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Job Description
Duties & Responsibilities
- Obtains thorough understanding of the Patient Care Coordinator role in preparation to provide the best support and management of the team.
- Exercises discretion in the daily coordination of administrative staff.
- Provides input in business and strategic planning.
- Helps with coordination of facility operations, procurement and inventory of IT and clinic equipment.
- Partners with Human Resources by completing assigned employee updates on performance, employee relations, recruiting, onboarding/offboarding and training.
- Coordinates the management of active patient cases in the WIP with all parties involved to keep cases moving forward in a timely manner. Resolves complaints.
- Ensures the procurement of medical documentation from physicians, physician assistants, nurse practitioners, therapists, nursing facilities, and hospitals through direct live/phone communication, fax, and email as appropriate.
- Collaborates with Verification, Authorization, and Billing teams to secure insurance authorizations for patient cases, financial responsibility, and medical documentation requirements.
- Directs patient communications for scheduling, financial responsibility discussions, procurement of medical documentation from their referral source(s) through direct live/phone communication, fax, and email as appropriate.
- Ensures accurate patient, billing, insurance information, verification, and pre-authorization is obtained and maintained in patient files and the billing system.
- May assist with collection of money associated with copayments, deductibles, and other financially related items as needed. This might include depositing company funds into company bank.
- Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks.
- Complies with Corporate Compliance and HIPAA requirements.
- Adheres to all safety regulations; compliance with Medicare and other governmental regulations.
- Performs other duties and special projects as assigned.
