Patient Care Coordinator in Rochester

About the Organization

CP Rochester and Happiness House are private nonprofit health, educational, residential and human service organizations that have been serving communities in the Finger Lakes Region since 1969 and the Greater Rochester Area since 1946. Today with sites in Rochester, Canandaigua, Geneva, Gorham, Midlakes and Waterloo, our agencies offer an array of educational, therapeutic, recreational, residential and family support programs and services for children and adults with and without disabilities. On average, our agencies serve 3,650 families each year and employ approximately 600 people. Our staff consists of dedicated and knowledgeable professionals and clinicians with expertise in the areas of Special Education, Early Childhood Education, Physical, Occupational, Speech and Music Therapies, Psychology, Service Coordination, Nursing, Dental Services, and Developmental Disabilities. Committed to serving individuals with autism, traumatic brain injury, neurological impairments, as well as a wide variety of developmental disabilities such as cerebral palsy and Down syndrome, our staff partners with individuals and their families to support them in meeting their goals.

EOE Statement

CP Rochester and Happiness House are equal opportunity employers. We do not discriminate against employees or applicants in the hiring, promotion, compensation, placement, termination, layoff, recall, transfer, leaves of absence or any other term or condition of employment on the basis of race, color, religion, sex, sexual orientation, gender identity/expression, age, disability, genetic information, marital status, amnesty or status as a covered veteran, domestic violence victim status, prior arrest and conviction records or any other protected category in accordance with applicable federal, state and local laws.

Location: CP Rochester Clinical and Therapeutic Services

Salary: $17.50 - $20.50 per hour commensurate with experience

Employment: This is a full-time position. Days and hours of work are Monday through Friday during business hours. Evening work may be required as job duties demand.

Summary/Objective:

The Patient Care Coordinator provides various supports to ensure the smooth and compliant operation of clinic services.

Required Education and Experience:

• High School Diploma or GED.
• Previous experience, education and/or training preferred to include knowledge of and proficient use of computers, office equipment, phone systems and electronic health records.
• Ability to comply with professional standards of conduct, including pleasant speaking voice and courteous manner as well as the ability to meet the demands of the position.

Essential Functions:

• Imparts agency philosophy of 'Equal Opportunity, Independence and Realization of Individual Potential' to children, families, program staff and community resources.
• Maintains confidentiality of information relating to individuals and their families in accordance with agency policy.
• Answers telephones, takes messages and refers calls to the appropriate person.
• Communicates effectively with staff, service providers, individuals, caregivers, family members, and the community.
• Completes assigned copying, scanning, mailings, and faxing within and outside of the Electronic Health Record System.
• Maintains Clinic Consumer Charts: Enters information into Electronic Health Record system efficiently and in a timely manner.
• Understands the system and ensures electronic filing to ensure proper organization of electronic records.
• Scans/Files all clinic documentation in a timely and efficient manner ensuring compliance with regulatory requirements, prepares new charts for consumers being admitted, routinely purges charts, and audits charts of consumers being discharged.
• Deactivates charts within Electronic Health Record System when discharged entirely and purges paper charts as needed.
• Responsible for management of Annual Scripts, 2-way Release Authorization documentation, and obtaining appropriate consumer/guardian signatures.
• Completes Clinic Medicaid eligibility for E-paces accurately and in a timely manner between the 16th and 30th of each month and maintains a list of all Medicaid verification lists in chronological order.
• Collaborates with Clinic Supervisor to ensure to query NGS Connex to verify Medicare Eligibility.
• Ensures that 90-day Medicaid re-certifications are completed in a timely manner including maintenance of a 90-day tracking spreadsheet, accurate cover sheets, and MD signature verification through approved electronic or paper methods.
• Gives feedback to supervisor or Director as to efficacy.
• Responsible for Intake Paperwork Processing, fielding intake-related documentation questions, preparing and sending intake packets to potential individuals, obtaining initial scripts for service and ensuring that all intake information is completed in a timely manner.
• Prepares all psychiatric charts from intake and including any necessary electronic record data entry to charts.
• Prepares documentation for the Medical Director's review and assist the Medical Director with obligations including but not limited to scheduling employee physicals and patient annual medical assessments.
• Ensures accuracy in the monthly billing and prepares for submission to appropriate insurance companies in a timely and accurate manner.
• Reviews remittances and post payments from insurance companies to appropriate claims.
• Generates monthly patient statements and processes their payments.
• Investigates claim denials and re-submits for processing in accordance with applicable regulations and insurance company requirements.
• Performs insurance verifications for clients in the Article 16 and Article 28 Clinics.
• Assists with any additional tasks as needed.
• Receives guidance from the Clinic Billing Supervisor.
• Achieves program goals by performing additional duties at the discretion of the Clinic Supervisor and Director.
• Participates in Clinic/Finance Department meetings.
• Participates in conferences, workshops and in-service training as needed or recommended to enhance job skills and personal growth and development.
• Adheres to agency's policies and procedures as well as department guidelines.
• Maintains professional demeanor.
• Provides primary coverage for front desk, as needed at any of the clinic locations.
• Participates in agency committees as asked or as needed.
• Maintains current schedules for all therapists and other providers in the Electronic Health Record System.
• Update Schedule templates as needed and work within scheduling modules appropriately.

Competency Requirements:

• Client focus
• Ability to accept responsibility.
• Communication Proficiency
• Time Management and Organizational skills
• Collaboration Skills
• Personal Effectiveness/Credibility
• Flexibility
• Ethical conduct
• Problem Solving/Analysis.
• Business Acumen

Supervisory Responsibility: None.

Other Duties:

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Work Environment:

This job operates in a professional office environment. This role routinely uses standard office equipment.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to sit or stand and occasionally walk, bend, use hands to finger, handle or feel; and reach with hands and arms. The employee must occasionally lift and/or move objects up to 30 pounds and occasionally push or pull objects up to 100 pounds.

Travel:

Travel is primarily local during the business day but employee will be expected to work at any of our partner agencies. Some out-of-the-area and overnight travel may be expected.

Comprehensive benefit plan including but not limited to:

• Affordable Medical / Dental / Vision Insurance
• 17 Days Paid Time Off (PTO)
• Paid Sick Time
• 9 Paid Holidays
• Matching 403(b) and/or ROTH Retirement Plan
• Additional Insurance Offerings - Specified Disease Insurance w/ Cancer Rider, Accident Insurance, Identity Theft Protection
• Employer Paid Health Reimbursement Arrangement (HRA)
• Employer paid Life Insurance, Short-term and Long-term Disability Insurance
• Tuition Reimbursement plus a 25% Tuition Discount for benefit-eligible Employees and Family Members at Roberts Wesleyan College

The listed base pay range is a good faith representation of current potential base pay for successful applicants. It may be modified in the future. Pay is determined by factors including experience, relevant qualifications, internal equity, and location.

EEO Statement:

The agencies are equal opportunity employers. We do not discriminate against employees or applicants in the hiring, promotion, compensation, placement, termination, layoff, recall, transfer, leaves of absence or any other term or condition of employment on the basis of race, color, religion, sex, sexual orientation, gender identity/expression, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran, domestic violence victim status, prior arrest and conviction records or any other protected category in accordance with applicable federal, state and local laws.