Patient Care Coordinator-Medical Clinic

The ancestors of the Sycuan Band of the Kumeyaay Nation existed many centuries ago as a community of people…a Tribe living together, farming, hunting and fishing to survive.

Much has changed since that time.  Today the Sycuan Tribe governs its Reservation, owns and operates a Casino and a Golf Resort, and owns a number of other business ventures in the San Diego Region.   

One attribute that remains unchanged, however, is Sycuan's sense of community.  Sycuan is more than just a business.  Sycuan is a community of people working together toward a common goal.  Whether you work in our state-of-the-art  Casino, our beautiful Resort, or become a staff member in our Tribal Government division, you will be part of the Sycuan family.

Job Purpose:

The purpose of the patient care coordinator [PCC] is to primarily engage and assist patients in navigating the complex healthcare environment. Specifically, improve the patient experience by reducing barriers for access to care that support quality-driven health outcomes. Secondary purpose is to build clinic capacity and meet insurance-driven quality metrics.
 

Job Duties and Responsibilities:

(Note: Duties and responsibilities may be added, deleted, or changed at the sole discretion of Sycuan Management at any time)

• Ensures complete and accurate new patient registration, including demographics and current insurance information
• Reminds patients of a scheduled appointment
• Serves as point person for the multidisciplinary evaluation process to include patient scheduling, third-party communications, and internal communications
• Assembles information concerning patient's clinical background and referral needs and insurance benefits [including incentives for care]
• Contacts insurance companies to ensure verification of benefits and prior authorization approval requirements are met.
• Assists patients in problem-solving potential issues related to financial or social barriers (e.g., request interpreters as appropriate, transportation services, etc.)
• Plans in advance to ensure tasks are complete and seek to add value to every work assignment.
• Coordinates care within the guidelines of health plans, contracts, or insurance types.
• Interacts with patients in person at clinic sites while demonstrating a high level of customer service and cultural competency.
• Determines when language interpretation is needed and utilizes interpreter services to ensure language access standards are met.
• Implements maintains, and responds to Patient Portal requests
• Approaches patients in waiting areas or as directed by SMDC staff about the benefits of the SMDC Patient Portal.
• Assists patients and families to enroll in the SMDC Patient Portal (via email invitation or self-enrollment). Provides personalized tutorials showing new users how to navigate the Patient Portal, including downloading the SMDC Patient Portal app on patient’s smartphone, signing into the app, and teaching patients and families to use features of the Patient Portal (view labs, notes, message doctor, renew prescriptions, join video visit, etc.)
• Educates staff on the SMDC Patient Portal processes and functionality through training and demonstrations.
• Interfaces with patient and insurance company-related incentive programs
• Provides technical assistance to patients experiencing issues.
• Records and reports a log of all patient interactions.
• Communicate process failures with the program supervisor.
• Meets with team lead weekly or bi-weekly to discuss program development and support.
• Reports all technical issues experienced for examination and resolution to team chat and IT solutions when needed.
• Passes along patient feedback, concerns, and opportunities for growth in the context of facility goals and initiatives.
• May help with basic patient access functions (scheduling or health coverage issues).
• Enters patient data into the clinic tracking system [NextGen]
• Enhances professional growth and development through participation in educational programs, current literature, in-service meetings, in-service training, and workshops, modeling a high-performance work ethic.
• Performs other related duties as assigned or requested by Supervisor or Manager.
• Treats all clients and staff, and the community with respect and courtesy
• Utilizes effective means to resolve conflict
• Utilize effective verbal and written communication skills
• Participates in Continuous Quality Improvement CQI activities

Job Specifications:

Education and Experience:

Essential:

• High school diploma or GED equivalent.
• Current valid California driver's license, car insurance, and or proof of reliable transportation.
• A minimum of 6 months experience in the healthcare setting to include front with back office or referral authorization knowledge of programs and health plans eligibility and guidelines, coding and data processing, or a Medical Assistant Certificate, in conjunction with a minimum of 2-year Customer Service.

Desirable:

• 2 years in the healthcare setting

Skills and Knowledge:

Essential:

• Bilingual (English/Spanish). Good verbal and written communication skills in both languages.
• Medical terminology and basic computer. Typing of 35 wpm. Ability to handle multiple activities simultaneously. Be attentive to patient needs and concerns. Willing to work with others as a team member.

Desirable:

• N/A

Supervisory/Managerial Accountability:

Direct: None

Indirect: None

If you enjoy being part of a community dedicated to creating a memorable guest experience, we invite you to explore career opportunities with Sycuan and join our winning team!