As the region's only Level I Trauma center, Harborview Medical Center (HMC) is well known for innovations and excellence in trauma care and its centers of emphasis: Trauma, Burn, Neurosciences, AIDS/STD CARER, and mentally-and medically- vulnerable populations. In addition to the centers of emphasis, HMC serves a mission population for King County. Harborview employees are committed to the vital role the institution plays in the immediate community, as well as the entire Northwest region. HMC is owned by King County and managed by the University of Washington (UW) and serves as a training site for UW's School of Medicine. The UW is proud to be one of the nation's premier educational and research institutions. Our people are the most important asset in our pursuit of achieving excellence in education, research, and community service. Our staff not only enjoys outstanding benefits and professional growth opportunities, but also an environment noted for diversity, community involvement, intellectual excitement, artistic pursuits, and natural beauty.The Harborview Dermatology Clinic has an outstanding opportunity for a full time day shift Program Coordinator. The Dermatology Clinic specializes in evaluation and treatment of dermatological conditions in a collaborative team approach. Additionally, providers perform procedures that require local anesthesia and surgical closure of wounds. Clinic populations are exceptionally complex both medically and socially, with patients often having significant barriers to healthcare access. Diagnoses may be acute or chronic in nature, with many patients receiving care on an on-going basis. The Dermatology Program Coordinator uses knowledge of hospital policies and procedures, insurance coverage requirements, pre-authorization, third-party payor, and reimbursement procedures, Dermatology diagnoses, CPT, and E & M codes to coordinate all patient services. The dermatology program coordinator arranges pertinent diagnostic procedures, consultation requests, and services of other hospital departments to facilitate delivery of care to patients. Meets with patients to explain insurance benefits, describe the parameters of their program and coordinate complex scheduling of multiple services. The PROGRAM COORDINATOR tracks insurance benefit use when shared between multiple services. The Dermatology PROGRAM COORDINATOR works closely with the Rheumatology clinic PROGRAM COORDINATOR to coordinate care of shared patients.Major Responsibilities:Program Coordination
Perform referral management:?Ensure completeness and accuracy of registration and patient demographic data?Obtain all pertinent medical history and outside records.
Obtain pre-authorization and ongoing authorization of Dermatology procedures, including ambulatory surgical procedures for biopsies, acne, dermatitis, keratosis, melanoma, squamous and basal cell carcinoma, psoriasis, pruritus, human papilloma virus, and wound care.
Determine schedule and match patients with appropriate specialists, and plan and coordinate work to be completed by PSS staff.
Coordinate transition from inpatient units to the outpatient Dermatology program. Communicate with discharge planner from inpatient area to obtain referrals. Verify outpatient benefit information for a seamless transition to clinic based services. Orient patients and families to Dermatology Service. Works with inpatient discharge team to schedule priority patients with Dermatology in a timely fashion.
Facilitate scheduling of urgent referrals and procedures, working closely with clinic medical director to triage; using knowledge of dermatology specific diagnoses, CPT codes, length of procedures and staff required to support procedure.
Assist patients with understanding and completing insurance forms and letters to facilitate coverage. Ensure coordination of documents between patients, providers, and payors.
Access OneHealth Port to determine patient insurance plan and benefits to assist patients in understanding their deductible, co-insurance, and co-pay amounts.
Obtain prior insurance authorization for high cost, injectable biologic medications, Surgical procedures, and patch testing.
Provide specific medical information to financial counseling for all other procedures to maximize reimbursement. Coordinate flow of clinic notes and forms with Financial Counseling, Patient Data Services, and Insurance companies to ensure a complete medical record.
Interview patients and review anticipated needs upon admission and discharge including: personal escort, transportation, housing, support care, equipment needs, and transfer of records.
Maintain continuity of care by assessing follow up needs, e.g., appointments, transportation, transfer of records, locating providers, facilitating filing of claims etc.
Manage high volume of correspondence pertaining to preauthorization, ongoing authorization processes, complex scheduling, patient/provider follow up requests, and continuity of care with primary care providers and referring physicians.
Maintain an organized method for tracking patient records. Manage flow of patient files/information. Creates and maintains spreadsheets to track data for patient family rounds, conferences and authorizations.
Serve as primary program contact for other departments, patients, residents, fellows, and the GME office, other hospitals, outside agencies, and general public; provide information regarding program policies and activities, and provide advice regarding Harborview Medical Center services.
Plan and Publicize Melanoma Monday—Dermatology Clinic's free, annual skin cancer screening. Schedule all patients into Melanoma Monday designated appointments. Summarize charges for uncompensated care for inclusion in the annual Community Benefits report.
Attend meetings and/or conferences as program representative.
Organize work and appropriately prioritize patient care assistance and/or projects with occasional assistance from supervisor.
May delegate defined tasks to PSS staff.
Work independently to determine priority for patient requests and clinical follow-up needs. Follow through and resolve patient requests on a timely basis.
Responsible for cross-coverage of other Medical Specialties Clinic Program coordinators.
Follow Service Culture Guidelines while promoting the mission of UW Medicine.
Schedule UVA/UVB exposure appointments at UWMC.
Schedule 24 hour patch test reading at UWMC after UVA/UVB exposure.
Schedule 48 hour patch test reading at HMC after UVA/UVB testing.
Schedule consecutive appointment for Contact Dermatitis patch testing:
patch application by RN
patch removal and initial reading 48 hours post application.
Final patch test reading four days post patch removal.
Knowledge of Dermatology diagnoses, CPT codes, associated procedures, and length of time required to peform procedure in order to schedule multiple providers and to successfully obtain prior insurance authorization.
Assure revenue capture:?Obtain cost estimates of elective procedures for uninsured or undersinsured patient.?Assist patients with navigating financial counseling prior to scheduling of procedures.?Search for alternative funding sources for uninsured/underinsured patients.
Assist with billing questions, disputes, and rejected charges and assist with determining appropriateness of submitted charges.Additional Duties1.Assist management with operational process improvement. Provide feedback and make recommendations for streamlining department objectives.2.Cover for non-clinical staff absences as necessary to maintaining clinical operations.3.Assist with new staff orientation, train new program coordinators and PSS staff.As an employee you will enjoy generous benefits and work/life programs. For a complete description of our benefits for this position, please view this page.Minimum Qualifications:High school graduation or equivalent AND two years of experience in the program specialty (tertiary patient care setting with a variety of medical services) OR equivalent education/experience.
Founded in 1861, the University of Washington is one of the oldest public institutions in the west coast and one of the preeminent research universities in the world. The University of Washington is a multi-campus university comprised of three different campuses: Seattle, Tacoma, and Bothell. The Seattle campus is made up of sixteen schools and colleges that serve students ranging from an undergraduate level to a doctoral level. The university is home to world-class libraries, arts, music, drama, and sports, as well as the highest quality medical care in Washington State and a world-class academic medical center. The teaching and research of the University’s many professional schools provide undergraduate and graduate students the education necessary toward achieving an excellence that will serve the state, the region, and the nation. As part of a large and diverse community, the University of Washington serves more students than any other institution in the Northwest.