Patient Coordinator

This is a fully remote position, open to applicants in United States.

📋 Description

• Make outbound calls to eligible patients to introduce the available care management programs.

• Provide a clear explanation of Chronic Care Management (CCM), Remote Patient Monitoring (RPM), Transitional Care Management (TCM), Behavioral Health Integration (BHI), and other care management services in a compassionate and easily understandable way.

• Inform patients about the benefits of the programs, address their inquiries, and secure documented consent in line with Medicare regulations.

• Follow up with patients on their appointments, missed visits, and ongoing care plans.

• Verify both Medicare and commercial insurance eligibility prior to patient enrollment.

• Confirm details of active insurance coverage, payer information, patient demographics, and both primary and secondary insurance details.

• Identify patients eligible for Medicare care management programs and ensure compliance with all payer eligibility requirements before services commence.

• Review updates on insurance and communicate any discrepancies to the billing team.

• Accurately enter and update patient demographics, insurance details, provider information, referrals, physician orders, and other necessary information in Athenahealth.

• Document all interactions with patients, outreach attempts, enrollment activities, and care coordination efforts within the EMR.

• Upload and organize supporting documents while ensuring complete, accurate, and HIPAA-compliant patient records.

• Review documentation for completeness, resolve any discrepancies, and uphold the integrity of patient data.

• Exhibit professionalism, confidentiality, and exceptional customer service during every patient interaction.

⛳️ Requirements

• Prior experience in a healthcare administrative, patient coordination, medical office, or a related role.

• Strong verbal and written communication skills in English.

• Excellent customer service and patient communication skills.

• Experience with insurance verification, especially with Medicare and commercial insurance plans.

• High level of accuracy in data entry and documentation.

• Ability to multitask while maintaining outstanding attention to detail.

• Strong organizational and time management abilities.

• Comfortable working independently in a fully remote setting.

• Commitment to upholding HIPAA compliance and patient confidentiality.

• Experience using Athenahealth is highly preferred.

• A medical background is preferred.

• Bilingual proficiency in English and Spanish is preferred.

• Experience supporting patient care management programs is a plus.

• Knowledge of CCM, RPM, TCM, BHI, or similar healthcare programs is advantageous.

• Fast and accurate typing/data entry abilities.

• Familiarity with EMR/EHR systems.

🏝️ Benefits

• Full-time position.

• 100% remote opportunity.

• Collaborate with an innovative healthcare organization dedicated to enhancing patient care.

• Opportunities for professional growth within the healthcare technology industry.