Patient Services Coord. II - Peritoneal Dialysis
Company: Partners Healthcare System
Location: Boston
Posted on: May 28, 2023
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Job Description:
GENERAL SUMMARY/ OVERVIEWThe Patient Services Coordinator (PSC)
serves as an integral member of the Continuous Ambulatory
Peritoneal Dialysis Unit. Under the direction of the Practice
Administrator and Nurse Director, s/he will serve in supporting the
Unit's financial, quality and safety, and clinical operations. The
successful candidate must be able to effectively multi-task,
troubleshoot and rapidly adapt to change within this role. The
ideal candidate will possess strong skills in clinical operations,
attention to detail, and knowledge of Division/MGH/MGB policies and
procedures. On a daily basis, the PSC interacts with patients and
colleagues from a variety of disciplines and backgrounds and must
possess strong communication (both written and verbal) and
interpersonal skills. This role handles sensitive information
related to patient scheduling and operational metrics, meaning the
ideal candidate must be comfortable working with and protecting
confidential information. The PSC is expected to be HIPAA and Joint
Commission compliant, follow the Division's code of conduct and be
guided by the MGH Mission, Credo and Boundaries. The PSC will be
expected to learn the intricacies of ESRD home care, (peritoneal
dialysis), data collection for the US government Crown Web system,
required paperwork for the New England ESRD Network, support of DPH
quality measures and support the daily ESRD CAPD billing and
portions of the professional billing as
well.RESPONSIBILITIES:Outpatient Scheduling:* Oversees
weekly/monthly patient appointments in the CAPD unit and with CAPD
nephrologists* Facilitate scheduling process with individual
patients and family members.* Review individual patient's
insurances, refer patient to MGH financial services/financial
coordinator as needed* Schedules patients for dialysis options
education as part of the Center for Renal Education* Schedule
nutritional appointments for patients' pre-dialysis.Operational
Functions:* Submits eChecks, reimbursements, Purchase Orders for
Unit as needed.* Compiles outpatient productivity, volume.* Tracks
outpatient clinic utilization reports monthly, includes the monthly
data for DPH outcome measures* Documents clinic no-show and
cancellation rate reports for CAPD and Center for Renal Education.*
On a monthly basis, compiles CAPD Unit activity that includes lab
results, transfers, admissions, morbidity, mortality, inpatient
nursing activity, training sessions, home visits, CAPD transplant
patients, and infection data with the CAPD Nurse Director as
required by both DPH and hospital administration.* Obtains security
clearance from the US government to participate in the data
collection for Crown Web which includes lab data, adequacy reports,
anemia management, infection documentation, admitting and
discharging patients in the government program along with
completing required forms and reports.* Completes all the necessary
training to obtain the security clearance to maintain Crown Web*
Oversees and order all the medical supplies for the Unit through
Peoplesoft and outside providers* Oversees the maintenance of all
computer stations, printers, photocopy machines in the Unit.*
Creates all required patient letters for work related issues,
financial funding for home utilities, jury duty and any unusual
home equipment.* For the traveling dialysis patient - provides all
necessary letters for airlines, alternative transportation,
receiving dialysis unit.* Prepares chart for patient to accompany
them on any travel or transfer to other unit.* Answers the phone,
handles all incoming/outgoing mail, files all paperwork/ scans
result into EPIC.* Professional MD billing: submits accurate
accounts monthly to Professional billing office* Counsels'
nephrologists re: training codes and monthly clinic visit codes.
Enters encounter into EPIC to allow for MD documentation.* ESRD
billing; completes daily billing for all CAPD/CCPD patients at
home, bills for training, bundled medications.* Networks with
assigned billing representatives for any billing related issue.*
Periodically reviews billing procedures to ensure accuracy.*
Networks with billing representatives for nursing activity in the
inpatient setting: ER, inpatient units.* Maintains home purchasing
orders for all patients.* Supports the nurse director and practice
administrator in completing all required paperwork for EQRS
(previously Crown Web), New England Network, DPH, JCAHO and
MGH.SKILLS & COMPETENCIES REQUIRED* Excellent written and verbal
communications skills. Must be comfortable interacting with all
levels of personnel within the hospital, and to appropriately
represent Unit in a positive manner.* Must be willing to work with
the chronically ill patients.* Excellent organizational skills and
attention to detail are required.* Effective analytical skills, or
the desire to develop analytical skills, are required.* Experience
with quality improvement projects, or the desire to learn quality
improvement skills, preferred.* Ability to work with sensitive and
confidential information required.* Requires flexibility and
ability to handle multiple tasks at once. The ability to identify
and prioritize important tasks as they arise is key in this role.*
Must be a team-oriented professional who is sensitive and
supportive of the needs and emotions of colleagues.* The successful
candidate will be a proactive, self-motivated individual with the
ability to work both independently and in a team environment.*
Proficiency with Microsoft Office Suite (Outlook, Excel, Word,
PowerPoint) required. Experience with PeopleSoft and Epic
preferred.* Is knowledgeable and compliant in all hospital, State
and Federal regulatory requirements, including the Palliative Care
Division's code of conduct, the MGH mission, credo and boundaries,
hospital policy and procedures (where applicable to the performance
of the job), Joint Commission on Accreditation of Healthcare
Organizations (JCAHO), and Health Insurance Portability and
Accountability Act of 1996 (HIPAA).EDUCATION:* High school diploma,
GED or equivalent.* Undergraduate or Associates degree
preferred.EXPERIENCE:Minimum of 3 to 5 years' experience, preferred
in medical/clinic setting
Keywords: Partners Healthcare System, Boston , Patient Services Coord. II - Peritoneal Dialysis, Other , Boston, Massachusetts
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