The financial strength of your practice is directly correlated to timely billing and account reimbursements.
Patient Care Coordinator
Location
California
Posted
56 days ago
Salary
$18 - $22 / hour
Seniority
Senior
Job Description
Patient Care Coordinator
PMBC LLC
• Handle high-volume inbound calls, chats, and voicemails • Handle outbound calling as needed • Guide patients through scheduling, therapy programs, and web-based tools • Triage patient needs and escalates clinical concerns to Respiratory Therapists when appropriate • Manage ACD queues and ensure timely response to all patient inquiries • Acts as a main point of contact for Providers, Health System and Insurances • Provide clear, professional communication, including with escalated or dissatisfied callers • Initiates calls to patients and schedules routine appointments for equipment set ups, home visits, follow up appointments and other procedures as needed. Enters all appointments into the electronic scheduling system • Informs patients on what to expect during their appointments and provides basic education on company services • Coordinate across departments to ensure timely patient progression through care • Maintain accurate scheduling and patient records in systems • Create and process orders for equipment and services • Contacts physician offices for Certificate of Medical Necessity (CMN), referrals and qualifiers for sleep studies, and for orders, complications and recommendations as necessary • Ensure all related price quotes given to customers/patients are appropriate and meet current company pricing policy • Explain insurance benefits, authorizations, coverage and copays to patients and collect payment • Ensure compliance with payer requirements and company policies • Educate patients on therapy expectations, equipment basics, and next steps • Support compliance outreach efforts to improve adherence and outcomes • Act as a patient advocate and liaison across internal teams • Identifies patient urgency and routes patient requests to appropriate staff • Ensure HIPAA compliance and adherence to regulatory standards (e.g., Joint Commission, Medicare) in Brightree and other systems • Process faxes, documentation, and physician communications • Generate and send compliance reports and updates to provider offices • Review patient files, both electronic and hard copy, for accuracy and for compliance with BetterNight’s policy and procedures
Job Requirements
- Must be able to work standard business hours in Pacific Standard Time Zone (California time).
- Strong commitment to patient care
- Strong level of product knowledge
- High school diploma or equivalent required
- 1–3 years of healthcare, customer service, or administrative experience preferred
- Strong communication, problem-solving, and organizational skills
- Knowledge of HIPAA and patient rights
- Experience with Brightree or similar systems preferred
- Strong communication and de-escalation skills
- Ability to multitask across systems while on calls
- Comfortable in a fast-paced, metric driven environment
- High attention to detail and documentation accuracy
- 2-3 years’ experience working in customer service, administration or reception is required
- Experience in the healthcare industry or DME preferred
Benefits
- Medical
- Dental
- Vision
- Sick
- Holiday & Vacation time off
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