Patient Care Coordinator

Description

Patient Care Coordinator-Crystal Coast Pain Management

Position Summary

The Patient Care Coordinator serves as a key point of contact for patients, providers, and insurance companies to ensure a smooth and positive experience throughout the patient’s care journey. This role is responsible for managing new patient referrals, obtaining prior authorizations, and supporting the call center with patient communication and scheduling needs.

Key Responsibilities

Referral Management

• Receive, review, and process new patient referrals from outside providers.
• Verify patient information, referral completeness, and insurance eligibility.
• Coordinate with referring offices and internal clinical teams to ensure timely scheduling.
  
  

Prior Authorizations

• Obtain and document prior authorizations for procedures, diagnostic testing, and office visits as required by payers.
• Communicate with insurance companies to resolve authorization or coverage issues.
• Track and maintain accurate records of authorization approvals and expirations.
  
  

Call Center Support

• Answer incoming calls in a professional and courteous manner.
• Schedule and confirm patient appointments in accordance with office protocols.
• Address patient inquiries, relay messages to clinical staff, and provide general assistance to ensure patient satisfaction.
  
  

Administrative Support

• Maintain accurate and organized electronic health records (EHR).
• Collaborate with the clinical and administrative teams to ensure efficient workflow and timely patient care.
• Assist with quality assurance initiatives and other administrative tasks as needed.
  
  

Qualifications

• Education:
• High school diploma or equivalent required; associate degree or healthcare-related coursework preferred.
• Experience:
• Minimum 1–2 years of experience in a medical office or healthcare setting.
• Experience with referrals, insurance verification, and prior authorizations strongly preferred.
• Familiarity with EHR systems and medical terminology.
• Skills:
• Excellent communication, organizational, and multitasking abilities.
• Strong attention to detail and problem-solving skills.
• Customer-service oriented with a professional demeanor.
• Proficient in Microsoft Office and general computer applications.
  
  

Work Environment

• Office-based position within a clinical setting.
• Regular interaction with patients, providers, and administrative staff.
• Must maintain confidentiality in compliance with HIPAA regulations.
  
  

Benefits

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• On-the-job training
• Paid time off
• Retirement plan
• Vision insurance
  
  

ECAA is an equal opportunity employer and does not discriminate against any applicant or employee on the basis of age, race, color, religion, sex, national origin, genetic information, disability, or other legally protected status. This policy extends to all terms, conditions, and privileges of employment, as well as the use of the Company's facilities and participation in all activities sponsored by the Company