Patient Care Coordinator

Responsibilities

• Manage a large volume of phone and email communication, including incoming and outgoing calls.
• Respond to customer queries accurately and in a timely manner through email or phone.
• Contact payer sources to verify or obtain eligibility, benefits, and/or authorization for items or services requested.
• Cook up the delivery of medical equipment and other healthcare services, including contacting the patient, provider, or on-line tracking system to confirm items were delivered and/or services rendered.
• Obtain and send appropriate clinical documentation to payer sources by fax or electronic means to assist them in determining the medical necessity of medical equipment and other healthcare services.
• Communicate with supervisor, other PCC’s, and external parties to keep them informed of order status, including outlying situations that could affect the referral.
• Collect and enter accurate and detailed patient, provider, and payer information into the Company’s claims platform on a real-time basis to prevent delays in billing or services.
• Ensure patients receive a high standard of service delivery and care through a series of follow-up quality questions to ensure Company quality standards are being met.
• Identify and resolve service issues and complaints.
• Maintain availability for after hours on-call coverage.
• Perform other duties as assigned.

Requirements

• High school diploma/GED desired
• Equivalent professional experience preferred
• Must comply with continuing education per Company, regulatory, contractual, and accreditation requirements

Qualifications

• Customer service focused
• High degree of integrity and trust
• Strong time management and organization skills
• Detail oriented
• Works well under pressure and is punctual
• Flexible with the ability to routinely adapt to change
• Team player with excellent communication skills
• Knowledge of various healthcare industry billing and/or coding terminologies such as ICD-10, HCPCS, CPT, modifiers, and various Medicare NCD’s and LCD’s

Skills And Competencies

• Customer service focused
• High degree of integrity and trust
• Strong time management and organization skills
• Detail oriented
• Works well under pressure and is punctual
• Flexible with the ability to routinely adapt to change
• Team player with excellent communication skills
• Knowledge of various healthcare industry billing and/or coding terminologies such as ICD-10, HCPCS, CPT, modifiers, and various Medicare NCD’s and LCD’s

Physical Requirements

• Working at a physical desk, moving about the office and facility as needed for work
• Operation of office machinery and equipment
• Visual abilities to include reading, distance vision, and peripheral vision

Pay

Commensurate with experience.

Schedule

Monday-Friday; Full-time (40 hours/week) opportunities available with periodic on call responsibilities. 1st shift, 8am-5pm CST 2nd shift, 10am-7pm CST