Patient Care Coordinator (Temporary)

Arrowhead Orthopaedics•Redlands, CA

26d•Onsite

About The Position

The Patient Care Coordinator works primarily in the clinic located in Arrowhead Orthopaedics offices and supports patient care through insurance verification, authorization and referral coordination, treatment coordination, and appointment scheduling. The role handles confidential patient records and requires discretion, professionalism, strong computer skills, and the ability to learn the programs used by the practice. The position requires availability for 40 hours per week, flexibility in scheduling, and no more than five workdays per week. The hours, pay scale, and benefits are to be defined by agreement. This is a temporary position expected to last approximately 3–6 months. The employee is expected to perform duties satisfactorily, maintain excellent work habits, provide superior service, and demonstrate professionalism, organization, communication, teamwork, reliability, and adaptability. The employee must follow workplace safety requirements and Arrowhead Orthopaedics’ code of conduct. Pre-employment requirements include a negative drug-screening result and passing a background check. Candidates must be legally authorized to work in the United States; employment eligibility will be verified under applicable federal requirements.

Requirements

High school diploma or equivalent required.
Knowledge of medical terminology, insurance verification, and prior authorization processes.
Experience using an electronic medical record (EMR) system.
Strong organizational, multitasking, and time-management skills.
Strong verbal and written communication skills.
Ability to work in a fast-paced environment while maintaining accuracy.
Adaptability and flexibility.
Positive communication and professional interpersonal skills, including tact, diplomacy, and respect.
Professionalism in appearance, communication, attendance, reliability, and teamwork.
Ability to maintain an organized, neat work area and high productivity.
Willingness to help others succeed.
Ability to submit to and obtain a negative result on a pre-employment drug screening.
Ability to pass a background check.
Must be legally authorized to work in the United States; employment eligibility will be verified.

Nice To Haves

Previous experience in medical scheduling, patient registration, referral coordination, or healthcare administration.

Responsibilities

Confirm that insurance policies are active and correctly registered for the scheduled date of service.
Update patient insurance information, including copayments and financial obligations due at the time of service.
Communicate with patients about high deductibles and cash-rate amounts due.
Notify patients of insurance verification issues or policy termination and provide options, such as updating insurance or discussing cash rates.
Add pop-up alerts for the Front Office when additional insurance information is needed or patients cannot be reached.
Request and obtain follow-up visit authorizations through insurance carriers, online portals, or primary care providers.
Secure authorizations for new patient visits through insurance carriers, online portals, or primary care providers.
Create and manage referral modules based on authorizations and link them to upcoming appointments.
Follow established workflows.
Obtain pre-certifications or authorizations for recommended treatments through insurance carriers, primary care providers, or online portals.
Use Healow Messenger to notify patients when treatment requests are submitted and when approvals are received.
Follow up on submitted requests within 7–14 days.
Route approved authorizations to the patient’s chart for processing.
Coordinate care by faxing approvals and treatment orders to appropriate facilities and informing patients of next steps.
Notify medical assistants, providers, and patients of treatment denials and schedule necessary follow-up appointments.
Follow established workflows for Workers’ Compensation treatment requests and delays.
Resolve treatment orders within 14 days; ensure no orders remain open past 30 days.
Schedule or reschedule appointments based on treatment coordination, insurance eligibility, or authorization issues.
Follow established workflows when booking appointments.
Handle confidential patient files with privacy, discretion, and professionalism.
Comply with safety program elements, including policies, safe work practices, training, protective equipment use, and reporting safety concerns, hazards, and non-compliant practices.
Follow Arrowhead Orthopaedics’ code of conduct and demonstrate ethics and integrity.