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Patient Coordinator

Seal Beach, CA 90740

Posted: 01/17/2023 Employment Type: Contract Job Category: Administrative Job Number: 541063 Is job remote?: Yes Country: United States

Job Description

Patient Access Coordinator
6-month contract
Fully Remote

Pay Range:
 $21.31 – 25.41

Must Haves:
  • Benefit verification experience
    • Specifically with Part B treatments pharmaceutically and reimbursements in outpatient setting
  • Prior Authorization/ Pre-determination experience
  • Written and verbal communication (MS Office, IOS based, Excel savvy)
  • Someone who has good healthcare customer communication skills (will be working with physicians, nurses, MA’s at the doctor’s offices)

Preferred:
Healthcare, pharmaceutical, insurance experience
Billing/coding experience
cGMP/FDA regulated industry experience preferred

Job Summary/Description:
The Patient Access Coordinator II facilitates program services ensuring patients have easy access and provides comprehensive support for Providers in a given geographical area. This support includes, but is not limited to, enrollment intake, verification of benefits, prior authorization support, copay assistance screening, customer portal support, and general coding and billing questions. The ideal candidate is someone with a strong customer support background, experience with verification of insurance benefits, and a desire to work in a dynamic and fast-paced customer service environment. The ability to manage customer relationships and partner with internal teams is important to be successful in this role. An eye for detail and ability to understand how operational systems work is highly recommended.
Responsibilities
  • Provides personalized, dedicated support for Providers and Patients assisting with enrollment, rapid benefits verifications, patient assistance eligibility and referrals to independent foundations for financial assistance.
  • Completes detailed insurance verifications, determining coverage and out of pocket costs for services.
  • Obtains authorization requirements and communicates directly to provider; tracks and assists with follow up until outcome determination.
  • Provides coding and claims support to customers.
  • Coordinates with internal and external partners to obtain appropriate records as they relate to the benefit verification reimbursement process.
  • Provides exceptional customer service while meeting specific quality expectations
  • Maintains patient confidentiality
  • Facilitates effective and cooperative working relationships with internal and external customers
Qualifications
  • Bachelor’s degree or equivalent
  • 3-5 years’ experience in customer service (preferably in an insurance verification and/or reimbursement focused position), in an office setting. Experience in the healthcare, pharmaceutical or insurance industry is a plus
  • Billing and/or coding experience preferred
  • cGMP/FDA regulated industry experience preferred
  • Ability to interpret information. Ability to verbalize knowledge and understanding of insurance coverage dependent on payer assignment i.e. major medical, Medicare, Medicaid.
  • Strong proficiency in Microsoft applications (Outlook, Word, Excel)
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