General Information
| Job Description | AMBUL CARE ADMSTN CRD 2 | Working Title | Hospitalist Coordinator (Palm Springs) |
|---|---|---|---|
| Job Code | 004176 | Grade | 19 |
| Department Name | Clinical Affairs - D02007 | Department Head | |
| Supervisor | Effective Date | 12/17/2017 |
Position(s) Directly Supervised
| Job Code | Title | FTE |
|---|
Generic Scope
| Professional who applies acquired job skills, policies, and procedures to complete substantive assignments/projects/tasks of moderate scope and complexity; exercises judgment within defined guidelines and practices to determine appropriate action. |
Custom Scope
| Applies acquired skills and clinical and operational knowledge of ambulatory care clinics to coordinate aspects of clinic operations of intermediate scope and complexity. Monitors daily clerical activities, billing, and other operational services for a clinic in the medical center. |
Department Custom Scope
| The Hospitalist Coordinator for the UCR Health clinical practice operation in the desert (greater Palm Springs area) is responsible for supporting the administrative and operational needs of the UCR School of Medicine faculty/physician practices. The incumbent must have the ability to perform and prioritize multiple tasks and work well with internal and external resources. This position is responsible for coordinating all aspects of the hospitalist program, which may include activity at more than one hospital. This will include coordinating the call schedule for UCR Health as well as with UCR's associated hospital groups, ensuring all information is collected to support the billing function, mange all communication and correspondence on behalf of the program, medical staff credentialing at the facilities and/or with any third party payors, record keeping and other operational support to ensure the program runs smoothly and efficiently. Position also includes support to other area clinical practice locations in the greater Palm Springs area. Maintains up-to-date data for each provider to ensure timely renewal of licenses, certifications and credentials. Please note: Job requires local travel between practice locations in the Palm Springs/Indio area as well as to the UCR School of Medicine in Riverside for training and other business related purposes. |
Education & Experience Requirements
Education Requirements
| Degree | Requirement |
|---|---|
| Bachelor's degree in related area and/or equivalent experience/training. | Required |
Experience Requirements
| Experience | Requirement |
|---|
License Requirements
| License | Requirement |
|---|---|
| Valid Driver License | Preferred |
Certification Requirements
| Certification | Requirement |
|---|
Educational Condition Requirements
| Condition | Requirement |
|---|---|
| A total of six years of related experience can substitute for the bachelor degree. | Required |
Key Responsibilities
| Description | % Time |
|---|---|
Coordinates daily clinic activities and monitors workflow of administrative services including patient registration and authorization, referral coordination, medical records storage and maintenance. Oversees staff performance ensuring compliance with policies and regulations.
|
20 |
Troubleshoots day-to-day administrative and IT issues. Handles escalated issues seeking clinical input when appropriate.
|
5 |
Maintains patient accounts, interacts with collection agencies , and negotiates patient payment plans. Serves as liaison with billing office
|
10 |
| Performs clinic revenue reconciliation. Compiles and reports reimbursement data. Assists with incident reporting | 5 |
Serves as
department resource for
finance
and compliance questions/issues.
Serves as
a
liaison between
academic and clinical groups.
|
10 |
Monitors daily clinical reporting,
communicates results to provide
accurate and timely patient care
coordination
|
15 |
| Conducts chart reviews and reports discrepancies. Updates diagnosis and procedure codes to support clinical documentation and maximize reimbursement | 5 |
| Coordinates conferences, compiles attendee conference notes and clinical recommendations and disseminates information | 5 |
| Credentialing: Compiles and maintains current and accurate data for all providers; completes provider credentialing and credentialing applications; monitors applications and follows-up as needed. Maintains copies of current state licenses, certificates, malpractice coverage and any other required credentialing documents for all providers. Requests certificates of insurance. Sets up and maintains provider information in online credentialing databases and system; tracks license and certification expirations for all providers to ensure timely renewals. As directed, ensures practice addresses are current with health plans, agencies and other entities; audits health plan directories for current and accurate provider information. Processes applications for appointment and reappointment of privileges; ensures providers are credentialed, appointed, and privileged with health plans, hospitals and patient care facilities. Maintains confidentiality of provider information; provides credentialing and privileging verifications. | 15 |
| Travel to other UCR and affiliate sites. Supports other clinical practice locations. | 5 |
| Special projects and other duties related to the clinical enterprise as assigned. | 5 |
Knowledge, Skills & Abilities
| Knowledge/Skill/Ability | Requirement |
|---|---|
| Familiarity of clinic medical billing practices including coding, billing systems and documentation requirements. Knowledge of ambulatory care clinic practice management including patient care workflows and processes. Demonstrated understanding of medical terminology and clinical knowledge of clinic practice area. | Preferred |
| Working knowledge of medical center policies and procedures and related legislative, accreditation, licensing and compliance environments. | Required |
| Strong communication skills; includes verbal, written and active listening. Ability to clearly and concisely communicate clinic rules and regulations. | Required |
| Demonstrated interpersonal skills with diverse staff and patients. Demonstrated ability to develop working relationships within clinical team. | Required |
| Proven organizational skills and the ability to effectively manage time and prioritize tasks. Takes initiative. Ability to meet tight deadlines and manage several projects simultaneously, respond rapidly to conflicting priorities, and handle tasks with high degree of accuracy. | Required |
| Ability to perform all commonly applicable functions in word processing and spreadsheet software. Skills in data management. Ability to use relevant healthcare and clinic operations information technology, including billing systems and medical record documentation. | Required |
| Data analysis, research and reporting skills. | Required |
| Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations. | Required |
Special Requirements & Conditions
| Special Condition | Requirement |
|---|---|
| Must possess or obtain a Valid CA Drivers License and insuring a motor vehicle in accordance with the California Department of Motor Vehicles if driving for university related business. | Required |
Other Special Requirements & Conditions
|
Level of Supervision Received
| Supervision |
Environment
Working Environment
| Healthcare (hospital/clinic) and office settings. |
Other Requirements
Items Used
|
Physical Requirements
|
Mental Requirements
|
Environmental Requirements
|
Critical Position
| Is Critical Position: No |