Patient Care Coordinator Resume Sample

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Teresa McKenzie
787 Ferne Unions,  San Francisco, CA
+1 (555) 640 9934

Work Experience


Senior Patient Care Coordinator
01/2016 - PRESENT
Boston, MA
  • Utilization Review. According to department policy, procedure and protocols, consistently apply and verbally communicate approved utilization review criteria and guidelines for services delivered in acute or alternative care settings
  • Eligibility and Benefit Verification. Confirm eligibility status and ensure the appropriate administration of benefits in accordance with department policies and procedures
  • Assessing Right Venue of Care with Hospitalist. Collaboration with Hospitalist to assess the appropriate level of care for patients (i.e., Medical Unit, Surgical Unit, Tele Unit, TCU, ICU) and post- (Home, Continuum or Community-based Services) hospitalization
  • Coordination of Care. Driving patient care plan through assuring daily plan is executed, and management of transitions and post-hospital care
  • Effective Discharge Planning. Prompt, clinically appropriate discharge planning beginning at time of admission
  • Quality Screening. Demonstrate competency to assess all aspects of care across the continuum for variations from quality and utilization standards
  • Assessing Right Venue of Care with Hospitalist. Collaboration with Hospitalist to assess the appropriate level of care for patients (i.e., Medical Unit, Surgical Unit, Tele Unit, TCU, ICU) and post-(Home, Continuum or Community-based Services) hospitalization
  • Escalates utilization and system problems which have not been resolved at the local level to the next level immediately
  • Monitors the progression of the plan of care and facilitates discussions with the multidisciplinary teams
Patient Care Coordinator
04/2009 - 12/2015
New York, NY
  • Remain knowledgeable of OneCare’s benefit structure. Guide members in understanding and accessing the benefits they are entitled to under Medicare and Medi-Cal, through the OneCare program
  • Assist with coordination of member’s health care and social service needs both within and outside the Medical Group and CalOptima
  • Facilitate warm transfers to member’s assigned case manager or social worker in accordance with member needs, when appropriate
  • Notify member’s care team of key event triggers (i.e. transitions of Care, falls, unsafe home)
  • Outreach to members to complete assessment when there are changes to a member’s health status (i.e. key events)
  • Prompt communication of member’s case notes, HRA, care plan and interdisciplinary care team (ICT) proceedings to CalOptima’s PCC for integration in CalOptima’s medical management system
  • Willingness to work a flexible schedule for peak times; excellent verbal and written communication skills as well as excellent customer service skills
  • Positions Available
  • Comply with regulations and standards and protect Baxalta/Shire’s public reputation
Patient Care Coordinator Assistant
02/2003 - 02/2009
Los Angeles, CA
  • Educates other healthcare team members on utilization and cost containment initiatives
  • Collaborates with and provides information to patients, families, physicians, and staff regarding the provisions of care
  • Incorporates and counsels on the correct and consistent application, interpretation, and utilization of member health care benefits (including transition of care)
  • Discharge Planning: Ensures continuity of care through communication in rounds and written documentation, level of care
  • Adapt in a dynamic work environment, learn quickly, solve problems and make decisions; data entry experience and solid computer skills required; willingness to work a flexible schedule for peak times; excellent verbal and written communication skills as well as excellent customer service skills
  • Responsible for ownership of customer issues and ensuring 100% follow-up to Process all order changes including, order cancellations, return authorizations, reships and request for credits
  • Collaborates with CalOptima PCC to ensure timely communication of member’s clinical information
  • Effectively interview members to determine the client’s strengths, problems, functional status, goals and need for specific services/resources

Education


Vincennes University - Jasper Campus
1997 - 2002
School's Degree in Nursing

Professional Skills


  • Experience in using Microsoft Windows based PC skills (creating and maintaining documents in Word and Excel)
  • Demonstrates effective staff support skills including active listening, time management and problem solving
  • Computer skills/knowledge, including experience with electronic medical charting
  • Demonstrates leadership skills in facilitating IDT delivery of care, care plan integrity and problem solving
  • Strong typing and computer navigation skills
  • Strong computer literacy skills including MS Office (Word, PowerPoint, Excel and Outlook)
  • Multi-task and work under pressure. Attention to detail. Windows navigation skills. Skilled in a variety of MS Office software applications

How to write Patient Care Coordinator Resume

Patient Care Coordinator role is responsible for computer, customer, organizational, interpersonal, medical, clinical, excel, basic, patient, word.
To write great resume for patient care coordinator job, your resume must include:

  • Your contact information
  • Work experience
  • Education
  • Skill listing

Contact Information For Patient Care Coordinator Resume

The section contact information is important in your patient care coordinator resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:

  • First and last name
  • Email
  • Telephone number

Work Experience in Your Patient Care Coordinator Resume

The section work experience is an essential part of your patient care coordinator resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous patient care coordinator responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular patient care coordinator position you're applying to. The work experience section should be the detailed summary of your latest 3 or 4 positions. Representative Patient Care Coordinator resume experience can include:

  • Responds effectively to incoming patient calls and communicates pertinent information to physician or designee to provide for continuity and optimal care
  • Valid driver’s license, automobile insurance, good driving record for the past three years
  • Completes all required training perform all functions in the position e.g., Soft Skills certification, product and disease overviews
  • Proven experience with developing positive relationships with physicians, senior staff, co-workers and patients
  • Effectively interview members to determine strengths, problems, functional status, goals and need for specific services/resources
  • Ensuring that all financial considerations are arranged prior to appointment

Education on a Patient Care Coordinator Resume

Make sure to make education a priority on your patient care coordinator resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your patient care coordinator experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.

Additional details to include:

  • School you graduated from
  • Major/ minor
  • Year of graduation
  • Location of school
These are the four additional pieces of information you should mention when listing your education on your resume.

Professional Skills in Patient Care Coordinator Resume

When listing skills on your patient care coordinator resume, remember always to be honest about your level of ability. Include the Skills section after experience. Present the most important skills in your resume, there's a list of typical patient care coordinator skills:

  • Excellent verbal and written communication skills, ability to communicate effectively in English
  • Demonstrate the ability to be organized and effectively prioritize work tasks for the needs of the clinic
  • Demonstrating effective assessment skills relative to providing adequate documentation and / or response as requested and / or required by the payers
  • Good computer skills and knowledge of office software systems including Word and Excel
  • Excellent Keyboarding and Phone skills
  • Strong customer service skills to be able to interact with both internal and external customers

List of Typical Experience For a Patient Care Coordinator Resume

1

Experience For Senior Patient Care Coordinator Resume

  • Demonstrate the ability to be organized and effectively prioritize work tasks for the needs of the Center
  • Excellent Customer Service skills. Strong
  • Accurate data entry skills; experience with AxiUm computer program entry is desirable
  • Demonstrated ability to work effectively in a health care team
  • Demonstrated superior organization and communication skills
  • Excellent Computer Skills with Microsoft Office Suite and Electronic Health Records required
  • Compassionate listening skills are required for patient and family distress related to new diagnosis
  • Maintain/improve own professional development, knowledge, and skills to meet identified self-learning needs and annual review requirements
  • Use dynamic communication skills to identify patient unmet needs
2

Experience For Associate Patient Care Coordinator Resume

  • Prior experience in a medical environment
  • Prior experience with Workers Compensation guidelines, requirements and billing
  • Intermediate computer skills (or higher)
  • Strong clinical knowledge, flexibility, ability to work autonomously, and case management experience
  • At least 2-year experience in a health services clinic or service is strongly recommended
  • Previous experience with Allscripts, Touchwork, Meditech, Enterprise and/or IDX experience highly desirable
3

Experience For Assoc Patient Care Coordinator Resume

  • Previous call center experience/customer service experience
  • Demonstrates competency with order splitting, future fills, denials and reviewing aged orders
  • Notify the facility when the patient is being discharged from skilled care, ensuring timely notification of non-coverage in compliance with CMS regulations
  • Skill and proficiency in applying highly technical principles, concepts, and techniques, which are central to the professional discipline in Nursing
  • Experience working in a matrixed and high change environment handling tight deadlines
  • 6+ months of experience verifying medical insurance policies and procedures in a professional medical setting
  • 3+ months experience working in an office or healthcare setting
4

Experience For RN Patient Care Coordinator Resume

  • Experience working with patient scheduling
  • Establish regular and effective communication with internal and external parties including members, key decision-makers, and facility staff
  • Obtain all labs, radiology and operative reports for patients with upcoming appointments to insure excellent patient care
  • Serve as primary liaison between providers and skilled nursing facilities for Part A service notification per CMS guidelines
  • Review / analyze patient data reports (e.g., discharges, hospital admissions / read missions, skilled nursing facilities) and follow up as necessary
  • Demonstrate understanding of Federal privacy regulations (e.g., HIPPA) and safety guidelines / practices (e.g., OSHA)
5

Experience For Lead Patient Care Coordinator Resume

  • Work with the faculty and staff to ensure superior quality health-care - providing optimal experiences for patients, families and care support members
  • Develop excellent rapport and relationships withing OMS, the SCCA and outside providers and offices
  • Demonstrates ability to oversee and coordinate staffing to meet requests for care and quality staff performance within budgeted hours
  • Coordinate, as required, with reimbursement coordinators and/or pharmacies to determine patient’s reimbursement status prior to scheduling appointments
  • Ensures cleanliness of exam rooms and sterilization of medical instruments. Ensures the instruments and equipment are gathered prior to patient entering a room
  • Verify insurance eligibility prior to processing order
  • Experience using a computer and Microsoft Office (Microsoft Word, Microsoft Excel, Microsoft Outlook, and Microsoft PowerPoint)
  • 6+ months of experience in appointment scheduling, patient registration in an office or related medical field
6

Experience For Rn-patient Care Coordinator Resume

  • Experience in OB/GYN clinic setting
  • Experience in health care facility, medical office, hospital, or fast paced medical scheduling department, managed care facilities
  • Experience using Microsoft Word and Microsoft Outlook
  • Experienced using Microsoft Excel with the ability to create, edit, and input data into spreadsheets
  • 1+ yrs. experience working in a physician’s office
  • Work experience in a clinical setting with knowledge of medical terminology
  • Related work experience including data entry
7

Experience For Lpn-patient Care Coordinator Resume

  • 1+ yrs. experience working with healthcare benefits & eligibility
  • ICD-9, ICD-10 or CPT coding experience
  • Previous home care scheduling, QA and administrative support experience beneficial
  • Related work experience, including data entry
  • Skill in performing with frequent interruptions and/or distractions
  • Experience with Admissions and / or Registration (Hospital setting, Medical Office or Clinic)
8

Experience For Patient Care Coordinator Assistant Resume

  • Related work experience, including data entry
  • Experience in a medical office setting
  • Experience in a healthcare or clinical setting
  • Experience or training as a medical assistant
  • Experience working with Electronic Medical Records (EMR) and/or Practice Management Software systems
  • Experience using a computer, keyboard and appropriate software to produce correspondence and function in a computer-based environment
  • Experience using a computer, keyboard, and appropriate software to produce correspondence and function in a computer-based environment
  • Current pediatric oncology experience in an acute care, community, or home care setting
9

Experience For Medical Center Lead Patient Care Coordinator Resume

  • Experience working with Medicare / Medicare Part B and D and / or Medicaid Services
  • Five years operating room experience
  • Experience working in a Call Center with high volume
  • Experience working in a Hospital, physician, or medical clinical
  • Experience working in a clerical or administrator role
  • Intermediate experience using Microsoft Word to create documents and Microsoft Outlook to send and receive documents
  • Experience working with ICD - 9 / ICD - 10 and CPT codes
  • Experience working in home infusion
10

Experience For Optumcare Patient Care Coordinator Resume

  • Experience working within the health care industry
  • Experience working in a physician’s office, hospital or clinic
  • Experience working in an Administrative or Clerical role
  • Experience working in a physician’s office
  • Experience submitting authorization requests and / or professional referrals

List of Typical Skills For a Patient Care Coordinator Resume

1

Skills For Senior Patient Care Coordinator Resume

  • Demonstrates exceptional communication skills (verbal and written) along with excellent customer service skills
  • Demonstrates excellent organizational, time management, and prioritization skills
  • Excellent computer skills including typing dictations, Powerpoint, Excel and Word
  • Able to demonstrate critical thinking and clinical judgement skills within the role
  • Excellent interpersonal communication and problem~solving skills
  • Writing skills to compose, edit and proofread routine business correspondence using appropriate English grammar, syntax, spelling and punctuation
2

Skills For Associate Patient Care Coordinator Resume

  • Typing skills of 40 wpm required
  • Skill in organizing and prioritizing workload in order to meet deadlines in light of changing, heavy workload and competing requirements
  • Answer and triage patient phone calls using appropriate customer service skills while satisfying patient concerns
  • Basic computer skills in a Windows operating environment including Microsoft Word
  • Related work experience, including data entry ICD 9 or 10 and CPT coding experience
  • 6 + months of experience in a healthcare or clinical customer service setting including charge entry experience
  • 3+ yrs. experience in a medical office, clinic, or hospital admitting setting to include practice management system experience
3

Skills For Assoc Patient Care Coordinator Resume

  • Prior experience from a medical office setting
  • Demonstrate competency in filling out prior-authorization tasks
  • 1+ yrs. recent medical phone scheduling experience or 1+ yrs. healthcare / medical call center experience
  • Oral communication skills to speak with individuals of varying backgrounds to obtain and convey specific information
  • Enhance the experience of both internal and external customers by providing excellent customer service
  • Provide professional communication skills, and have an understanding of how to maintain a courteous attitude toward customers and fellow employees
4

Skills For RN Patient Care Coordinator Resume

  • 1+ yrs. recent medical phone scheduling experience or 1+ years healthcare / medical call center experience
  • Basic computer, internet, mouse, and keyboarding skills (40 words per minute at 90 percent accuracy)
  • Proven experience in collecting patient copays, deductibles, etc
  • Exercise proactive, prudent judgment and decision-making skills to solve administrative problems consistent with the responsibilities of the position
  • Exhibit well-developed critical thinking skills particularly in ambiguous situations
5

Skills For Lead Patient Care Coordinator Resume

  • Maintain professional communication skills and an understanding of how to maintain a courteous attitude toward customers and fellow employees
  • Exhibit critical thinking skills
  • Customer Service experience or 1+ years of Health Care setting experience
  • Previous experience in Central Scheduling as a Platinum Level Specialist or equivalent experience required
  • Bilingual English/Spanish communications skills
  • Demonstrates a proven ability to think critically
6

Skills For Rn-patient Care Coordinator Resume

  • Communicate effectively, both verbally and in writing with individuals from varying cultural and ethnic backgrounds
  • Effectively interview members to determine the client's strengths, problems, functional status, goals and need for specific services/resources
  • Well developed Excel, Word and Outlook skills
  • Intermediate or higher computer skills
  • Communicate effectively with patients, families and staff
  • Organization and clinical skills
  • Prior front office experience, preferably in busy medical office or urgent care
  • Prior hospital scheduling/billing experience
7

Skills For Lpn-patient Care Coordinator Resume

  • Prior radiation oncology office experience
  • Prior medical office experience
  • Prior front office experience, preferably medical office or urgent care
  • Use communication skills to address organizational issues
  • Communicate effectively with Clinical Team members to assure a smooth transition from intake to start of care
8

Skills For Patient Care Coordinator Assistant Resume

  • Marketing and/or community outreach experience
  • Working knowledge of medical terminology and / or equivalent combination of education and experience
  • Experience using Microsoft Word (Creating and editing documents) and Microsoft Outlook (Sending emails and meeting requests)
  • Customer service related experience (Analyzing and solving customer issues and concerns in a professional setting)
  • Leadership experience including coaching or overseeing a team
9

Skills For Medical Center Lead Patient Care Coordinator Resume

  • Basic level skill in Microsoft Excel (for example: opening a workbook, inserting a row, selecting font style and
  • Collects and validates visit-related registration information including MSPQ, occurrence codes, and attending and referring providers
  • 6+ months experience working with Microsoft Office - (Word - creating documents Excel - creating spreadsheets)
  • Related experience in a medical setting and / or training with an understanding of health plans and health care benefits
  • Strong understanding of coding methodology including CPT and ICD-9 codes
  • Skill in reading and understanding documents written in standard English text for informational communication, action and distribution
10

Skills For Optumcare Patient Care Coordinator Resume

  • 6+ months of experience solving patient problems and / or issues in a professional medical setting
  • Clinical experience working in a physician’s office or hospital setting
  • Experience working in an inpatient clinical setting
  • Skilled benefit determination for all our facilities, covering the entire state by ensuring appropriate utilization and consistent application of the benefits
  • Experience working in a clinical setting
  • Demonstrated clinical competence in relevant area of Nursing practice, with a concentration in Perioperative Nursing
  • Demonstrated ability of proficiency regarding; personal computers, keyboarding, and appropriate software to produce

List of Typical Responsibilities For a Patient Care Coordinator Resume

1

Responsibilities For Senior Patient Care Coordinator Resume

  • Excellent telephone and personal communication skills are required as is proficiency with computer systems and programs
  • Strong attention-to-detail skills
  • Recognize and effectively prioritize information/assignments and follow-up of same
  • Perform well under pressure when confronted with multiple requests, exhibit multi-tasking skills
  • Empathy, mental alertness, precision, analytical problem-solving abilities, communication skills, focus, and initiative
  • Prior HIM experience
2

Responsibilities For Associate Patient Care Coordinator Resume

  • Demonstrate ability to operate with minimal day-to-day direction or oversight and ability
  • Previous experience in scheduling follow-up appointments, diagnostic testing
  • 6+ months of experience solving patient problems and/or issues in a professional medical setting
  • Verify insurance and insurance authorizations prior to appointment, notifying patient of any payment due from patient
  • Contact family when patient information or documents are needed prior to upcoming appointments
3

Responsibilities For Assoc Patient Care Coordinator Resume

  • Practice experience in an acute care or primary care setting
  • Experience supporting multiple staff
  • Recent inpatient case management experience in a hospital setting
  • Previous experience in a call center environment, healthcare office, corporate setting, or healthcare insurance provider or pharmacy is highly desirable
  • Previous experience as a pharmacy technician, especially in a specialty pharmacy or mail-order pharmacy setting, is desirable
4

Responsibilities For RN Patient Care Coordinator Resume

  • Telephonic customer service experience, handling moderate to complex transactions
  • Healthcare experience, including familiarity with medical terminology
  • Experience in a health care environment setting
  • Terminal Digit Filing experience
  • 6 + months of experience in a healthcare or clinical customer service setting
  • Experience in a medical office setting
  • Experience in a Healthcare and/or Clinical setting
  • Customer service experience in healthcare setting
  • Experience in a healthcare or medical setting
5

Responsibilities For Lead Patient Care Coordinator Resume

  • Experience working with Microsoft Word and Microsoft Excel, with the ability to create / edit documents and spreadsheets
  • Experience working in physician's office, clinic or hospital
  • Experience in a Hospital Patient Registration Department, Physician Office, or any medical setting
  • Front office medical experience (patient facing)
  • Experience using EPIC, ORCA electronic health record systems
6

Responsibilities For Rn-patient Care Coordinator Resume

  • Experience in coordinating client/patient services
  • Experience in managing high volume client enquiries
  • Manage patient care with specific knowledge and experience in bedside nursing, symptom
  • Related work experience in medical record handling, required
  • Uses equipment in a safe and effective manner, reporting repairs to appropriate person
7

Responsibilities For Lpn-patient Care Coordinator Resume

  • Medical appointment scheduling experience, required
  • Experience working in pediatrics
  • Experience in Oncology setting
  • Promote teamwork and good working relationships with other departments and services
  • Utilize effective charting practices and guidelines
  • Three years experience working in a hospital or medical office-required
8

Responsibilities For Patient Care Coordinator Assistant Resume

  • Ensures/verifies the member is eligible and qualifies for the skilled benefit
  • Arrange all pre-procedure studies needed prior to EP Lab procedure scheduling, including
  • Cardiac CT/MRI prior to AFib ablations
  • Vascular studies prior to device placements
  • Model effective dental teamwork, practice management, HIPPA compliance, and professionalism for students
  • Obtain reports as needed for hospitalizations / skill benefits site stats
  • Experience in a home health setting required
  • Obtain prior authorization for procedures and testing
9

Responsibilities For Medical Center Lead Patient Care Coordinator Resume

  • Act as primary liaison between patient care team, patients, staff and vendors. Respond to and resolve customer service issues in an effective manner
  • Effective management of patient data
  • Experience in organizing information and communication with the public
  • Provide exceptional experience for all patients
  • Completes prior authorizations and assists with medication refills
10

Responsibilities For Optumcare Patient Care Coordinator Resume

  • Insurance verification experience
  • Uses discretion and good judgment, and maintains patient confidentiality
  • Customer service experience in a Call Center
  • Demonstrates a superior knowledge of appropriate functional area
  • Contact patient prior to appointment for referrals
  • Gathers genetic paperwork and family history documentation from patient prior to initial appointment
  • Experience and comfortable in a very fast-paced, high volume orthopedic practice that sees 65+ patients per day
  • Detail-oriented, organized and able to multi-task with minimal experience
  • At least one year ED experience

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