Patient Care Coordinator

Patient Care Coordinator

hrEdge is seeking a Patient Care Coordinator located in Lakeland and Winter Haven, Florida. If you enjoy helping others and being the "face" of an organization this position is for you! Our client has an immediate need for a full-time PCC to work in office. This position is responsible for attending patients on the phone and in person, verifying patient insurance, providing information to patients, and documenting collection of medical information, coordinate and organize appointments and documentation to facilitate the smooth running of the office and support delivery of quality patient care. Must have good phone and written skills and be able to work in a fast-paced environment. The expectation of this position is to provide a first-class service experience, with every patient/physician interaction.

Essential Duties:

• Answer telephones in a professional manner.
• Schedule and confirm patient appointments, schedule new appointments / referrals and follow-up appointments.
• From time-to-time assist in cross coverage of telephones for other locations.
• Obtain all patient demographics and insurance information to input into the Practice Management system (OPIE).
• Request the necessary medical records from the referring physician.
• Verify eligibility of patient insurance, to ensure DME (Orthotic & Prosthetics) services are covered by insurance provider.
• Greet patient upon arrival, obtain new patient intake forms or verify all information on file is current (phone/address/insurance), current HIPAA on file.
• Scan patient insurance and photo ID information.
• Provide patients with required forms for signature (HIPAA, Financial Responsibility form, etc).
• Prepare Service Estimates to determine the patient's financial responsibility.
• Provide pertinent information to patients regarding their benefit coverage.
• Counsel the patient of any financial arrangements such as deductibles, co-insurance, or non-covered items based on the estimate generated in OPIE.
• Collect patient payments or offer payment plan (Prosthetic only).
• Responsible for keeping all patient details and information orderly, confidential, current and HIPAA compliant at all times.
• Ensure cleanliness of waiting area.
• Deposit payments into appropriate bank account.
• General clerical duties such as scheduling, filing, photo copying, data entry, scanning as assigned.
• Open mail and distribute to appropriate parties.
• Prepare patient charts for pre-authorization and insurance authorizations.
• Obtain purchase order (PO) authorizations for Worker's Comp and VA patients.
• Comply with Compliance Phase 1 and Phase 2 protocols.

Experience Requirements:

• Minimum of one (1) year of job-related experience in a medical office.
• Experience with one (1) year in insurance verification.
• Knowledge of PPO, HMO, Advantage Plans, Government Health Plans, and regulations OPIE knowledge preferred.
• Ability to operate most standard office equipment.
• Attention to detail in composing, typing, and proofing materials, establishing priorities, and meeting deadlines.
• Good to excellent spelling, grammar, and written communication skills.
• Excellent telephone and oral communication skills.
• Ability to maintain a high level of confidentiality.
• Ability to read, write, speak, and understand the English language fluently.
• Employment contingent upon clear criminal history/drug screening record.
• Bilingual in Spanish is required (non-negotiable)
• Must be willing to travel to both Winter Haven and Lakeland offices. It is a split office role (M, W, F is Winterhaven office and Tuesday and Thursday will be the Lakeland office)
• Candidate must be able to travel to Melbourne office for 1st week of training.

Education Requirements:

• High school diploma or equivalent.

Position Type/Expected Hours of Work:

Maintain a professional appearance as this position is the first impression of the company. This is a full-time position, and regular hours of work and days are Monday through Friday, 8:30 am to 5 pm.