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The Physician Office Coordinator Oncology Support Services is responsible for daily operations of all Oncology Access functions and serves as the onsite liaison between the Patient, Financial Services, the Oncologist and the Patient’s Insurer. The Coordinator implements policies, recommends changes as appropriate and provides relevant feedback to all individuals involved in the care of the oncology patient. As the Physician Office Coordinator Oncology Support Services, this person is a key promoter of Oncology Support Services for both Medical and Radiation Oncology, which strives to meet and exceeds the needs of its patients.

MINIMUM QUALIFICATIONS :

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. BS degree in Business or Social Services.

EXPERIENCE:

1. Minimum of 5 years patient coordination experience.

2. Financial and Social Service experience required.

3. Experience in healthcare provider finance operations or similar service environment required.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

1. Oversee oncology support services for the Medical and Radiation Oncology Physician Practices (e.g. benefit verification, pre-authorization, service payment, etc.) to ensure daily operations are maintained according to standard.

2. Serves as the primary liaison between the Patient and the Medical Center.

3. Maintains and promotes good customer relations with facility management, physicians and physician office staff.

4. Monitors and facilitates appropriate utilization of resources and informs Finance and the Physician of any significant issues in patient access and financial support for the oncology care being provided (e.g., authorization delays, denials, etc.).

5. Stay abreast of regulatory requirements and company compliance policies, ensuring timely staff education.

6. Informs staff of relevant changes and developments in payer requirements.

7. Ensures quality review measurements are in place.

8. Facilitates implementation and monitoring of standard master files, processes, reporting and education programs.

9. Facilitates coordination of comprehensive, individualized plan of care, in collaboration with the patient, family, physician, and interdisciplinary team as it addresses oncology support services.

10. Coordinates patient and family education that specifically provides reassurance and support for the patient/family to care for the patient.

11. Serves as a liaison/resource for the patient, family, health care delivery team, referral source, external caregivers and payers by providing patient data and information to assure appropriate level of care.

12. Identifies and develops a comprehensive psychosocial assessment that examines the current problem(s) as well as relevant bio-psychosocial and environmental factors for identified high-risk patients in both the inpatient and outpatient oncology patient population.

13. Develops and implements appropriate treatment plans, utilizing various resources to support the oncology patient, including individual and family therapy and oncology crisis intervention.

14. Must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patient ranging from adolescent to geriatric.

15. Maintain established department and hospital policies, procedures, objectives, quality assurance, safety, environmental, infection and hazardous material control.

16. Facilitate, coordinate and lead Oncology Support and Outreach Services in conjunction with the American Cancer Society, the Director of Cancer Service for CCMC–WVU Medicine and the Director of Business Development for CCMC-WVU Medicine.

17. Oversees Coordination of patient access and support services, providing recommendations for process improvement, patient access and physician support.

18. Develops specific objectives and performance standards for each area of responsibility.

19. Identifies and implements process improvements to lower costs and improve services for the patients and physicians.

20 Reviews Patient Support Service performance to ensure timeliness, accuracy, compliance and standards fulfillment as defined by the organization.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. See attached Physical Demands

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Cognizant of environmental factors, infection control issues and maintains a safe environment.

SKILLS AND ABILITIES:

1. Excellent communication and presentation skills with strong analytical and organization skills.

2. Must be dependable, highly motivated and able to work independently on multiple assignments.

3. Possess the ability to deal tactfully and harmoniously with patients.

4. Ability to work based on operational needs of the organization.

5. Demonstrates knowledge of and follows correct chain of command in handling management challenges, physician and patient issues.

6. Demonstrates knowledge of role responsibility and operating philosophy of CCMC-WVU Medicine.

7. Articulates knowledge and understanding of organizational policies, procedures, and systems.

8. Assures responsibility for insuring continued professional growth of self by attending formal/informal educational/professional activities.

9. Ability to organize and prioritize time and tasks to achieve a well-coordinated work effort and to effectively meet work schedules and deadlines.

10. Demonstrates knowledge of and ability to follow/attendance/punctuality/time card system/scheduling policies.

11. Demonstrate knowledge of parking/Medical Center department locations.

12. Demonstrate knowledge and adheres to dress code.

13. Demonstrates knowledge of CCMC/CCPC Compliance Program/Code of Conduct/Confidentiality.

14. Demonstrates knowledge of Risk Management/Occurrence Report Practices/Non-punitive Work Environment.

15. Demonstrates knowledge of physical health/wellness information and Exposure Control Plan.