Patient Care Coordinator

Premier Infusion and Healthcare Services, Inc.; Torrance (CA); On-site; USD 45,000 - 60,000; Full time

Benefits offered by this job

401K Matching Plan - Up to 4%

Quarterly Bonus Opportunities

Short Term / Long Term Disability Insurance

Employee Assistance Programs

Employee Discounts

Fun Company Events

Job summary

A healthcare provider is seeking a Specialty Insurance Coordinator in Torrance, CA. The role encompasses insurance verification for new and existing patients, ensuring timely authorization processes. Candidates should possess excellent communication skills and prior experience in pharmacy or home health is preferred. This position offers various benefits, including a 401K matching plan and performance bonuses, making it an attractive opportunity within a supportive work environment.

Qualifications

• Excellent oral and written communication skills, with technical issue simplification abilities.
• Professional demeanor with customer service focus.
• Prior experience in pharmacy or home health preferred.

Responsibilities

• Perform insurance verification for new specialty patients.
• Re-verify insurance for all specialty patients monthly.
• Monitor expiring authorizations and secure re-authorizations.

Skills

Excellent oral and written communication skills

Customer service aptitude

Problem-solving skills

Fluency in a second language

Education

High School diploma or G.E.D.

Job description

Come Join the Premier Infusion & Healthcare Family! At Premier we offer employees stability and opportunities for advancement. Our commitment to our core values of Compassion, Integrity, Respect and Excellence in People applies to our employees, our customers, and the communities we serve. This is a rewarding place to work!

Premier Infusion and Healthcare Services is a preferred post-acute care partner for hospitals, physicians and families in Southern CA. Our rapidly growing home health and infusion services deliver high-quality, cost-effective care that empowers patients to manage their health at home. Customers choose Premier Infusion and Healthcare Services because we are united by a single, shared purpose: We are committed to bettering the quality of life for our patients. This is not only our stated mission but is what truly drives us each and every day. We believe that our greatest competitive advantage, our greatest asset are our employees, our Premier Family in and out of the office sets Premier apart.

PREMIER BENEFITS - For FULL TIME Employees:

• 401K Matching Plan - Up to 4%
• Quarterly Bonus Opportunities
• Short Term / Long Term Disability Insurance
• Employee Assistance Programs
• Employee Discounts
• Fun Company Events

Description of Responsibilities

The Specialty Insurance Coordinator is responsible for all new referral insurance verification and/or authorization in a timely matter.

Reporting Relationship

Director of Operations

Scope of Supervision

None

Responsibilities include the following:

1. Responsible for insurance verification for new and existing specialty patients by phone or using pharmacy software or payer portals.
2. Responsible for insurance re-verification for all specialty restart patients
3. Responsible for insurance re-verification for all specialty patients at the beginning of each month and each new year.
4. Responsible for advanced monitoring expiring authorizations for existing specialty patients
5. Responsible for securing advanced re-authorization for existing specialty patients.

• Participate in surveys conducted by authorized inspection agencies.
• Participate in the pharmacy’s Performance Improvement program as requested by the Performance Improvement Coordinator.
• Participate in pharmacy committees when requested.
• Participate in in-service education programs provided by the pharmacy.
• Report any misconduct, suspicious or unethical activities to the Compliance Officer.
• Perform other duties as assigned by supervisor.
• Comply with and adhere to the standards of this role as required by ACHC, Board of Pharmacy, Board of Nursing, Home Health Guidelines (Title 22), Medicare, Infusion Nurses Society, NHIA and other regulatory agencies, as applicable.

Minimum Qualifications:

• Must possess excellent oral and written communication skills, with the ability to express technical issues in “layman” terms. Fluency in a second language is a plus.
• Must be friendly professional and cooperative with a good aptitude for customer service and problem solving.

Education and/or Experience:

• Must have a High School diploma or Graduation Equivalent Diploma (G.E.D.)
• Prior experience in a pharmacy or home health company is preferred.
• Prior experience in a consumer related business is preferred.