Patient Services Coordinator - RCM
About The Position
PromptCare is seeking a highly motivated, detail-oriented Patient Services Coordinator to join its Patient Services Team. The position focuses on specialty infusion benefit verifications and medication authorizations, including reauthorizations. The coordinator creates EMR notes, submits electronic faxes, follows up on and logs recertification documentation from physician offices using CPR+ or CareTend, and communicates authorization requests assigned to payers to patients, physician offices, and the sales team in a timely manner. The role requires attention to detail and the ability to work in a fast-paced environment.
Requirements
- High school diploma or equivalent.
- Excellent oral and written communication skills for communicating with colleagues, management, patients, and physician offices.
- Appropriate computer skills, including Microsoft Office Suite.
- Strong work ethic and attention to detail and quality.
- Ability to identify and address problem accounts.
- Ability to handle multiple tasks in a fast-paced, challenging environment.
Nice To Haves
- Bachelor’s degree in a healthcare field or business.
- Experience with CPR+ and/or CareTend.
- Previous experience working with infusion therapy patients.
- Prior experience with prior authorizations, specialty medications, or third-party payers.
- Familiarity with electronic medical records, payer portals, and data-entry systems.
- Infusion or DME background.
- Clinical, medical office administrative, or related experience.
Responsibilities
- Verify benefits for insurance, therapy, and dose changes.
- Obtain new authorizations or reauthorizations under a new insurance plan when insurance changes.
- Obtain new authorizations or reauthorizations for drug or dose changes under an existing plan.
- Update payer information and binoculars in CPR+ or CareTend.
- Update existing orders to show the correct payer in CPR+ or CareTend.
- Perform monthly verifications.
- Create EMR notes and submit electronic faxes.
- Follow up on and log recertification documentation from physician offices.
- Communicate authorization requests assigned to payers to patients, physician offices, and the sales team in a timely manner.
- Manage internal email communication with other departments.
- Attend to urgent or same-day requests.
- Perform other duties as assigned.
Benefits
- Comprehensive medical, dental, and vision package.
- 401(k) plan with company match.
- PTO including vacation, sick time, personal days, and paid holidays.
- Life insurance with optional enhancements.
- Employee Assistance Program with free counseling and coaching sessions.
- Emotional well-being and work-life balance resources.
- Company-paid short- and long-term disability coverage with optional supplements.
- Accidental death and dismemberment insurance.
- FSA and HSA.
- Commuter spending programs.
- Volunteer and engagement opportunities.
- Employee referral bonuses.
- Discounts on entertainment, travel, supplemental plans, and cellphone plans.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
