Job Description Summary
The Treatment Care Coordinator reports to the Clinic Manager of the Department of Oral and Maxillofacial Surgery. Duties of this position include, but are not limited to; processing internal and external referrals, scheduling patients within the appropriate clinical care level (Resident or Faculty), acting as the liaison between patients and insurance companies to obtain prior approval for procedures, scheduling outpatient clinic and hospital operating room-based procedures, concluding the patient treatment process in an effective and accurate manner. This position plays an integral part in providing excellent patient care, elevated level of administrative support, and increasing revenue growth. This position may be eligible for a hybrid remote work schedule based the remote work policy guidelines for this work group and at the discretion of the OMFS Manager.
Entity
Medical University of South Carolina (MUSC - Univ)
Worker Type
Employee
Worker Sub-Type
Classified
Cost Center
CC005215 CDM Clinic OMFS
Pay Rate Type
Hourly
Pay Grade
University-05
Pay Range
38,985.00 - 55,559.50 - 72,134.000
Scheduled Weekly Hours
40
Work Shift
Job Description
Job Summary:
The Treatment Care Coordinator reports to the Clinic Manager of the Department of Oral and Maxillofacial Surgery. Duties of this position include, but are not limited to; processing internal and external referrals, scheduling patients within the appropriate clinical care level (Resident or Faculty), acting as the liaison between patients and insurance companies to obtain prior approval for procedures, scheduling outpatient clinic and hospital operating room-based procedures, concluding the patient treatment process in an effective and accurate manner. This position plays an integral part in providing excellent patient care, elevated level of administrative support, and increasing revenue growth. This position may be eligible for a hybrid remote work schedule based the remote work policy guidelines for this work group and at the discretion of the OMFS Manager.
Payband / Salary Range: UNIV 05: $35,360.00 - $50,394.00 - $65,429.00
Job Responsibilities:
35%: Coordinates all OMFS referrals in the appropriate EHR. Accurately register and schedule patients for Faculty and Resident clinics by; verifying patient demographics, collecting medical and dental insurance information, obtaining additional documentation or images from referring provider, providing clinic contact information, and answering questions prior to initial consultation and throughout anticipated treatment. Responsible for answering all incoming phone calls and returning patient voicemails for your assigned clinic area using the assigned Avaya Agent login ID.
35%: Contact insurance companies to determine benefit and authorization requirements. Verify insurance using Real Time Eligibility, payer website or phone number. Ensure accuracy of all insurance information and input into appropriate EHR. Reviews insurance approvals for main OR procedures and works as liaison between the UMA Revenue Cycle Team and insurance companies to develop patient estimates for inpatient and outpatient procedures based on provider recommended treatment plans. Assists in tracking Share points for cases without established funding. Work with financial counselors to ensure non-covered patients understand their financial options and responsibilities. Work with providers to ensure that coding is accurate. Aids in billing issues and solutions.
15%: Schedule Faculty surgical cases going to the Main Hospital OR and cases in the ambulatory surgical clinic. Schedule Resident surgical cases in the ambulatory surgical clinic. Ensure OR and ambulatory clinic maintain optimal utilization while remaining cognizant of patents needs, insurance, and provider availability. Schedule or help facilitate pre and post-op appointments with chosen providers. Assists in coordinating “piggyback” cases with ENT, Plastics, Pediatric Dentistry, AEGD, etc.
10%: Communicate all appointment information to the patient and ensure the patient is aware of any out-of-pocket costs for upcoming visits. Explains the next steps and timelines for scheduling procedures after initial consultation. Input all external communications into patient’s EHR including; consents, additional imaging, authorizations, pre-op testing, post-op instruction, etc.
5%: Provides an elevated level of support to the clinic and serves as back-up to the front desk as needed. Provides support for provider correspondence, to include patient letters, work/school excuses, disability forms, etc. Performs additional duties as assigned by the Clinic Manager.
MUSC Minimum Training and Experience Requirements:
A high school diploma and four years relevant experience in business management, public administration or administrative services; or a bachelor’s degree and two years experience in business management, public administration or administrative services.
MUSC Physical Requirements:
(Note: The following descriptions are applicable to this section: Continuous - 6-8 hours per shift; Frequent - 2-6 hours per shift; Infrequent - 0-2 hours per shift)
Ability to perform job functions in an upright position. (Frequent)
Ability to perform job functions in a seated position. (Frequent)
Ability to perform job functions while walking/mobile. (Frequent)
Ability to work indoors. (Continuous)
Ability to work outdoors in all weather and temperature extremes. (Infrequent)
Ability to work in confined/cramped spaces. (Infrequent)
Ability to perform job functions from kneeling positions. (Infrequent)
Ability to bend at the waist. (Frequent)
Ability to squat and perform job functions. (Infrequent)
Ability to perform ’pinching’ operations. (Infrequent)
Ability to fully use both hands/arms. (Continuous)
Ability to perform repetitive motions with hands/wrists/elbows and shoulders. (Frequent)
Ability to reach in all directions. (Frequent)
Possess good finger dexterity. (Continuous)
Ability to maintain tactile sensory functions. (Continuous)
Ability to lift and carry 15 lbs., unassisted. (Infrequent)
Ability to lift objects, up to 15 lbs., from floor level to height of 36 inches, unassisted. (Infrequent)
Ability to lower objects, up to 15 lbs., from height of 36 inches to floor level, unassisted. (Infrequent)
Ability to push/pull objects, up to 15 lbs., unassisted. (Infrequent)
Ability to maintain 20/40 vision, corrected, in one eye or with both eyes. (Continuous)
Ability to see and recognize objects close at hand. (Continuous)
Ability to see and recognize objects at a distance. (Frequent)
Ability to match or discriminate between colors. (Frequent)
Ability to determine distance/relationship between objects; depth perception. (Continuous)
Good peripheral vision capabilities. (Continuous)
Ability to maintain hearing acuity, with correction. (Continuous)
Ability to hear and/or understand whispered conversations at a distance of 3 feet.
Must be ambidextrous.
Ability to perform gross motor functions with frequent fine motor movements. (Frequent)
Ability to work in dusty areas. (Infrequent)
Additional Job Description
Minimum Requirements: A high school diploma and four years relevant experience in business management, public administration or administrative services; or a bachelor’s degree and two years experience in business management, public administration or administrative services. Physical Requirements: (Note: The following descriptions are applicable to this section: Continuous - 6-8 hours per shift; Frequent - 2-6 hours per shift; Infrequent - 0-2 hours per shift) Ability to perform job functions in an upright position. (Frequent) Ability to perform job functions in a seated position. (Frequent) Ability to perform job functions while walking/mobile. (Frequent) Ability to work indoors. (Continuous) Ability to work outdoors in all weather and temperature extremes. (Infrequent) Ability to work in confined/cramped spaces. (Infrequent) Ability to perform job functions from kneeling positions. (Infrequent) Ability to bend at the waist. (Frequent) Ability to squat and perform job functions. (Infrequent) Ability to perform ’pinching’ operations. (Infrequent) Ability to fully use both hands/arms. (Continuous) Ability to perform repetitive motions with hands/wrists/elbows and shoulders. (Frequent) Ability to reach in all directions. (Frequent) Possess good finger dexterity. (Continuous) Ability to maintain tactile sensory functions. (Continuous) Ability to lift and carry 15 lbs., unassisted. (Infrequent) Ability to lift objects, up to 15 lbs., from floor level to height of 36 inches, unassisted. (Infrequent) Ability to lower objects, up to 15 lbs., from height of 36 inches to floor level, unassisted. (Infrequent) Ability to push/pull objects, up to 15 lbs., unassisted. (Infrequent) Ability to maintain 20/40 vision, corrected, in one eye or with both eyes. (Continuous) Ability to see and recognize objects close at hand. (Continuous) Ability to see and recognize objects at a distance. (Frequent) Ability to match or discriminate between colors. (Frequent) Ability to determine distance/relationship between objects; depth perception. (Continuous) Good peripheral vision capabilities. (Continuous) Ability to maintain hearing acuity, with correction. (Continuous) Ability to hear and/or understand whispered conversations at a distance of 3 feet. Ability to perform gross motor functions with frequent fine motor movements. (Frequent) Ability to work in dusty areas. (Infrequent)
If you like working with energetic enthusiastic individuals, you will enjoy your career with us!
The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.
Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees
