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Patient Care Coordinator

2 months ago


Miami, Florida, United States Gastromed, LLC Full time
Job Description

JOB TITLE: Patient Care Coordinator

REPORTS TO: Practice Manager

FLSA STATUS: Non-Exempt

JOB SUMMARY:

The Patient Care Coordinator is tasked with ensuring that patients' insurance details are accurately confirmed and that necessary authorizations are secured prior to appointments, facilitating a seamless visit experience. Additionally, this role encompasses managing medical record requests and conducting quality assurance on progress notes for the designated healthcare provider.

QUALIFICATIONS/EDUCATION:

  • High School Diploma or equivalent is required.
  • Bi-lingual proficiency in English and Spanish is preferred; must be capable of reading, writing, and speaking in English.
  • A minimum of 5 years of relevant experience in a healthcare environment is preferred.
  • Exceptional interpersonal skills.
  • Proficient data entry capabilities.
  • Meticulous attention to detail.
  • Quality of work must be precise, comprehensive, and completed promptly.
  • Strong organizational abilities and capacity to manage multiple tasks effectively.
  • Demonstrates proficiency in using personal computers and various software applications necessary for performing job responsibilities, including Electronic Health Records and authorization systems, with minimal typing or spelling errors.

CERTIFICATIONS/LICENSES:

  • Medical Assistant Certification is preferred.

ABILITIES/SKILLS:

  • Basic computer skills to navigate and comprehend the EMR System.
  • Excellent communication, customer service, and telephone skills.
  • Strong organizational skills and the ability to manage multiple tasks effectively.
  • Ability to work independently with minimal supervision in a dynamic environment.
  • Must maintain patient confidentiality at all times and adhere to HIPAA regulations.
  • Dependability and professionalism are essential.
  • Proficient in using personal computers and various applications necessary for executing job duties.
  • Ability to follow established policies and procedures.

SUPERVISORY RESPONSIBILITIES:

  • N/A

ESSENTIAL DUTIES/RESPONSIBILITIES:

  • Responsible for obtaining patient referrals and/or authorizations well in advance of office visits and informing patients of any deductible or co-pay obligations.
  • Accurately registers or updates patients' insurance information in the EMR system.
  • Ensures that every patient's insurance is active and verifies participation with our practice.
  • Reviews patient deductibles and/or co-pays and updates patient records accordingly.
  • Obtains referrals and/or authorizations through the insurance portal or by contacting the insurance company.
  • Assists patients with inquiries or concerns, ensuring their expectations are met.
  • Collaborates closely with the front desk to ensure accurate billing practices.
  • Follows up on callbacks before the end of the workday.
  • Conducts quality assurance on progress notes for the assigned provider.
  • Manages the monthly recall list for patients who have not been seen in the past 3-5 years.
  • Sorts faxes and processes medical records requests.
  • Scans documents, including pathology reports, to the ordering physician.
  • Assists with special projects as required.
  • Completes assigned tasks in a timely manner.
  • Handles phone calls and schedules/reschedules appointments as necessary.
  • Conducts all activities in a professional, courteous manner while adhering to company policies and procedures.
  • Performs any other duties as assigned by management.

PRE-EMPLOYMENT REQUIREMENTS:

  • Criminal Background Check

We offer a competitive salary and comprehensive employee health insurance coverage. Additional benefits include dental, vision, life insurance, and 401k options.