Wound Care Coordinator - Upstate University Hospital : Job Details

Job Summary: The Wound Care Coordinator ensures excellent patient experience from scheduling, through authorization, referral processing, and completion of care in the wound care and hyperbaric department. The Wound Care Coordinator will ensure smooth patient flow, check in and check out procedures, registration, entering and/or verifying demographics, insurance and/or financial information; generates routine forms and other documentation. Will work with/advise patients on insurance carrier requirements including services not covered and obtain signatures on Advanced Beneficiary Notification Forms (ABN), Waiver of Liability Forms and any other required documentation. Will be responsible for the overall authorization process, manage denial process, schedule diagnostic procedures in a timely manner, and arrange transport for care. Assists in the preparation of monthly reports and daily charges. Prioritizes incoming mail, faxes and correspondence. Patient scheduling, coordination/revision of templates, telephone call entry, and workflows. Secures patient transportation arrangements for appointments. Completes support paperwork for MAS as needed. Completes administrative duties for both the wound care and hyperbaric patient needs, such as but not limited to, treatment logs, skin substitute ordering, placements, authorizations, and updates shared drive logs. Processes scripts, places orders for durable medical equipment (DME), and ensures follow through. The Wound Care Coordinator will work closely with the Nurse Manager and Team Leaders to ensure quality initiatives are met. Performs additional administrative support duties as assigned. Minimum Qualifications: Associates degree and three years of relevant experience in healthcare related setting or Bachelors degree and 1 year of relevant experience in healthcare related setting required. Working knowledge of medical terminology, medical billing/insurance requirements, familiarity with medical coding, and excellent written/oral communication skills necessary. Computer skills and keyboarding are necessary. Ability to maintain good public relations with patients, visitors, co-workers and other individuals required. Excellent customer service skills and the ability to work with diverse patient populations in a fast-paced environment required. Preferred Qualifications: Knowledge of insurance authorization, workque processing, reporting, and scheduling preferred. Working knowledge of computer systems such as Epic, Word, Excel, Groupwise, and Outlook preferred. Work Days: Days, Monday-Friday, varying hours between 7:00am-5:00pm Message to Applicants: RecruitmentOffice: Human ResourcesExecutive Order: Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation. If such information has been requested from you before such time, please contact the Governor's Office of Employee Relations at (518) ###-#### or via email at [email protected] z06nbu6p9k9w0urzmupbo4j3oodc8k