Patient Care Administrator

Do you have a proven track record of being an EXCELLENT Patient Care Administrator? Your better future begins with RX Medical!

Professionalism, compassion and experience. These are the starting points for health care providers like you, and it’s what moves us forward every day as we put our exceptional skills together with a feeling of real accomplishment when caring for others.

The ideal candidate will have the opportunity to perform the following duties while expanding their knowledge in the role of Patient Care Coordinator. You will successfully preform the following task:

• Ensure the accuracy and completion of patient the patient medical record (i.e. demographics, insurance information, prescriptions, etc.).
• Communicate with referral sources to obtain any necessary information
• Provide communication with insurance payer sources for verification of patient care authorization in an accurate and timely manner
• Complete verifications using check lists, follows company procedures to verify patient insurance benefits using the internet and phone inquiries.
• Ensure VOB activities meet company standards for compliance.
• Start the process of obtaining prior medical benefits authorization, if required, to maximize opportunity for reimbursement.
• Maintain professional relationships with insurance payer sources and referral sources
• Update patient database with appropriate notes.
• Communicate accurate benefits to the patient or applicable customer.
• Communicate Co-insurance and Deductible amounts to patient or applicable customer and collect payment.
• Obtain any additional documentation required by insurance company.
• Always provide Signature Customer Service.
• Participate in training programs for continuing learning and development.
• Meet all department productivity and quality standards.
• Adhere to HIPAA and PHI Regulations.
• Work within team to share workload, back up colleagues who are out, and prevent backlogs from being created.
• Ensures workload is complete and accurate by end of work shift daily, weekly, monthly.
• Observes and communicates to management any opportunities to streamline processes and improve efficiency in day-to-day operations.

QUALIFICATIONS AND EDUCATION:

• High School Diploma or GED; college degree preferred.
• Minimum 2 yrs. experience in medical benefits verification/authorization required
• Experience utilizing HCPC and ICD-9 codes.
• Experience with professional outbound and inbound customer service calls.
• Experience managing administrative tasks (ie. data entry, review of medical records, etc.).'

QUALIFICATIONS AND EDUCATION:

• High School Diploma or GED; college degree preferred.
• Minimum 2 yrs. experience in medical benefits verification/authorization required
• Experience utilizing HCPC and ICD-9 codes.
• Experience with professional outbound and inbound customer service calls.
• Experience managing administrative tasks (ie. data entry, review of medical records, etc.)