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Patient Support Coordinator

SCP Health
Remote, USA
Full-time
Junior · 2+ years experience
Remote
USD 13-19 / hour
Discovered 1 weeks ago
Communication

Full Job Posting

RESPONSIBILITIES:

  • Work efficiently and in a professional manner utilizing multiple forms of engagement (blended inbound/outbound calls, chat, SMS/Text, and email) in a fast paced and challenging contact center environment across multiple lines of business.
  • Manage general inquiries, track appointments, remind patients of appointments, and follow all processes and procedures while demonstrating sensitivity to any issues.
  • Serves as a navigator to the clinic/hospital for insurance companies or insurance utilization review department by providing clinical information to obtain pre-certification from payers/adjusters/nurse case managers for workers’ compensation referrals.
  • Intake accurate collection of data to complete the coordination of care/referral for program service lines (occupational health services and workers compensation visits).
  • Assist and track referrals/appointment scheduling, prior authorizations, and/or insurance billing verification, when applicable for tests/procedures, including surgical procedures, diagnostic procedures, provider appointments, outpatient rehab services, etc.
  • Assemble information concerning referral needs to assist with expediting and coordinating care.
  • Per client referral guidelines, provide information to appropriate parties to assist with referral navigations/care coordination within client’s health system/hospital.
  • Responsible for staying abreast of state specific worker’s compensation and occupations health laws and regulation.
  • Check eligibility and obtain authorization for ordered services via insurance companies or acceding vendor portals.
  • Track and reconcile patient referral orders for assigned areas with follow through to completion, such as return to work regular duty or maximum medical improvements (MMI).
  • Contact utilization review organizations and insurance companies (adjusters and nurse case managers) to ensure prior approval requirements are met. Present necessary medical information such as clinical notes, orders, and/or referrals for said services.
  • May assume advocate role on the patient's behalf with the carrier to ensure approval of the necessary services for the patient in a timely fashion.
  • Utilize client department service lines and identified service providers to coordinate care. Establish and maintain relationships with identified service providers, work comp adjusters and nurse case managers.
  • Ensure that referrals are addressed in a timely manner and track all referral outcomes.
  • Communicate and remind patients, employers, adjusters, and nurse case managers of scheduled appointments.
  • Meet key performance goals including call handling metrics, quality performance, and attendance.
  • All other duties as assigned.

QUALIFICATIONS:

  • Education:
  • High School Diploma or equivalent required
  • Medical Office Administration experience or Medical Assistant Certification preferred
  • Certification and Licenses:
  • Medical Assistant Certification preferred
  • Previous Experience:
  • Two years’ patient care coordination or patient scheduling experience or equivalent
  • One year customer service experience
  • Previous occupational health, or workers compensation experience preferred
  • EMR experience a plus
  • Knowledge Skills and Abilities:
  • Thrives working in fast based, changing, and growth-oriented environment
  • Ability to quickly learn new processes and workflows
  • Ability to listen to caller while entering data and documenting information accurately
  • Strong communication skills, oral and written
  • Great active listening skills
  • Patient and empathetic attitude
  • Excellent interpersonal skills
  • Computer literate with attention to detail and the ability to learn new software applications and methods of engagement
  • Problem solving abilities
  • Excellent customer service skills
  • Bilingual a plus but not required
  • Pay Range:
  • 13.00 - 19.00 USD per hour
  • This range represents the anticipated base salary for this role. Actual compensation will be determined based on experience, qualifications, and internal equity considerations.
  • We offer a comprehensive benefits package designed to support your health, financial well-being, and work-life balance, including medical dental, vision insurance, a 401(k) plan with a company match, paid time off and holidays, professional development support, and employee wellness resources.
  • Visit our website for further information. https://myscpbenefits.com/
  • Login name: corp-guest
  • Password: weheal
  • 00 - 19.00 USD per hour

Preferred Qualifications

  • Medical Office Administration experience or Medical Assistant Certification preferred
  • Medical Assistant Certification preferred
  • Previous occupational health, or workers compensation experience preferred
  • EMR experience a plus
  • Bilingual a plus but not required

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