Job Title: New Patient Coordinator

This *Hybrid/Work From Home* position manages new patient coordination across all PMC Medical Group practices and sites. In-office days are located at our Somersworth, NH office.

This role begins with 32 hours per week and will transition to 40 hours as training advances.

Job Description:

A New Patient Coordinator at PMC Medical Group efficiently manages new patient intake, insurance verification, and referral compliance across multiple practice locations.

Responsibilities:

• Referral Management:
  • Receive referrals through assigned channels and delegate tasks within the New Patient Referral Team (NPRT).
  • Create patient charts and ensure all necessary information is accurately documented.
  • Send cases to provider review as necessary and decline referrals based on predefined criteria, such as the need for a full workup or issues identified during the review process.
• Insurance Verification:
  • Verify insurance details via payer websites or phone calls, including plan type, referral requirements, PCP specifications, deductibles, out-of-pocket costs, and service costs.
  • Communicate with relevant personnel regarding any additional authorization requirements or special considerations for specific procedures.
  • Ensure that referrals meet insurance policy requirements, following up with patients and external offices as necessary.
  • Handle special cases such as worker's compensation claims, ensuring accurate verification of carrier information, injury details, authorization, and service limits.
  • Provide information on self-pay options and pricing when necessary.
• Record Management:
  • Review received records for processing GSPA referrals.
  • Communicate with external offices and patients directly to obtain any missing records.
  • Obtain necessary releases of information (ROI) as required for record procurement.
• Patient Communication:
  • Regularly communicate with patients via phone to discuss their cases, inform them of required records, and provide updates on the scheduling process.
  • Provide patients with appointment details, including costs, cancellation policies, and online registration procedures.

The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified

Requirements:

• Excellent communication and organizational skills.
• Attention to detail and ability to handle multiple tasks simultaneously.
• Empathy and compassion towards patients.
• Proficiency in using MS Office, electronic medical records systems, and scheduling software.
• Prior experience in a healthcare setting, preferably in patient coordination or related roles.

Preferred Qualifications:

• High School or GED equivalency.
• Background in medical office administration or healthcare management.
• Familiarity with insurance verification processes and medical terminology.
• Ability to work effectively within a team and independently manage responsibilities.

Benefits:

• 401(k)
• Accidental Death & Dismemberment (AD&D) insurance
• Dental insurance
• Disability insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

Monday-Friday

No Weekends