Patient Care Coordinator

2 weeks ago

Pittsburgh, United States Medix Full time
Job DescriptionJob Description

We are currently seeking a dedicated Insurance Verification Specialist/Patient Care Coordinator to join our team If you are passionate about improving patient care and have experience in healthcare, particularly in pharmacy or insurance verification, we want to hear from you.

  • Location: Robinson Township
  • Type: Full-Time / Onsite
  • Pay: $19-20/hour

This is for a Pharmacy Technology Company that helps patients get better access and prices to their prescription medications.

Responsibilities:

  • Pharmacy Claims Processing: Accurately and timely process pharmacy claims to meet client expectations.
  • Claims Triaging: Analyze and triage rejected pharmacy insurance claims to determine patient coverage.
  • Prior Authorization Requests: Assist in initiating new prior authorization requests with providers and identify the correct forms needed based on patient insurance.
  • Coordination with Providers: Collaborate with prescribers and medical offices to ensure all necessary information is accurately provided on prior authorization forms.
  • Status Follow-Up: Regularly follow up with medical offices to check the status of prior authorization requests and communicate updates to patients and providers.
  • Appeals Management: Work with medical offices to handle appeals as needed.
  • Interdepartmental Support:Address internal inquiries related to prior authorization requests.
  • Compliance Maintenance: Ensure compliance with patient assistance program guidelines and document all findings according to operating procedures.
  • Research & Confidentiality: Conduct necessary research using available resources while maintaining the confidentiality of patient and proprietary information.

Requirements:

Education: High school diploma or GED required; Bachelor's degree preferred.

Experience: Minimum one year of healthcare experience, preferably in pharmacy, resolving third-party claims.

Skills:

  • Strong verbal and written communication skills.
  • Technical proficiency and analytical ability.
  • Excellent judgment and operational focus.
  • A commitment to providing exceptional patient care.
  • Ability to work collaboratively with peers and across departments.
  • Strong aptitude for learning complex software systems.

Work Schedule:

Hours: Monday - Friday: 8:00 AM - 9:30 PM, Saturday: 9:00 AM - 5:00 PM. (40 Hours a week)

  • Flexibility Required: During Q4, candidates must be flexible to work an 8-hour shift within the operating hours. One Saturday a month is expected, with a midweek day off scheduled in return. Schedules will be provided with approximately two weeks' notice.

We are particularly interested in candidates with experience in:

- Pharmacy Business Office / Pharmacy Technician roles

- Physician Office or Hospital - RCM/Business Office/Front Desk

- Centralized Scheduling or Intake for healthcare organizations

- Claims processing or related health plan backgrounds

We encourage you to apply If applicable, we will call you with further details

We look forward to welcoming you to our team

Company DescriptionHere at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.

Our commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?Company DescriptionHere at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.\r
\r
Our commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?

  • Patient Care Coordinator

    4 weeks ago

    Pittsburgh, Pennsylvania, United States UPMC Life Changing Medicine Full time

    Job SummaryUPMC Life Changing Medicine is seeking a highly motivated and compassionate Patient Care Coordinator to join our team. As a Patient Care Coordinator, you will play a vital role in providing exceptional patient care and support to our patients and their families.Key ResponsibilitiesProvide personalized support to patients and their families,...

  • Patient Care Coordinator

    3 days ago

    Pittsburgh, Pennsylvania, United States UPMC Full time

    Join Our Team as a Patient Care CoordinatorWe are seeking a highly motivated and compassionate Patient Care Coordinator to join our team at UPMC. As a Patient Care Coordinator, you will play a vital role in ensuring that our patients receive the highest level of care and support.Key Responsibilities:Greet hospital guests positively and provide assistance as...

  • Patient Care Coordinator

    3 weeks ago

    Pittsburgh, Pennsylvania, United States Blink Health Full time

    {"title": "Patient Care Coordinator", "company": "Blink Health", "description": "At Blink Health, we are revolutionizing the way patients access affordable medications. As a Patient Care Coordinator, you will play a critical role in ensuring that our patients receive the best possible care.Responsibilities:Perform patient outreach to conduct patient...

  • Patient Care Coordinator

    2 weeks ago

    Pittsburgh, United States Medix Full time

    We are currently seeking a dedicated Insurance Verification Specialist/Patient Care Coordinator to join our team! If you are passionate about improving patient care and have experience in healthcare, particularly in pharmacy or insurance verification, we want to hear from you. Location: Robinson Township Type: Full-Time / Onsite Pay: $19-20/hour This...

  • Patient Care Coordinator

    2 weeks ago

    Pittsburgh, United States Wellbe Senior Medical Full time

    Job Summary: WELLBE INTRODUCTION The WellBe care model is a Physician Led Advanced Geriatric Care Program focused on the quality of care of the frail, poly-chronic, and elderly Medicare Advantage patients. This population is typically underserved and very challenged with access to overall health care. To address these problems, we have elected to bring the...

  • Patient Care Coordinator

    1 month ago

    Pittsburgh, Pennsylvania, United States Jaan Health, Inc. Full time

    About the RoleJaan Health, Inc. is seeking a skilled Chronic Care Coordinator to join our team at Partners In Nephrology & Endocrinology. As a Chronic Care Coordinator, you will play a vital role in supporting the delivery of high-quality, patient-centered care to individuals with Chronic Kidney Disease (CKD).Key ResponsibilitiesManage a panel of chronic...

  • Patient Care Coordinator

    4 weeks ago

    Pittsburgh, Pennsylvania, United States Emerus Full time

    Job SummaryWe are seeking a skilled Patient Care Assistant/CNA to join our team at Emerus. As a Patient Care Assistant/CNA, you will play a vital role in providing high-quality patient care and support to our patients and their families.Key ResponsibilitiesDeliver advanced indirect and selected direct patient care at a competent level as directed by a...

  • Patient Care Coordinator

    6 days ago

    Pittsburgh, Pennsylvania, United States AHN Neighborhood Hospital Full time

    About UsAHN Neighborhood Hospital is a leading provider of healthcare services, dedicated to delivering exceptional patient care and experiences.Job SummaryWe are seeking a highly skilled and compassionate Patient Care Assistant/CNA/PCT to join our team. As a key member of our care team, you will provide advanced indirect and selected direct patient care...

  • Patient Care Coordinator

    1 week ago

    Pittsburgh, Pennsylvania, United States University of Pittsburgh Medical Center Full time

    Join Our Team as a Patient and Family ConciergeWe are seeking a compassionate and detail-oriented Patient and Family Concierge to join our team at UPMC Passavant. As a valued member of our inpatient patient care support team, you will play a critical role in enhancing the patient experience and providing exceptional care to our patients and their...

  • Patient Care Coordinator

    2 weeks ago

    Pittsburgh, Pennsylvania, United States University of Pittsburgh Medical Center Full time

    Job Title: Casual Patient and Family ConciergeAre you passionate about delivering exceptional patient care and creating a positive experience for our patients and families? We are seeking a Casual Patient and Family Concierge to join our team at UPMC Passavant.About the Role:This is a part-time opportunity to work in a dynamic and supportive environment,...

  • Patient Care Coordinator

    4 weeks ago

    Pittsburgh, PA , USA, United States UPMC Full time

    Job SummaryWe are seeking a highly skilled and compassionate Patient Service Coordinator to join our oncology team at The Mario Lemieux Center for Blood Cancers. As a key member of our team, you will play a vital role in providing exceptional patient care and support.Key ResponsibilitiesAssist patients with rooming, collecting vitals, and ensuring their...

  • Patient Care Coordinator

    2 weeks ago

    Pittsburgh, Pennsylvania, United States UPMC Full time

    Join Our Team as a Patient and Family ConciergeWe are seeking a compassionate and detail-oriented Patient and Family Concierge to join our team at UPMC. As a key member of our healthcare team, you will play a vital role in enhancing the patient experience and providing exceptional support to our patients and families.Responsibilities:Provide exceptional...

  • Patient Transfer Coordinator

    1 week ago

    Pittsburgh, Pennsylvania, United States Highmark Inc. Full time

    Job SummaryWe are seeking a highly skilled Patient Transfer Coordinator to join our team at Highmark Inc. This role is responsible for coordinating patient transfers between healthcare facilities, ensuring timely and efficient care delivery.Key ResponsibilitiesCoordinate patient transfers between healthcare facilities, prioritizing urgent cases and ensuring...

  • Patient Care Coordinator

    2 weeks ago

    Pittsburgh, Pennsylvania, United States UPMC Full time

    Join Our Team as a Patient and Family ConciergeWe are seeking a dedicated and compassionate Patient and Family Concierge to join our team at UPMC. As a Patient and Family Concierge, you will play a vital role in enhancing the patient experience at our hospital.Key Responsibilities:Provide exceptional customer service to patients and families, ensuring their...

  • Patient Care Coordinator

    2 weeks ago

    Pittsburgh, Pennsylvania, United States University of Pittsburgh Medical Center Full time

    Job Title: Full-Time Patient and Family ConciergeAre you passionate about delivering exceptional patient care and creating a positive experience for our patients and families? We are seeking a Full-Time Patient and Family Concierge to join our team at UPMC Passavant.About the Role:This is a unique opportunity to make a meaningful impact on the lives of our...

  • Patient Care Coordinator

    3 months ago

    Pittsburgh, United States Blink Health Full time

    Company Overview:Blink Health is a healthcare technology company that builds products to make prescriptions accessible and affordable to everybody. Our two primary products - BlinkRx and Quick Save - remove traditional roadblocks within the current prescription supply chain, resulting in better access to critical medications and improved health outcomes for...

  • Patient Care Coordinator

    3 weeks ago

    Pittsburgh, United States Blink Health Full time

    Company Overview: Blink Health is the fastest growing healthcare technology company that builds products to make prescriptions accessible and affordable to everybody. Our two primary products - BlinkRx and Quick Save - remove traditional roadblocks within the current prescription supply chain, resulting in better access to critical medications and improved...

  • Patient Care Coordinator

    4 weeks ago

    Pittsburgh, United States Blink Health Full time

    Company Overview:Blink Health is the fastest growing healthcare technology company that builds products to make prescriptions accessible and affordable to everybody. Our two primary products - BlinkRx and Quick Save - remove traditional roadblocks within the current prescription supply chain, resulting in better access to critical medications and improved...

  • Patient Care Coordinator

    3 weeks ago

    Pittsburgh, Pennsylvania, United States UPMC Life Changing Medicine Full time

    Job Title: Part-Time Patient and Family Concierge, SeniorUPMC Life Changing Medicine is seeking a Part-Time Patient and Family Concierge, Senior to support our Medical Stepdown Unit at the McCandless location.Job Summary:We are dedicated to providing each patient with the right care, in the right way, at the right time, every time. As a Part-Time Patient and...

  • Patient Transfer Coordinator

    1 week ago

    Pittsburgh, Pennsylvania, United States Highmark Inc. Full time

    Job SummaryWe are seeking a highly skilled Patient Transfer Coordinator to join our team at Highmark Inc. This role is responsible for coordinating patient transfers between clinicians, prioritizing patient triage, and utilizing computer-based registration software to create patient profiles.Key ResponsibilitiesCoordinate patient transfers between clinicians...