Care Coordinator Jobs

About The Position

Requirements

• High school diploma or GED; or one to three months of related experience and/or training; or an equivalent combination of education and experience.
• One year of related experience, preferably in a medical setting, financial services setting, and/or demanding customer service environment.
• Experience operating a PC and using software applications.

Nice To Haves

• Medical terminology knowledge and experience obtaining insurance verifications.
• Call or service center experience.

Responsibilities

• Conduct scheduling and preregistration; validate patient demographic data; identify and verify medical benefits, plan codes, and coordination-of-benefits order; collect limited clinical data as needed; and correct or update records to support timely, accurate billing.
• Verify insurance through payor contacts, online resources, or electronic systems; identify authorization and referral requirements; and follow up with physician offices, case management, and payors on deficiencies.
• Identify patient financial responsibilities, calculate estimates, collect liabilities, post payment transactions in the ADT system as appropriate, and complete daily reconciliation.
• Identify self-pay accounts and complex liability calculations, escalating accounts to Financial Counselors as appropriate.
• Deliver a positive patient experience and maintain effective working relationships with patients, AHN leaders and staff, physician offices, external agencies, and vendors.
• Communicate as needed with designated contacts to exchange information and support working relationships.
• Work toward productivity standards and recommend approaches to improve performance and productivity when appropriate.
• Follow AHN policies and procedures, attend or complete mandatory training and education within required guidelines and timeframes.
• Protect covered, cardholder, and confidential customer information in accordance with HIPAA and company privacy and information-security policies.
• Comply with the company’s Code of Business Conduct and applicable laws, regulations, policies, and training requirements.
• Perform other duties as assigned or required.