Patient Care Coordinator Radiation Oncology

About This Role

This role involves providing personalized coordination, clarification, and communication for all administrative aspects of patient care within Radiation Oncology. The Patient Care Coordinator conducts patient needs assessments, verifies insurance and authorizations, handles registration, manages documentation, and schedules appointments, partnering with the clinical care team to ensure a seamless patient experience.

Responsibilities

• Perform patient intake process, including pre-registration/registration
• Partner with the clinical care team to determine initial authorizations needed based on the predicted care treatment plan
• Obtain patient insurance benefit information for all aspects of treatment, including inpatient and outpatient services, prescription drugs, and travel and housing
• Answer questions regarding the authorization process and supply information to providers, patients, and third-party payors
• Act as a resource for insurance coverage, including obtaining authorizations and notifications throughout the patient’s treatment
• Obtain all necessary signatures and documentation required by the patient’s insurance plan
• Accurately and completely document all information into the patient records system to ensure maximum reimbursement
• Monitor and update information regarding insurance data, authorizations, preferred providers, and changes in patient’s treatment plan
• Partner with the clinical care team and insurance provider to ensure continued coverage of patient’s care and maximum reimbursement and minimized financial impact to the patient
• Provide administrative support in maintaining materials such as documents, proposals, routine correspondence, spreadsheets, composing and preparing routine reports, and maintaining records in a variety of business software and database applications for electronic medical records, billing, and data management
• Schedule physician appointments, tests, procedures, and surgeries and may provide patient with necessary preparation instructions
• Prepare, process, and manage patient documentation to department database
• Act as a liaison between the patient, billing department, and payor to enhance account receivables, resolve outstanding issues, and/or patient concerns
• Optimize patient experience by using effective customer service
• Communicate continually with patients, other departments, referral networks, and providers to ensure appropriate plans and protocols are followed
• Use discretion and be attentive to issues of customer confidentiality
• Demonstrate skills in proactive resolution and attempt to resolve scheduling conflicts
• Manage the medical record for the assigned area, including coordination with hospitals, practice offices, and other ancillary services to obtain needed records