Description

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

Entity: Clinical Care Associates - Penn Primary Care (PPC) and Penn Specialty Practices (PSP) of Penn Medicine Medical Group (PMMG)

Department: Gastroenterology at Limerick

Location: Penn Family Medicine Limerick- 420 W Linfield Trappe Rd

Hours: Per Departmental Needs

Summary:

• Performs complex administrative functions associated with the support of a multi-faceted department. Responsible for access initiatives: patient coordination, creates and maintains physician templates across department and protocols associated with templates, day-to-day oversight of resource schedules, liaising with call center, the EAVF and PHX Multi-Specialty to maintain compliance of scheduling/access protocols. Responsible for data management and data analysis of access. Communicates with patients and physicians across the department, referring practices, and Penn Affiliates.

Responsibilities:

ACCESS AND REFERRAL INITIATIVES:

• Execute scheduling and coordination of patients as a direct result of patient care. Coordinate with practice manager to make necessary template/protocol changes.

• Provide daily oversight and management of same-day appointments, OAC by partnering with the Access Center, the EAVF and the PHX Multi-Specialty spaces to ensure accurate scheduling and adequate access.

• Act as super user and subject matter expert in provider schedules and protocols across all sites under the department.

• Act as a liaison and troubleshoot access issues for the following: Tandigm referrals, the EAVF and Phoenixville Hosptial scheduling issues, the Access Center and oversee recall workflow to schedule patients for follow-up procedures.

PATIENT CARE COORDINATION:

• Coordinate new patient appointments as needed with Patient Facilitated Services, Penn Health Referral, Penn Affiliates and Primary Care Physician Liaison and PCP offices.

• Schedule new patient appointments with appropriate physician and/or group with emphasis on working with providers on a regular basis to ensure that the right diagnosis and patient is scheduled with appropriate provider; organize all facet of new patient appointments.

• Responds to patient inquiries or problems. Answer questions regarding practice, procedures, tests, directions etc.

• Maintains an excellent understanding of managed care plans and protocols for referrals, co-payments, and pre-certifications.

• Oversees / performs referral and or precertification process; provides all documentation required by the insurance company to ensure approved admission.

• Oversees pre-charting process of OV and procedures to include referrals, precerts, and various reports to ensure OV/procedure to secure on DOS, coordinate medical record requests, deposit process with courier service.

• Support practice manager to ensure compliance of registration and scheduling components for OV and procedures.

DATA MANAGEMENT AND ANALYSIS:

• Maintains physician templates and protocols for the department.

• Follows access and referral programs by entering data in database and creates monthly reports.

• In conjunction with the Practice Manager, will perform basic data analysis to direct change in referral and market strategy.

CHANGE MANAGEMENT:

• Readily adopts and is engaged in practice access/operation changes.

DEPARTMENT INFORMATION SYSTEMS:

Is proficient in the use of all system applications necessary for practice operations and basic data analysis, including, but not limited to:

• EPIC

• Ancero

• Navinet

• Pear

• Promise

• Availity

• OnBase

• Microsoft Excel

• Performs duties in accordance with Penn Medicine and entity values, policies, and procedures

• Other duties as assigned to support the unit, department, entity, and health system organization

Credentials:

Education or Equivalent Experience:

• H.S. Diploma/GED And 5+ years Comparable work experience in call center or high volume calling, previous healthcare experience is preferred. (Required)

• Bachelor's Degree (Preferred)

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

Live Your Life's Work

We are an Equal Opportunity and Affirmative Action employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.

REQNUMBER: 218740