Patient Care Coordinator

HR HealthCare; York (York County); On-site; USD 38,000 - 52,000; Full time

Job summary

HR HealthCare is seeking an Intake Specialist to process new patient referrals and triage them to in-network DME. You will use CRM software to record information, and the Loop platform to validate and finalize orders, while maintaining a high level of accuracy and timely processing.

You will handle a patient load of 50-150 and a daily call volume of 25-45, coordinating with Territory Managers to provide real-time status updates and ensure patient satisfaction.

Qualifications

• Strong verbal communication is required.
• Analytical and data-entry skills are essential.
• Ability to maintain confidentiality and organize tasks.
• Teamwork and dependable work ethic are needed.
• Proficiency with Microsoft Office and data entry tools.

Responsibilities

• Process new patient referrals and triage to in-network DME.
• Enter referrals into CRM software and ensure information is recorded.
• Process orders through the Loop platform for accuracy and timeliness.
• Review referral records for completeness and accuracy.
• Manage a patient load of 50-150 and validate documentation.
• Handle 25-45 daily calls with patients, providers, and referral sources.
• Coordinate with Territory Managers for status updates and expedited delivery.
• Conduct insurance review to determine network status.
• Communicate continuum of care to patients.
• Ensure timely processing of orders with transfer directives.

Skills

Verbal communication

Analytical

Data entry

Reporting

Organization

Scheduling

Confidentiality

Teamwork

Microsoft Office

Tools

CRM software

Loop platform

Job description

Job Details

Job Location: HQ - York, PA 17402

OVERVIEW OF POSITION: The Intake Specialist processes new patient referrals and triages to an in network DME. The Intake Specialist shows organizational, time management, and communication skills to properly perform their tasks.

ESSENTIAL FUNCTIONS

• Process new patient referral, including documentation review, patient contact, sample entry, documentation completion, and triage to an in network DME.
• Enter patient referrals into CRM software to ensure all relevant information is recorded properly for delivery and insurance processing.
• Manage and validate incoming clinical orders through the company's proprietary Loop platform, ensuring accuracy, completeness, and timely processing.
• Review new patient referral records to ensure completeness and accuracy.
• Maintain a patient load of approximately 50-150 patients to confirm their documentation and justify the need for the products orders.
• Maintain a daily call volume of 25-45 calls with patients, healthcare providers, and referral sources to validate information, obtain required documentation, facilitate order closure, and ensure timely product delivery.
• Maintain proactive daily communication with Territory Managers, providing real-time prescription status updates and coordinating efforts to expedite order completion and product delivery.
• Complete insurance review to determine network status.
• Establish final determination on network status and contact patients to establish and communicate their continuum of care.
• Ensure open communication and collaboration between HR HealthCare Patient Services and third party DMEs with respect to orders transferred, ensuring that orders are timely processed per the transfer directives and other metrics are achieved to ensure patient satisfaction.

Qualifications

REQUIREMENTS:

• High level of Verbal Communication Skills Required
• Analytical, Data Entry, Reporting Skills
• Maintaining Employee Files
• Dependable
• Organization Skills
• Scheduling Experience
• Able to Maintain Confidentiality
• Ability to Work in a Team
• Microsoft Office Skills, Data Entry skills