Patient Care Coordinator/Insurance Verification Specialist

Primary Responsibilities

• Verify insurance properly and notify the patient via written and signed material.
• Obtain any required authorizations from insurances.
• Track insurance limitations, including visit limitations, monetary limitations, and acceptable charge limitations.
• Enter patient information into the computer system(s) accurately, effectively, and in a timely manner.
• Communicate with both the Therapist and patient when approaching visit, monetary or charge limitations.
• Works closely with Physician’s offices in regard to treatment, necessary documentation (IE: order for treatment and Plan of Cares) and insurance requirements such as referrals/authorizations.

Additional Responsibilities

• Answer and address phone calls in a courteous, professional, and timely manner.
• Ensures patients are scheduled appropriately and in a timely manner.
• Admits patients to the Facility following the established policies and procedures.
• Assembles patient medical record forms and scans into EMR once completed.
• Accept patient payments and process them accurately.
• Runs and maintains reports following the established policies and procedures.
• Maintains and protects each patient’s right in compliance with HIPAA.
• Aids in ordering and stocking supplies.
• Maintains order and cleanliness of the front office.

Physical Demands

• Frequently required to sit, converse, and listen;
• Use hands to touch, handle, or feel objects, tools or controls;
• To reach with hands and arms.

Specific Vision Abilities

• Close vision;
• The ability to adjust focus.

Miscellaneous Equipment Used

• Computer,
• Scanner,
• Multi-phone line system,
• Copier,
• Credit Card terminal,
• printer.

Software

• EPIC,
• Microsoft Outlook,
• Word,
• Excel,
• Teams.

Education And Experience

• High School Diploma (Required).
• Medical office experience: 3 years (Required).
• Insurance verification: 3 years (Required).