Job Summary

At GCM, our Patient Care Coordinator (PCC) works closely with our members and physicians to provide high-touch, personalized care. Responsibilities include clinical and clerical work as necessary, communicating with patients via phone, email, text, triaging with patients to identify emergent and non-emergent situations, scheduling appointments, obtaining prior authorizations, and submitting prescriptions to pharmacies. The ideal candidate would have a minimum of 3 years of clinical and administrative healthcare experience. At GCM, Patient Care Coordinator team members who thrive enjoy detail-oriented administrative duties that require multitasking and timely completion of tasks.

General Accountabilities

Administrative

• Onboards new patients, which includes creating charts and profiles across various electronic platforms
• Ensures patient demographics are current and updates them, when necessary, across various platforms
• Schedules patients for encounters—in-office, telephonic, and virtual
• Schedules specialist appointments for patients. Ensures records are present for the visit and follows up to ensure we receive reports following the visit
• Answers telephone calls, emails, texts, and faxes and routes inquiries accordingly
• Communicates proactively with patients via email, text, and telephone
• Routes and requests medical records via e-fax
• Imports medical records to EMR
• Coordinates referrals to diagnostic centers
• Researches and informs patients of cash/self-pay costs associated with visits to outside facilities, including diagnostic centers and specialists
• Responds to patients’ insurance inquiries, including interpreting EOBs
• Reviews lab bills that require updated diagnosis codes and insurance information
• Reminds patients of annual exams, screening tests, and vaccines
• Facilitates third-party care coordination, including home health and hospitalizations
• Coordinates physician-to-physician consults
• Updates patient accounts for billing purposes
• Assists in the resolution of inquiries and requests to patient satisfaction
• Identifies potential gaps or breakdowns in communication and acts to prevent issues and errors

Clinical

• Acts as liaison between patient, family, and medical representatives
• Obtains health history information and documents current physical conditions.
• “Triages” patient calls to assess urgency and escalates to the physician when necessary
• Initiates and completes prescription prior authorizations
• Uses professional judgment with regard to patient education and prescription prior authorizations
• Practices most current safety and health code standards
• Enters chart data, including patient medical conditions, messages, and patient follow-ups in a timely manner
• Educates patients
• Records medications and supplements in patient charts
• Will cover holidays as needed

Qualifications

• Minimum Education: Bachelor’s Degree
• Minimum Experience: 3 Years
• Minimum Field of Expertise: Administrative or clinical experience in a medical setting.
• Minimum EMR experience: Three years
• Preferred Education: LPN or RN of an accredited nursing school

Competencies

• Knowledge of medical terminology
• Exemplary customer service skills
• Exemplary verbal skills
• Ability to maintain schedules
• Ability to maintain confidentiality
• Ability to respond to questions in a tactful and professional manner
• Ability/willingness to adhere to the established departmental service standards

Physical Demands

• Must be able to stand and/or sit for the duration of the shift
• Must be able to move boxes of inventory up to 20 pounds

Work Environment

• Office desk work

Job Type: Full-time

Pay: $23.00 - $35.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Physical setting:

• Outpatient

Standard shift:

• Day shift

Supplemental pay types:

• Bonus opportunities

Weekly schedule:

• Monday to Friday

People with a criminal record are encouraged to apply

Work Location: In person