Patient Care Coordinator- BCBS Mississippi

Together Women's Health; Mississippi; Remote; USD 52,000 - 76,000; Full time

Benefits offered by this job

Medical, dental, vision

PTO

Generous 401K plan

Private, secure remote workspace

Competitive compensation

Job summary

Together Women's Health is seeking a remote Patient Care Coordinator (PCC) to support Mississippi practices on BCBS MS quality initiatives, including Healthy You! annual wellness exams and Color Me Healthy! enrollment.

The PCC will confirm patient eligibility, support provider documentation workflows, and follow up on CMH activations to ensure full program benefits. Experience with athena and the BCBS MS provider portal is highly encouraged.

Qualifications

• High school diploma or equivalent.
• Experience with athena is highly preferred.
• Experience with the BCBS provider portal is highly preferred.
• Excellent interpersonal and telephone communication skills, with a courteous and friendly manner at all times.
• Detail-oriented and highly organized, with the ability to manage a high volume of eligibility checks and scheduling tasks.
• Reliable high-speed internet and a private, secure workspace for handling PHI in a remote setting.

Responsibilities

• Review upcoming annual appointments on a daily basis and identify whether each patient is eligible for BCBS MS benefits using athena and the BCBS MS portal.
• Prepare eligible patient's chart to notify the provider of the patient's eligibility for Healthy You! and/or CMH!, including updating the custom fields, adding the eligibility sticky note, and teeing up appropriate labs.
• Review daily BCBS CMH! activation response files, call newly activated patients to schedule CMH! Follow-up throughout the year, and schedule patients in the practice's athena schedule
• Communicate clearly and courteously with patients by phone and secure messaging, and document all outreach in athena.

Skills

Interpersonal communication

Telephone communication

Detail-oriented

Organization

Remote work privacy/security

Education

High school diploma or equivalent

Tools

Athena

BCBS MS provider portal

Job description

Overview

Together Women's Health is seeking a remote Patient Care Coordinator (PCC) to support our Mississippi practices on Blue Cross Blue Shield of Mississippi (BCBS MS) quality initiatives, including Healthy You! annual wellness exams and Color Me Healthy! (CMH!) enrollment. The PCC confirms patient eligibility before each visit, supports provider documentation workflows, and follows up on CMH! activations so patients receive the full benefit of these programs.

Experience with athena and the BCBS MS provider portal is highly encouraged.

Responsibilities

• Review upcoming annual appointments on a daily basis and identify whether each patient is eligible for BCBS MS benefits using athena and the BCBS MS portal.
• Prepare eligible patient's chart to notify the provider of the patient's eligibility for Healthy You! and/or CMH!, including updating the custom fields, adding the eligibility sticky note, and teeing up appropriate labs.
• Review daily BCBS CMH! activation response files, call newly activated patients to schedule CMH! Follow-up throughout the year, and schedule patients in the practice's athena schedule
• Communicate clearly and courteously with patients by phone and secure messaging, and document all outreach in athena.

Qualifications

• High school diploma or equivalent.
• Experience with athena is highly preferred.
• Experience with the BCBS provider portal is highly preferred.
• Excellent interpersonal and telephone communication skills, with a courteous and friendly manner at all times.
• Detail-oriented and highly organized, with the ability to manage a high volume of eligibility checks and scheduling tasks.
• Reliable high-speed internet and a private, secure workspace for handling protected health information (PHI) in a remote setting.

Why Together Women's Health (TWH)?

Because we do things a bit differently here. We're a rapidly growing network of OBGYN clinics, and while it's important to know what we are, it's more important to know what drives us - our mission to improve the lives of our healthcare partners and their patients. Our actions speak louder than those words. We invest in our talented teams and our connection to our core values last longer than a quick glance through the employee handbook - we live them every day! TWG is a place where careers thrive for those who believe the right team can achieve anything.

What's in it for you?

We offer competitive compensation, a comprehensive benefits package including medical, dental, vision, PTO, and generous 401K plan...not to mention a team of smart and friendly coworkers!

Together Women's Health (TWH) is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Together Women's Health is an equal opportunity employer. Hiring decisions are administered without regard to race, color, creed, religion, sex, pregnancy, sexual orientation, gender identity, age, national origin, ancestry, citizenship status, disability, veteran status, genetic information, or any other basis protected by applicable federal, state, or local law. We embrace diversity and are committed to creating an inclusive environment for all employees.