Patient Care Coordinator (Temporary)

Socket.dev; Hemet (CA); On-site; USD 38,000 - 52,000; Full time

Job summary

Arrowhead Orthopaedics in Hemet, CA is seeking a detail‑driven Patient Care Coordinator to support our orthopaedic clinic. You will manage insurance verifications, updates, and patient financials while maintaining confidentiality and delivering exceptional service.

Responsibilities include coordinating referrals, securing pre‑certifications, and communicating treatment steps with patients and providers. A strong multitasker with 40 wpm typing and proficient Outlook use is essential for success.

Qualifications

• High school diploma or equivalent required.
• Typing ability of at least 40 words per minute.
• Proficient with computer, scanner and office equipment.
• Working knowledge of Microsoft Outlook and healthcare software.
• Strong telephone etiquette and customer service skills.
• Excellent verbal and written communication with patients and staff.
• Ability to multitask and work in a fast-paced, high-stress environment.
• Strong organizational and team coordination abilities.
• Maintain patient confidentiality and HIPAA compliance.
• Bilingual English/Spanish.

Responsibilities

• Verify active and correctly registered insurance for scheduled DOS.
• Update patient insurance info including copayments and financial obligations due at time of service.
• Communicate with patients about high deductibles and cash due.
• Notify patients of insurance issues and offer options.
• Create and manage referral modules tied to appointments.
• Obtain pre-certifications/authorizations via carriers and portals.
• Use Healow Messenger to notify patients about treatment requests.
• Coordinate care by faxing approvals and orders.
• Follow established workflows for workers' compensation and denials.
• Schedule or reschedule appointments based on coordination.

Skills

Typing 40 wpm

Outlook proficiency

HIPAA compliance

Multitasking

Bilingual English/Spanish

Education

High school diploma or equivalent

Tools

Microsoft Outlook

Job description

Description

Patient Care Coordinator

It is our goal to provide the finest Orthopaedic care possible. This philosophy requires that all office staff and providers be sensitive and responsive to patients’ needs and preferences. To ensure that we hire and retain the quality of staff needed for implementing our philosophy of service, we have adopted the following job description for this position. The position requires that the employee be available forty hours per week, and that also the employee be flexible in his/her schedule to provide efficient service for the group. The employee however, will be expected to work no more than five days per week. Many of the responsibilities require that you have a working knowledge of computers and the ability to learn the proper use of the programs utilized in this office, or those that which may be necessary to meet the needs of the practice. The hours, pay scale, and benefits will be defined as agreed upon.

RESPONSIBILITIES

Work is primarily performed in the Clinic located in Arrowhead Orthopaedics offices. The quality of duties performed is needed to be at a high level. The employee will come into contact on a daily basis with confidential patient files. The Patient Care Coordinator must be able to handle this information with the highest degree of privacy, discretion, and professionalism. The Patient Care Coordinator is responsible for accomplishing the duties set forth below:

• Confirm that insurance policies are active and registered correctly for the scheduled DOS.
• Update patient insurance information, including copayments and financial obligations due at time of service.
• Communicate with patients regarding high deductibles and cash rate amounts due.
• Notify patients of any issues with insurance verification or policy termination and provide options such as updating insurance or discussing cash rates.
• Add pop‑up alerts for the Front Office when additional insurance information is needed or when patients are unreachable.
• Request and obtain follow‑up visit authorizations via insurance carriers, online portals, or primary care providers.
• Secure authorizations for new patient visits via insurance carriers, online portals, or primary care providers.
• Create and manage referral modules based on authorizations and link them to the upcoming appointments.
• Follow established workflow
• Obtain pre‑certifications/authorizations for recommended treatments via insurance carriers, primary care providers, or online portals.
• Use Healow Messenger to notify patients when treatment requests are submitted and when approvals are received.
• Follow up on submitted requests within 7–14 days.
• Route approved authorizations to he patient’s chart for processing.
• Coordinate care by faxing approvals and treatment orders to appropriate facilities and informing patients of the next steps.
• Notify medical assistants, providers, and patients of any treatment denials and schedule necessary follow‑up appointments.
• Follow established workflow for Workers' Compensation treatment request and delays.
• Resolve treatment orders within 14 days; no orders should remain open past 30 days.
• Will be responsible for scheduling or rescheduling appointments based on treatment coordination, insurance eligibility, or authorization issues.
• Follow established workflows when booking appointments.

RELATIONSHIPS

1. The employee shall be responsible directly to the Patient Care Coordinator Manager. The employee shall report to the Patient Care Coordinator Manager and his/her assignees any progress, reports, requests, concerns, problems, and/or expectations in relation to the responsibilities of the position. Such communication may be verbal or written as deemed necessary by the employee or as directed by the Patient Care Coordinator Manager or his/her assignee.
2. The employee shall interact with other office and clinical staff in the Practice. Such interactions should be collegial, professional, and contributing to the safety and pleasantness of the work environment at Arrowhead Orthopaedics.
3. The employee shall interact with patients, medical groups, adjustors, nurse case managers, hospitals, and Primary Care Physicians and their offices. Such communication should always reflect the total commitment of the office to quality care and customer satisfaction. All communication should be professional and any unresolved conflicts are to be reported to the Patient Care Coordinator Manager

This job description in no way states or implies that these are the only duties to be performed by this employee. The Patient Care Coordinator will be required to follow any other instructions and to perform any other related duties as assigned by the supervisor and his/her assignees. Arrowhead Orthopaedics reserves the right to update, revise or change this job description and related duties at any time.

Temporary Position

This position is expected to last approximately 3–6 months.

Requirements

• High school diploma or equivalence required.
• Ability to type a minimum of 40 words per minute
• Proficient in operating a computer, scanner, and other office equipment
• Working knowledge of Microsoft Outlook and other healthcare‑related software applications.
• Strong telephone etiquette and customer service skills.
• Excellent verbal and written communication skills with patients, providers, and staff.
• Ability to multitask, prioritize responsibilities, and work effectively in a fast‑paced, high‑stress environment.
• Strong organizational, leadership, and team coordination abilities.
• Ability to maintain patient confidentiality and comply with HIPAA regulations.
• Attention to detail and accuracy in documentation and recordkeeping.
• Demonstrated experience assisting providers with patient care, procedures, and clinical documentation.
• Bilingual English/Spanish

Typical Physical Demands

1. Requires sitting and walking, with daily occasional stooping, reaching, and bending.
2. Occasional lifting up to thirty pounds.
3. Hearing must be in the normal range for telephone and personal communication.
4. Requires manual dexterity sufficient to operate keyboards and other office equipment.

Certificates, pre‑employment requirements

• Required to submit and obtain a negative result in the pre‑employment drug screening.
• Ability to pass a background check.

E-Verify Participation Notice

AO is an E-Verify employer. Candidates must be legally authorized to work in the United States. Employment eligibility will be verified in accordance with applicable federal requirements.