HH Patient Service Coord I

HH Patient Service Coord I

Location: 1101 W Vickery Blvd, Fort Worth Duration: 6 Months Pay Rate: $18/HR on W2 Required Skills & Experience: -One (1) year of Customer Service. -Four (4) to six (6) months clerical skills. Preferred Skills & Experience: -Medical terminology strongly.

Ability to multi task in high call volume environment Required Education: -High School Diploma or GED.

Job Summary: Manage patient accounts to ensure accurate and timely delivery of durable supplies and services. Provides information to customers about company products. Acts as a liaison between customers and the company regarding supply sales. Receives and processes patient reimbursement information from patients, physicians, hospitals, and third-party payors. Coordinates patient information and services to ensure clean claims.

Job Responsibilities

• 20% Acts as customer contact regarding pricing, reordering of supplies, and shipping.
• Provides records to billing for filing insurance claims.
• Submits appropriate paperwork to Medicaid and managed care organizations (MCO) for prior authorizations.
• 30% Processes incoming referrals and routes for delivery of sales supplies.
• Maintains current knowledge of third-party payor regulations and requirements.
• Notifies appropriate department personnel when referrals do not meet CCHH financial criteria for acceptance.
• 35% Monitor and maintain the integrity of data entered into all the computer systems.
• 5% Prepares patient supply tickets daily before delivery of durable medical equipment (DME), pharmacy medications, and supplies and notifies appropriate personnel upon completion.
• 5% Receives routine product or service problems and resolves issues or refers to appropriate department for handling.
• Tracks all customer complaints and incomplete orders.
• 5% Verifies insurance coverage monthly and updates database.
• Obtain benefit eligibility information and prior authorization from all third-party payors.
• Logs all prior authorization for patients coming on service.
• Reviews and logs all Certificates of Medical Necessity (CMN).