Patient Care Coordinator (3694)

US Heart and Vascular; Houston (TX); On-site; USD 40,000 - 56,000; Full time

Benefits offered by this job

Comprehensive benefits package

Monday-Friday schedule

CME allowance

Job summary

US Heart and Vascular is seeking a Patient Care Coordinator to join our team at Houston Cardiovascular Associates in Houston, TX. This full-time, day-shift role focuses on coordinating care for patients undergoing cardiovascular therapies and navigating authorization and enrollment processes.

You will educate patients on treatment requirements, insurance processes, and financial assistance, while coordinating with physicians, pharmacies, and care teams to ensure timely access to therapies and

Qualifications

• High School Diploma or GED required.
• Certification as CMA, RMA, CCMA or equivalent required.
• Associate degree preferred.
• Bachelor's degree preferred in related field.
• Minimum of three years of healthcare experience.

Responsibilities

• Coordinate care for patients receiving specialty cardiovascular therapies.
• Serve as primary contact for patients during approval, enrollment, and treatment processes.
• Educate patients on treatment requirements, insurance processes, and financial assistance.
• Monitor timelines and address barriers to therapy initiation and continuation.
• Coordinate prior authorizations, benefits investigations, and reimbursement processes.
• Collaborate with insurance carriers, specialty pharmacies, and manufacturer support programs.
• Obtain and submit documentation for treatment approvals.
• Track authorization status and follow up on pending requests.
• Assist patients in securing copay assistance and financial support.
• Support cardiovascular care programs including heart failure and related conditions.
• Maintain documentation in EHR and ensure compliance with policies and HIPAA.

Skills

Healthcare experience

Cardiovascular experience

Prior authorizations experience

Reimbursement support experience

Patient assistance programs experience

Education

High School Diploma / GED

CMA / RMA / CCMA certification or equivalent

Associate degree preferred

Bachelor's degree in Healthcare Administration / Health Sciences / Nursing or related field preferred

Job description

Patient Care Coordinator (3694)

Overview

Position Type

Full Time

Job Shift

Day

Education Level

High School Diploma/GED

Travel Percentage

None

Category

Other Positions

Description

US Heart and Vascular is needing a Patient Care Coordinator to join our team at Houston Cardiovascular Associates in Houston, TX.

Responsibilities

• Coordinate care for patients receiving specialty cardiovascular and rare disease therapies.
• Serve as a primary point of contact for patients throughout medication approval, enrollment, and treatment processes.
• Educate patients regarding treatment requirements, insurance processes, financial assistance programs, and follow-up care.
• Monitor treatment timelines and proactively address barriers to therapy initiation and continuation.
• Coordinate prior authorizations, benefits investigations, insurance appeals, and reimbursement processes.
• Collaborate with insurance carriers, specialty pharmacies, and manufacturer support programs to facilitate medication access.
• Obtain and submit clinical documentation required for treatment approvals.
• Track authorization status and ensure timely follow-up on pending requests.
• Assist patients in securing copay assistance and financial support programs when eligible.
• Support specialty medication and cardiovascular care programs, including heart failure, cardiac amyloidosis, and hypertrophic cardiomyopathy initiatives.
• Coordinate patient identification, eligibility review, enrollment, and therapy initiation workflows.
• Assist with the integration and coordination of specialty pharmacy partnerships and patient access programs.
• Maintain program tracking tools and contribute to workflow improvement initiatives that enhance patient care and operational effectiveness.
• Work closely with physicians, advanced practice providers, clinical staff, pharmaceutical representatives, specialty pharmacies, and external healthcare partners.
• Facilitate communication among stakeholders to ensure seamless coordination of care.
• Support multidisciplinary efforts focused on improving patient access, treatment adherence, and clinical outcomes.
• Maintain accurate and timely documentation in the electronic health record and other applicable systems.
• Ensure compliance with organizational policies, payer requirements, HIPAA regulations, and manufacturer program guidelines.
• Assist with reporting, audits, quality initiatives, and performance tracking as needed.
• Additional duties as assigned based on practice needs

Requirements

• High School Diploma or GED required.
• Current Medical Assistant certification (CMA, RMA, CCMA, or equivalent) required.
• Associate degree preferred.
• Bachelor's degree in Healthcare Administration, Health Sciences, Nursing, or a related field preferred.
• Minimum of three years of healthcare experience required.
• Cardiovascular experience preferred.
• Experience with specialty medications, prior authorizations, reimbursement support, specialty pharmacy coordination, or patient assistance programs preferred.

Why Choose Us?

• Comprehensive benefits package
• Monday-Friday schedule
• CME allowance

About Houston, TX:

Houston is a diverse city with a booming job market in energy, healthcare, and tech. It has no state income tax, an affordable cost of living, and world-class dining and entertainment. Green spaces, museums, and pro sports teams add to its appeal. Whether for career growth or culture, Houston has it all.