Paitent Care Coordinator

Job Description

Job Description

Patient Care Coordinator  Pediatric Therapy Associates

Location: Aiken or Lexington, SC | Supporting Multiple Clinic Locations

Employment Type: Full-Time

A+ Kids & Pediatric Therapy Associates is looking for a highly organized, detail-oriented Patient Care Coordinator to join our growing team. This position will play an essential role in helping children access the therapy services they need by managing the referral and insurance process from initial referral through scheduling and authorization.

The ideal candidate will have strong medical insurance knowledge, understand the referral and authorization process, and be comfortable working with multiple insurance plans, providers, families, and therapy teams.

This is a great opportunity for someone who enjoys being the person who makes the process work and wants to make a meaningful difference in the care of pediatric patients.

Process and manage pediatric therapy referrals for multiple clinic locations.

Receive referrals from physicians, hospitals, schools, families, and other healthcare providers.

Review referrals for completeness and obtain missing documentation as needed.

Verify patient demographics, diagnoses, physician orders, and required clinical documentation.

Coordinate referrals for OT, PT, SLP, and other pediatric therapy services.

Communicate with families regarding referral status, next steps, and required information.

Coordinate with therapists and clinic leadership to ensure referrals move efficiently through the intake process.

Maintain accurate and timely documentation throughout the referral process.

Verify patient eligibility and benefits for multiple commercial and government insurance plans.

Understand insurance requirements related to pediatric therapy services.

Obtain and track prior authorizations and referrals when required.

Determine insurance-specific requirements for OT, PT, and SLP services.

Communicate with insurance companies regarding benefits, authorizations, limitations, and coverage.

Monitor expiration dates and coordinate renewals as needed.

Identify potential insurance issues before services are provided.

Work closely with the billing and clinical teams to resolve insurance-related concerns.

Manage referral workflows across multiple clinic locations.

Help determine the appropriate clinic location and therapist based on patient needs and availability.

Maintain visibility of referral status across locations.

Assist with managing waitlists and identifying opportunities to schedule patients sooner.

Help ensure consistent referral and intake processes across all offices.

Previous experience in medical office administration, patient access, referrals, insurance verification, authorizations, or healthcare coordination.

Strong understanding of medical insurance terminology and processes.

Experience working with insurance companies and obtaining authorizations.

Knowledge of healthcare referrals and medical documentation requirements.

Pediatric therapy experience is a strong plus.

Excellent organizational and follow-up skills.

Strong attention to detail and accuracy.

Ability to manage multiple referrals and priorities simultaneously.

Excellent communication skills with families, healthcare providers, insurance representatives, and clinical staff.

Comfortable working independently while also collaborating with a growing team.

Ability to learn and utilize electronic medical records, scheduling systems, and insurance portals.

Flexible Schedule: Monday–Thursday, 8:30 AM – 5:00 PM; Friday, 9:00 AM – 2:00 PM

Competitive Compensation: Hourly or salary-based pay structure

Collaborative Team Environment: Work alongside experienced OTs, PTs, and SLPs in a creative, supportive, and innovative setting

Professional Growth: Mentorship, continuing education support, and career advancement opportunities

Paid Time Off (Vacation & Sick Leave)

Mentorship Program during your first year

401(k) with Matching

Short-Term & Long-Term Disability