Patient Care Coordinator

Orthopedic Surgery and Sports, PLLC; Coeur d'Alene (ID); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Health insurance

Paid time off

Profit sharing

Vision insurance

401(k)

Competitive salary

Dental insurance

Job summary

Orthopedic Surgery & Sports Medicine is seeking a Patient Care Coordinator to handle incoming calls, schedule initial appointments, and process referrals in a physician office setting.

The role requires coordinating with triage nurses, following physician protocols and insurance guidelines, and performing related duties as assigned. Regular hours are Monday–Friday, with travel to multiple locations possible.

Qualifications

• Knowledge of medical and insurance terminology is a plus.
• One year of prior surgery scheduling in a healthcare setting required.
• Knowledge of HIPAA practice procedure.
• Experience with EHR and standard office equipment.

Responsibilities

• Schedule new patients within 48 hours of initial contact.
• Reach out to patients upon receipt of referral via fax within 48 hours.
• Request and track medical records from primary/referring physicians.
• Follow-up with patients where messages were left; document attempts.
• Coordinate with Triage nurse and provider to review medical records for potential procedures.
• Verify insurance coverage, including benefits and eligibility; assist coworkers as needed.

Skills

Medical terminology

Insurance terminology

HIPAA compliance

Phone screening

Scheduling

Education

High school diploma or equivalent

Tools

EHR

Job description

Benefits:

• Health insurance
• Paid time off
• Profit sharing
• Vision insurance
• 401(k)
• Competitive salary
• Dental insurance

We are looking for a Patient Care Coordinator to join our Orthopedic practice.

The primary responsibility is to answer incoming phone calls from patients to make an initial appointment and process incoming referrals to the clinic. The Patient Care Coordinator works closely with the triage nurse and follows physician protocols and insurance guidelines. Follow-up appointments may be scheduled and completes paperwork as needed. Performs other related duties as assigned.

Minimum Qualifications:

1. High school diploma or equivalent required.
2. Knowledge of medical and insurance terminology, billing and coding experience is a plus
3. One year of prior surgery scheduling in a healthcare setting required
4. Knowledge of HIPAA practice procedure.
5. Experience with EHR
6. Efficient in the use of standard office equipment, data entry, typing, 10-key skills, and alpha/numerical filing.

Primary Responsibilities

1. Schedule new patients as they call/contact through website/patient portal/fax within 48 hours of initial contact.
2. Reach out to patients upon receipt of referral via fax within 48 hours.
3. Request and track medical records from primary/referring physicians.
4. Follow-up with patients where messages were left. Document attempts
5. Coordinate with Triage nurse and provider to review (consult) medical records for potential procedure patients.
6. Contact referring physician if unable to reach patient after 3 attempts or patient declines appointment. Document both conversations.
7. Verify insurance coverage, including benefits and eligibility.
8. Assist co-workers at the direction and discretion of supervisor/administrator.

Essential Functions (Physical):

Regular and predictable attendance is an essential job function.

• Majority of the shift is spent sitting.
• Frequent reaching, stooping and twisting when filing, accessing records and answering telephone
• Ability to lift up to 25 pounds.
• Read a variety of printed and handwritten materials, computerized reports, manuals, and correspondence.
• Communicates with patients, physicians, families and co-workers in person and on the telephone.

Work Environment:

• Orthopedic Surgery & Sports Medicine operates in a professional office environment.
• Days and hours of work are conducted Monday thru Friday 8:00 am to 5:00 pm.
• This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
• Orthopedic Surgery & Sports Medicine has multiple locations and travel may be required.