Patient Support Coordinator

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

📋 Description

• Operate effectively in a dynamic contact center environment utilizing inbound and outbound calls, chat, SMS/Text, and email communications.

• Handle general inquiries, monitor and remind patients about their appointments, while adhering to established procedures.

• Deliver clinical information necessary for obtaining pre-certification from payers, adjusters, and nurse case managers.

• Gather precise data to facilitate care coordination and referrals for occupational health and workers' compensation services.

• Aid in tracking referrals, scheduling appointments, managing prior authorizations, and verifying insurance billing.

• Compile referral information to streamline and coordinate care effectively.

• Assist in referral navigation and care coordination within client health systems and hospitals.

• Maintain up-to-date knowledge of state-specific workers' compensation and occupational health laws and regulations.

• Verify eligibility and secure authorizations via insurance companies and vendor portals.

• Monitor and reconcile referral orders until completion, including return-to-work or maximum medical improvement outcomes.

• Present clinical notes, orders, and referrals to utilization review organizations and insurance providers.

• Advocate on behalf of patients with carriers to ensure timely approval of essential services.

• Coordinate care with service providers, workers' compensation adjusters, and nurse case managers.

• Track referral outcomes and relay appointment reminders to patients, employers, adjusters, and nurse case managers.

• Achieve call handling, quality, and attendance performance targets.

• Perform additional duties as required.

⛳️ Requirements

• High School Diploma or equivalent is mandatory.

• Minimum of two years of experience in patient care coordination or patient scheduling, or an equivalent background.

• At least one year of customer service experience.

• Capacity to swiftly learn new processes and workflows.

• Proficient in listening to callers while accurately entering data and documenting information.

• Strong oral and written communication skills.

• Exceptional active listening abilities.

• Patient and empathetic demeanor.

• Excellent interpersonal skills.

• Computer literacy with meticulous attention to detail and the capacity to learn new software applications and engagement methods.

• Strong problem-solving skills.

• Outstanding customer service abilities.

• Experience in Medical Office Administration or possession of a Medical Assistant Certification is preferred.

• Previous experience in occupational health or workers' compensation is advantageous.

• Experience with EMR systems is a plus.

• Bilingual proficiency is beneficial but not required.

🏝️ Benefits

• Proven history of offering an excellent work/life balance.

• Comprehensive benefits package along with competitive compensation.

• Medical, dental, and vision insurance coverage.

• 401(k) plan featuring company matching.

• Paid time off and holiday benefits.

• Support for professional development.

• Resources for employee wellness.

• An inclusive culture promoting belonging and empowerment.