As the region's only Level I Trauma center, Harborview Medical Center 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. 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.At the UW Medicine Eye Institute, our mission dovetails with our passion: to improve patients' vision. We are exceptionally well-equipped for this mission, because our doctors are also our researchers — and research leads to great patient care.The UW Medicine Eye Institute has an outstanding opportunity for a Patient Care Coordinator (Full-Time, Day Shifts) based at the KARALIS JOHNSON RETINA CENTER at South Lake Union. Under the general direction of the Department Chairperson and his/her designee, with assistance from the Health Service Manager, the Patient Care Coordinator (PCC) will use knowledge of the clinic, division and hospital policies/procedures, insurance coverage requirements including pre-admission authorization, and third party payer and reimbursement procedures to coordinate all patient services such as admitting, arranging diagnostic tests or procedures, scheduling surgery and consultation requests, and scheduling services of other hospital departments to facilitate delivery of care to patients.Job Duties & Performance StandardsSurgery related duties:
Manage and maintain multiple surgeons' schedules: cancelling, rescheduling, etc.
Schedule surgeries using Surgery Referral work queue for two operating rooms: Maleng OR and Eye Institute OR.
Schedule pre-op appointments: ASCANS, Pre-Anesthesia, etc.
Submit CPT codes for prior-authorization (PAs) for surgeries.
Create electronic surgery packets (ESPs).
Create Pre-Admissions for surgeries and urgent patient admissions.
Fax worksheet to OR team and place in shared drive to assist with placing patient on Surgery Whiteboard.
Act as a liaison between doctors and 3rd parties: patients, PAC team, etc. responding to questions and concerns related to surgery.
Collect medical records and current medication lists for medical review with Pre-Anesthesia Clinic (PAC).
Assist in acquiring PCP referral for surgeries for managed care plans.
Obtain signed orders for certain medications needed for surgery.
Create post-op appointments for all surgery patients.
Assist in any peer to peer or appeals needed for surgery PA denials.
Manage and prepare Premium Toric/Mutlifocal lens contracts and payments.
Assist patients in submitting and creating cost estimate requests for surgery.
Assist with Alaska Medicaid travel/lodging authorizations and creating vouchers.
Scan PHI and other surgery related forms into EPIC.
Scan ASCANs and ensuring they are available for surgeons to view in EPIC, Symphony, and hard copies in OR.
Pre-op phone calls with check-in times and reminder of dietary restrictions.
Coordinate with SCCA Proton team for proton treatment patients.
Upload Fundus photos via Symphony program.
Coordinate with RadOnc team for plaque patients.
Fill out Castle Bioscience biopsy forms, faxing letters, ultrasounds and pathology.Non-surgery related duties:
Batch out previous day cash/check receipts and taking to Cashiers.
Submit CPT codes for clinic procedures to obtain prior-authorizations.
Call insurance to ask if PA is required for same day injections/lasers.
Place radiology and other outgoing referrals in to process for PSS to schedule.
Assist in getting PCP referrals for PAs for clinic procedures.
Forwarding denials/appeals/peer to peer information to doctors for review on radiology or clinic procedures.
Assist patients with getting in contact with financial.
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.