Patient Care Coordinator II

Phoenix Physical Therapy; Gastonia (NC); On-site; USD 32,000 - 48,000; Full time

Job summary

Phoenix Physical Therapy in Gastonia, NC is seeking a Patient Care Coordinator II for full-time administrative support. The role focuses on coordinating patient interactions, scheduling, billing, and insurance verification to help meet revenue goals.

The PCC II will handle front office operations, maintain patient records, and ensure accurate entry of demographics and payments while upholding company policies and HIPAA standards.

Qualifications

• High School Diploma or GED required; Associates Degree or college level business courses preferred.
• Two years of prior experience in a medical billing practice and medical terminology (HCFA 1500, CPT and ICD 9 codes) preferred
• Current CPR Certificate

Responsibilities

• Greet and register patients and direct them to the appropriate department or examination room.
• Manage scheduling, billing, and accurate entry of patient demographics.
• Verify insurance coverage and collect monies due.
• Enter charges, reconcile accounts, and document transactions.
• Follow up on referrals, authorizations, and precertifications.
• Maintain accurate daily operating reports and ensure proper documentation.

Skills

Excellent Customer Service

Strong organizational skills

Effective communication

Data entry accuracy

Education

High School Diploma or GED

Associates Degree or college business courses preferred

CPR Certification

Tools

EMR systems

Microsoft Word

Medical billing software

Job description

Job Details: Job Location: Gastonia, NC - Gastonia, NC, Position Type: Full Time, Salary Range: Undisclosed, Job Category: Admin - Clerical, POSITION SUMMARY:

The Patient Care Coordinator II supports the clinic by helping to achieve revenue goals by attracting new patients, managing the administrative and operational functions, and coordinating patient interactions and needs. The PCC II will be responsible for managing daily, weekly and monthly operations as outlined in the PCC II Front Office Manual and adhering to policies and procedures, scheduling, accuracy of entering patient demographics, verification of insurance, collection of monies, charge entry and proper documentation of accounts. The PCC II will need to be flexible, adaptable to change and able to learn new skills.

KEY RESPONSIBILITIES:

• Will learn and understand the front office operations and performs these operations as presented in the PCC II manual, Scheduling/Billing/EMR manual or any other manuals developed.
• Greets and registers patients or other visitors, informs staff of patients' arrival, and directs patients to appropriate department or examination room.
• Fills out patient forms where applicable and competently explains the details surrounding the paperwork presented to the patient.
• Gathers and updates patient information, including patient demographics, insurance and case information
• Collects and inputs patient insurance information and verifies active coverage or eligibility.
• Responsible for all components of scheduling appointments and properly documenting accounts as needed; will maintain continuity of care when scheduling patient appointments
• Understands the importance of productivity; Will schedule and recapture appointments, missing in action patients, and pro-actively rescheduling appointments in the current week as well as the duration of the prescription
• Collect all monies that are due prior to each visit including, but not limited to co-payments, deductibles, co-insurance, payments on statements, supplies, gym memberships, self pays, attorney checks. Documents all monies in the system appropriately and provides system receipt
• Audits each visit to ensure there is a valid prescription, proper authorization / referral / precertification, and collects monies due each visit.
• Answers and transfers phone calls, arranges for referrals, or relays messages.
• Follows up and reviews daily reports and proactively follows up and communicates the need for a prescription, authorization / referral / precertification to ensure there are no delays with patient care
• Reconciles all over-the-counter collections daily and drop off deposit cash and checks at the designated bank within an appropriate time frame
• Accurately verifies benefits via phone, ask detailed questions outside of what is provided, and sets up accounts accurately
• Ensures that all visits performed are properly authorized and makes efforts to minimize the occurrence of any unauthorized visits
• Ensures that all “Plan of Cares” for Medicare are signed and returned by the physician within 30 days of the patient’s Initial Evaluation
• Utilizes websites only in instances in which the websites are relevant and approved by Phoenix Physical Therapy. (ex: insurance websites for authorization, National Provider Identifier (NPI) websites, etc.)
• May perform occasional clerical duties, such as data entry, filing, or photocopying; clerical duties may require experience with medical records or electronic health record systems.
• May assist in the clinic to; clean, disinfect, and general cleanliness.
• Maintains safe, secure, and healthy work environment by establishing, following, and enforcing standards and procedures and complying with legal regulations.
• Other duties as assigned.

Qualifications: MINIMUM JOB REQUIREMENTS:

Education / Training:

• High School Diploma or GED required; Associates Degree or college level business courses preferred.
• 2 years of previous experience in a medical billing practice and medical terminology ( HCFA 1500, CPT and ICD 9 codes) preferred
• Current CPR Certificate

Specialized Knowledge/Skills:

• Excellent Customer Service
• Performs work under direct supervision. Handles basic issues and problems and refers more complex issues to higher-level staff.
• Ability to communicate effectively and professionally with a wide variety of people.
• Strong organizational skills with attention to detail and accuracy.
• Proficient with Microsoft word, strong data entry skills with EMR systems
• Ability to handle multiple tasks in a very busy environment.

Physical Requirements:

• Consistent and regular use of phone required.
• Must be able to keep numbers in correct order on a very consistent and regular basis.
• Regular and consistent use of keyboard and mouse.
• Ability to climb stairs on occasion.
• Must be able to occasionally lift up to 25 pounds.

Consistent sitting for many hours at one time. Majority of day (75%+) is spent sitting at a desk.

Additional challenges may arise, at which time Phoenix may revise this job description.

Phoenix Physical Therapy is committed to having a workforce that reflects diversity at all levels and is an equal opportunity employer. Qualified applicants are considered for employment, and employees are treated during employment without regard to race, color, religion, national origin, citizenship, age, sex, sexual orientation, gender identity, marital status, ancestry, physical or mental disability, veteran status, or any other characteristic protected under applicable law.