PATIENT SERVICES COORDINATOR, #N16

BASIC PURPOSE:

Positions in this job family are involved in the coordination of admissions of patients and patient related services. Incumbents serve as advocates between the center/veteran and U.S. Department of Veterans Affairs to maximize services and benefits to the veteran/patient, their families and the agency. The positions in this job family are located at state veterans centers. They provide advocacy services, serve in a liaison role between the patient and federal and state agencies and play a key role in federal fund reimbursement and patient collections.

Typical functions:

The functions within this job family vary by level and geographical location, but may include the following:

LEVEL DESCRIPTORS:

The Patient Services Coordinator job family has three levels, which are distinguished, based on the complexity of duties assigned and the level of expertise required at the basic, career, and specialist levels.

LEVEL I            Code: N16A            Salary Band: H

This is the basic level where employees build their skills in the processing of patient admissions and services for veteran clients based on federal and state regulations to ensure the appropriate reimbursement of funds and develop skills in counseling patients and families concerning benefits and services and may supervise support personnel.

Knowledge, Skills, and Abilities required at this level include knowledge of federal and state statutes, rules and regulations pertaining to veterans benefits and programs, Social Security payment; billing of patient care charges; of admitting and benefit counseling and interviewing techniques. Ability is required to communicate effectively, both orally and in writing; to follow written and oral instructions; and to use various software and agency specific programs; and to establish and maintain effective working relationships with others.

Education and Experience requirements at this level consist of three years of health benefits, insurance claims, admissions, bookkeeping, technical accounting or closely related work; or an equivalent combination of education and experience.

LEVEL II            Code: N16B            Salary Band: I

This is the career level where incumbents are experienced and perform a full range of duties including, but not limited to, the processing of patient admissions and services for veteran clients, based on federal and state regulations to ensure the appropriate reimbursement of funds and in counseling patients and their families concerning benefits and services.

Knowledge, Skills, and Abilities required at this level include those identified in Level I plus the ability to organize and conduct several activities simultaneously.

Education and Experience requirements at this level consist of those identified in Level I plus two additional years of experience in admissions and/or claims and benefits administration in a long term care or medical institution; or an equivalent combination of education and experience.

Level III            Code: N16C            Salary Band:

This is the specialist level where employees are assigned responsibilities for performing duties with high degree of freedom and independence involving advanced level of technical expertise in providing benefits and services to veterans or other activities involving greater responsibility or accountability than is normally associated with positions at the career level. Responsibility may include supervision of support personnel or may provide guidance and training to others.

Knowledge, Skills and Abilities required at this level include those identified in Level II plus ability to maintain a full range of resident accounts; perform highly independent work; and exercise sound judgment in analyzing complex situations and adopting appropriate courses of action.

Education and Experience requirements at this level consist of those identified in Level II plus two additional years of qualifying experience.