Patient Services Coordinator - RCM
About The Position
PromptCare is seeking a motivated, detail-oriented Patient Services Coordinator to join its Patient Services Team. The role 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 promptly with patients, physician offices, and the sales team about authorization requests assigned to payers. The position is hybrid in New Providence, New Jersey, with two days in the office and three days working from home. The role requires strong communication, attention to detail, and the ability to manage multiple tasks in a fast-paced environment. It also includes handling urgent or same-day requests and other duties as assigned.
Requirements
- High school diploma or equivalent.
- Excellent oral and written communication skills for communicating with colleagues, management, patients, and physician offices.
- Appropriate computer skills for the position, 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
- Perform benefit verifications for insurance changes, therapy changes, and dose changes.
- Submit new authorizations or reauthorizations under a new insurance plan when insurance changes.
- Submit 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.
- Complete monthly verifications.
- Create EMR notes and submit electronic faxes.
- Follow up on and log recertification documentation from physician offices.
- Communicate timely with patients, physician offices, and the sales team regarding authorization requests assigned to payers.
- Manage internal email communication to and from 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.
- 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 with optional supplements.
- Accidental death and dismemberment insurance.
- Flexible spending account (FSA) and health savings account (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
