciplines providing patient care.
- Received referrals and doctor’s orders.
- Initiated patient files, audited notes for compliance and accuracy and filed notes in patient
- Performed Q.A. on all patient files.
- Entered data into computer.
- Verified insurance coverage, obtained and maintained authorization for all disciplines
- Performed on-call service coordinator duties.
0-5 years of experience
- Interviewed parents/patients to learn about their concerns and scheduled all patient appointments which included traumatic brain injury, learning related evaluations and amblyopia/strabismus
- Collected all co-payments and evaluation fees
- Posted all fees and charges into computer system and reconciled accounts
- Insurance verification
- Maintained all office equipment
- Created specific clinical and administrative forms
- Supported public relation efforts
- Preliminary testing as needed
10+ years of experience
Large practice with multiple doctors requiring excellent communication.
- Valued team member in building #1 rated practice in area.
- Responsible for overall patient flow within the office to achieve maximum efficiency and leverage.
- Key point of contact for all customer complaints and billing questions.
- Effective in presenting patient on optimal dental care and present options to continuously improve their dental health.
- Delight in exceeding patient expectations and anticipating future patient needs.
0-5 years of experience
- Following lay-off from Capital City, patient’s family removed him from that facility and hired me as his Personal Care Coordinator.
- Personal assistant for senior patient who was chronically ill and cognitively impaired while living at home, in lieu of a health facility.
- Supported Hospice with the 24-hour specialty care, which consisted of height, weight, temperature and blood pressure monitoring.
- Performed administrative duties such as; communicating with Medicare and Medicaid, ensuring efficiency of accounts payable and receivable.
0-5 years of experience
Manage over 50 cases a day from assisting members with getting their medications or following up with the doctor office to get a prescription
- Process Orders of Specialty Medications for Chronic Diseases.
- Directing members to the correct department if they need payment assistance and taking payment over the phone.
- Listen attentively to callers needs to ensure a positive customer experience.
- Navigate through multi screens at once.
0-5 years of experience
Patient Care Coordinator (Supervisor)
- Management and supervision for patient care provided to team with an average census of 90 to 100+ patients.
- Oasis review, coding, claims review, care plan development, visit utilization.
- Provide direct patient care.
- Chart review/QI audits.
- Staff education and competency assessments
0-5 years of experience
Assist approximately 80-100 inbound and outbound members, providers and physician calls per day in a busy call center environment.
- Accurately obtain and enter patient information, including shipping, insurance and payment information.
- Provide patients with price quotes, order status, insurance verifications and proof of deliveries.
- Responsible for ownership of customer issues and ensuring 100% follow-up to customers.
- Process all order changes including, order cancellations, return authorizations, reships and request for credits.
0-5 years of experience
Document all incoming hearing aids in clinical notes, prepare all hearing aids for delivery
- Input patient information into Tim’s with outcome of Hearing Test by Audiologist
- Verify health insurance benefits of hearing aids purchases.
- Perform troubleshooting for all minor repairs for hearing aids
- Conduct effective telephone follow-up calls for patient’s yearly hearing test.
- Answer all incoming calls and schedule and confirm patient’s appointments
- Greet all patient’s and family members in a courteous manor
0-5 years of experience
Orchestrate communication between doctors, dental assistants, front office staff, patients, and their insurance companies.
- Assist the dentist with diagnostic procedures.
- Handle sales, insurance estimates, contracts, payment plans, treatment plans, and dentistry basics.
- Perform receptionist duties.
- Train and oversee other patient care coordinators and front staff workers.
- Responsible for several business reports.
0-5 years of experience
Prospective, retrospective and concurrent review of inpatient electives, outpatient procedures, homecare services and durable medical equipment.
- Coordinate care and facilitate discharge to an appropriate level of care in a timely and cost-effective manner.
- Identify and refer quality issues to Quality Improvement
- Identify and refer appropriate members for Case Management.
- Provide direction to non-clinical medical management staff.
- Provide direction to and assist with oversight of LPN, LISW medical management staff.
0-5 years of experience
Performed Gaps in Care for all West Region at [company name]to prevent chronic disease patients from ending up in our hospitals.
- Maintained Myhealth online scheduling messages from patients to schedule with their preferred healthcare provider.
- Pre-Visit Planning while taking incoming calls from primary care providers.
- Training new employees to use their critical thinking skills while scheduling primary and specialty appointments such a neuro-surgery, neurology, cardiology, chiropractic’s, ect.
- Receive and route messages or documents, such as laboratory results, to appropriate staff.
- Operate telephone switchboard to answer, screen, or forward calls, providing information, taking messages, or scheduling appointments.
6-10 years of experience
Supervisor of 2 bi-coastal call centers, (PA and LA) & 24 patient care coordinators
- Maintain the workflow of the patient care coordinators; delivering great customer service to the patients, VIP and at-risk patients
- Manage 6 Leads, and support the patient care coordinators
- Answer emails daily, pulling phone calls, scheduling, keeping track of attendance, performing call audits.
- Run reports on Patient Care Coordinator Productivity Reports, RCQ Reports, Zetafax Reports, and Compliance Reports.
0-5 years of experience
Orients and educates patients by meeting them, initiating the care plan, providing educational information related to treatments, procedures, and continuing care requirements.
- Develops the schedules of the therapists for both clinic locations and branches of the company.
- Verifies insurance eligibility for scheduled patients, informs patients of their insurance coverage and payments due at the time of service, and accurately documents all information into chart.
- Obtains all necessary paperwork from referring physicians and insurance companies to ensure all treatments claims are paid.
- Coordinates marketing strategies for business growth.
- Respects patients by recognizing their rights, maintaining confidentiality of records, and complying with all HIPAA regulations.
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Last edited by: Gabriela Barcenas, CPRW, Content Writer II -
Gabriela Barcenas
CPRW, Content Writer IIGabriela is a Certified Professional Resume Writer (CPRW) and career adviser. With 10 years of digital media experience and five years of resume writing expertise, her publication history includes fashion, education, travel, social justice, equitable design and career advice.
