Patient Services Coordinator - RCM

PromptCare is seeking a highly motivated and detail-oriented Patient Services Coordinator to join our Patient Services Team. The ideal candidate will have experience in the healthcare industry, specifically in specialty infusion benefit verifications and medication authorizations, and thrive in a fast-paced environment.

About the role

This position entails creating EMR notes, submitting electronic faxes, following up on and logging recertification documentation from physician offices via CPR+ or Caretend software, and ensuring timely communication with patients, physician offices, and the sales team regarding authorization requests assigned to payers.

Responsibilities

• Benefit verification for insurance changes, therapy changes, and dose changes
• New and re-authorizations under new insurance plans for insurance changes
• New and re-authorizations for drug or dose changes under existing plans
• Update payor information and bin numbers in CPR+/Caretend
• Update existing orders to reflect the correct payor in CPR+/Caretend
• Monthly verifications
• Manage internal email communication to and from other departments
• Attend to urgent or same-day requests
• Other duties as assigned

Requirements

• High school diploma or equivalent; Bachelor’s degree in healthcare field or business preferred
• Excellent oral and written communication skills for interacting with colleagues, management, patients, and physician offices
• Proficiency with Microsoft Office Suite; CPR+ and/or Caretend experience preferred
• Strong work ethic with attention to detail and quality
• Ability to identify and address problem accounts
• Previous experience with infusion therapy patients is highly desirable
• Prior experience with prior authorizations, specialty medications, or third-party payers preferred
• Familiarity with electronic medical records, payer portals, and data entry systems
• Ability to handle multiple tasks in a fast-paced, challenging environment
• Infusion or DME background is preferred
• Clinical, medical office administrative, or related experience preferred

Physical Demands

The physical demands described here are representative of those required to successfully perform the essential functions of this job.

• Regularly required to talk and listen
• Occasionally required to walk, bend, or stand as necessary
• Ability to occasionally open filing cabinets and lift office products and supplies up to 35 pounds

Benefits

• Comprehensive Medical, Dental, and Vision Package
• 401(k) Plan with Company Match
• Generous PTO: Vacation, Sick Time, Personal Days, and Paid Holidays
• Life Insurance: Standard coverage with optional enhancements
• Employee Assistance Program: Free counseling and coaching sessions
• Emotional Well-being and Work-Life Balance Resources
• Short & Long-Term Disability: Company-paid with optional supplements
• Accidental Death and Dismemberment Insurance
• FSA and HSA: Manage healthcare expenses
• Commuter Spending Programs
• Volunteer and Engagement Opportunities
• Employee Referral Bonuses
• Exclusive Discounts on entertainment, travel, and various other supplemental and cellphone plans

Pay

$24 - $26 hourly

Schedule

Hybrid: 2 days in the office (New Providence, NJ) and 3 days remote