Patient Care Coordinator Jobs

About The Position

Requirements

• High school graduate.
• Office and computer skills.
• Knowledge of medical terminology.
• Medical coding experience.
• Effective time-management and organizational skills.

Nice To Haves

• Bilingual in Spanish.

Responsibilities

• Process patient referrals, collect required clinical documentation, verify insurance, coordinate pre-collections and nursing, and coordinate services such as PICC placements and speech evaluations.
• Answer telephones and coordinate with all departments.
• Organize and maintain timely follow-up for nutritional consults.
• Process patient and physician mail correspondence.
• Assist with scanning and assigning all patient records.
• Re-verify patient insurance coverage daily before dispensing.
• Verify insurance for patient add-ons each morning within one hour or before delivery; communicate changes to Delivery, Billing, and Pharmacy, and update the patient file.
• Remain current on insurance contract and company changes, including which party is at risk for payment.
• Contact physician offices, home health agencies, and patients to obtain patient information, insurance information, and updated clinical documentation.
• Monitor incoming faxes throughout the day and direct them to the correct recipients.
• Check and respond to all pertinent emails relating to patient care throughout the day.
• Respond promptly to all referral sources within the allotted time.
• Track all referral sources throughout the day, including faxes, and emails.
• Ensure patient copays are collected upon delivery; when payment is not collected, follow up with the patient.
• Track and ensure all pertinent patient documents are signed and returned; follow up with the patient when documents are outstanding.
• Assist with treatment approval by obtaining all pertinent clinical documentation needed for authorization submission.
• Maintain effective communication with Pharmacy and Delivery, especially for time-sensitive referrals.
• Follow up with WPCs to ensure referrals are processed or cancelled.