What are the responsibilities and job description for the Care Coordinator position at Oxford Consulting Services, Inc.?
Oxford Consulting is currently hiring for a Full-time Care Coordinator to support an Outpatient Pediatric Center that provides services for children with disabilities. Candidates must be available to work Monday through Friday from 9-5.
The Insurance & Care Coordinator supports a busy multidisciplinary pediatric therapy clinic by managing insurance workflows, coordinating patient care, and ensuring a smooth, positive experience for families. This role interacts with families, therapists, scheduling teams, providers, and insurance payors to ensure timely authorizations, accurate communication, and seamless clinic operations. The position may also assist in managing Front Desk functions when needed.
Duties and Responsibilities
Patient & Family Coordination
- ·Serve as the first point of contact for patients and families; provide high-quality customer service.
- · Gather family concerns and intake information related to therapy needs.
- · Act as liaison between patients/families and the clinical team.
- · Communicate regularly with families regarding benefits, authorizations, and scheduling updates.
- · Schedule and reschedule appointments as needed.
Insurance & Authorization Management
- · Verify insurance benefits and explain copay, coinsurance, and deductible responsibilities to families.
- · Obtain authorizations for initial evaluations and all ongoing therapy services.
- · Stay familiar with various insurance types to determine eligibility requirements.
- · Run expiring authorization reports (60 and 30 days out) and notify therapists when progress notes are required.
- · Enter benefits, copay information, authorization details, and diagnosis codes into the EMR.
- · Communicate authorization updates to the scheduler, therapists, Office Manager, and Center Director.
- · Communicate daily with insurance companies to track benefits and authorization status.
- · Coordinate with the billing department on all insurance-related matters.
- Documentation & Administrative Support
- · Document authorization updates and insurance communication in the EMR and designated tracking logs.
- · Manage communication with referring physician offices regarding incoming referrals and documentation.
- · Assist with filing, faxing, scanning, and other clerical duties.
- · Support or manage Front Desk operations when assigned, including phone coverage and patient check-in/out.
- · Perform additional administrative responsibilities and other duties as assigned.
Minimum Qualifications
- · High School Diploma or GED.
- · 13 years of data entry or customer service experience (medical office preferred).
- · Strong computer literacy: Microsoft Word, Excel, Outlook, Google Workspace, EMR systems.
- · Excellent verbal and written communication skills.
- · Strong organizational and time-management abilities.
- · Ability to multitask, prioritize, and function independently.
- · Strong attention to detail.
Preferred Qualifications
- · Two years of college or equivalent work experience.
- · Two years of medical office experience, preferably in outpatient therapy or healthcare.
- · Knowledge of insurance verification and authorization workflows.
- · Familiarity with medical terminology.
- · Related industry knowledge or skills.
Oxford Consulting Services is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender, gender identity, sexual orientation, marital status, national origin, disability, age or covered veteran status.