Patient Care & Insurance Coordinator

SuperCare Health; Albuquerque (NM); On-site; USD 22,000 - 36,000; Full time

Benefits offered by this job

Paid Training

Paid Time Off

Sick Time

Employee Referral Reward Program

Employee Discount Program

401K

Flexible Savings Account

Job summary

SuperCare Health is a comprehensive post-acute care and respiratory services company delivering care to high-risk patients in their homes. The Albuquerque site seeks a Customer Care Specialist to provide exceptional service to patients, referral sources, and physicians with accurate order intake and timely data entry.

This on-site role involves verifying medical necessity, insurance coverage, and patient responsibilities, coordinating shipments, and maintaining up-to-date product knowledge and

Qualifications

• Experience with Medical Supply Company
• Knowledge of diagnosis and Medical terminology
• Detail oriented
• Previous Management/Supervisor or Lead experience
• Proficiency in Microsoft Word, Outlook, and PowerPoint
• Experience in healthcare, medical and/or HME industry (preferred)
• Be able to work on multiple tasks. Plan and prioritize activities to achieve results and meet deadlines
• Strong organizational skills and detail oriented
• Medical
• Vision
• Flexible Savings Account
• 401K
• Voluntary Life Insurance
• Observed Holidays: New Year's Day, Memorial Day, July 4th, Labor Day, Thanksgiving Day, Christmas Day
• Paid Training
• Paid Time Off
• Sick Time
• Employee Referral Reward Program
• Employee Discount Program

Responsibilities

• Answers incoming phone calls and faxes, takes customers’ orders for durable medical and respiratory equipment, repairs, supplies, and other miscellaneous items
• Maintains open communication with patients/clients and referral sources
• Responds to patient/client questions and problems
• Services walk in customers as needed
• Prepares intake, gathers all necessary information about referral, patient demographics, contact person, physician, diagnosis, discharge time and place, item(s) requested
• Gathers all necessary documentation, prior to delivery CMN, Rx, ABG, Care Plan, Auth, etc.
• Verifies medical necessity with physician
• Verifies eligibility and coverage with Insurance and carrier according to guidelines or contract
• Verifies payer (with matrix), obtains authorization, expiration date
• Verifies patient demographics and prior equipment usage with patient
• Informs patient of financial responsibilities: copay, share of cost, deductible, etc.
• Enters data and each order (new or otherwise) in system accurately and in a timely manner
• Processes closet and on call orders as received
• Enters notes in appropriate areas of insurance, general, and authorizations in the computer system
• Process orders to shipping or dispatching for Technician or RT deliveries
• Remains knowledgeable on product and insurance coverage issues in order to inform patients of copays and other benefit information
• Attends all departmental meetings, company meetings, and in-services
• Reports to work daily and is ready to work at the scheduled start time
• Works Saturday assignment as needed or scheduled
• Performs any other duties that may be requested by supervisor or management
• Understand and adheres to all of SuperCare Health company policies
• To remain knowledgeable to date on all products, guidelines and insurance coverage trends
• Maintain a professional safe and clean work environment.
• Understand and adheres to all of SuperCare Health company policies.
• Perform all other duties as assigned and required
• Must meet minimum of monthly goals
• Schedule- varying start times

Job description

SuperCare Health is a comprehensive post-acute care and respiratory services company delivering care to high-risk patients in their homes. The Albuquerque site seeks a Customer Care Specialist to provide exceptional service to patients, referral sources, and physicians with accurate order intake and timely data entry.

This on-site role involves verifying medical necessity, insurance coverage, and patient responsibilities, coordinating shipments, and maintaining up-to-date product knowledge and