Patient Services Coordinator - RCM

PromptCare, Inc.; New Providence (NJ); Hybrid; USD 42,000 - 65,000; Full time

Benefits offered by this job

Medical, Dental, Vision

401(k) Plan with match

Generous PTO

Life Insurance

EAP

Disability insurance

FSA/HSA

Commuter benefits

Employee discounts

Referral bonuses

Job summary

PromptCare, Inc. is seeking a Patient Services Coordinator to support our infusion therapies and payer communications in a fast-paced setting in New Providence, NJ.

This hybrid role requires collaboration with patients, physician offices, and the sales team to ensure timely auth requests and verifications.

Qualifications

• High school diploma or equivalent; bachelor’s in healthcare or business preferred.
• Experience in healthcare and infusion benefit verifications is desirable.
• Strong written and verbal communication with physician offices and patients.

Responsibilities

• Verify benefits for insurance changes and therapy changes.
• Process prior authorizations and re-authorizations for drugs or dosages.
• Update payor information and orders in CPR/Caretend; track verifications monthly.
• Support urgent same-day requests and coordinate with the sales team.

Skills

Excellent communication

Healthcare experience

Multitasking

Attention to detail

Education

High school diploma or equivalent

Bachelor’s degree in healthcare or business (preferred)

Tools

CPR+

Caretend

EMR systems

Job description

Description

PromptCare is seeking a highly motivated and detail-oriented Patient Services Coordinator to join our Patient Services Team. The ideal candidate will have experience in the healthcare industry, specifically in specialty infusion benefit verifications, medication authorizations, and be able to work in a fast-paced environment. The position will entail the creation of EMR notes, submission of electronic faxes, follow up and logging of recertification documentation from physician offices via CPR+ or Caretend software; as well as the timely communication with patients, physician offices, and sales team of auth requests assigned to payers. If you are a motivated individual with a passion for providing excellent patient services and have experience and knowledge in specialty infusion medication re-authorizations, To learn more about our company, visit us at PromptCare In-home Respiratory and Infusion.

Job Status: Full-time

Job Location: New Providence, NJ (hybrid 2 days in the office and 3 days remote)

Requirements

• High school diploma or equivalent. Bachelor’s degree in healthcare field or business is preferred
• Excellent oral and written communication skills are required to communicate with colleagues, management, patients, and physician offices
• Appropriate computer skills for the position (Microsoft Office Suite) and areas of influence, CPR+ and/or Caretend experience is preferred
• Strong work ethics with attention to detail and quality are required
• Ability to identify and address problem accounts is required
• Previous experience working with infusion therapy patients is highly desirable

Job Responsibilities, included but not limited to:

• Benefit Verification for Insurance Changes, Therapy Changes & Dose Changes
• New / ReAuthorization under new insurance plan for insurance changes
• New / ReAuthorizations for drug or dose changes under existing plan
• Update payor information and binoculars in CPR/Caretend
• Update existing orders to show the correct payor in CPR/Caretend
• Monthly Verifications
• Prior experience with prior authorizations, specialty medications, or third-party payers preferred
• Familiarity with electronic medical records, payer portals, and data entry systems
• Ability to handle multiple tasks in fast paced, challenging environment
• Infusion or DME background is preferred
• Clinical, medical office administrative, or related experience preferred
• Manage internal email communication to and from other departments
• Attend to Urgent / Same Day Requests?
• Other duties as assigned

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and listen. The employee is required to occasionally walk, and bend or stand as necessary. This position requires the ability to occasionally open filing cabinets, lift office products and supplies of 25 pounds but no more than 35 pounds.

Benefits & Perks?

• Comprehensive Medical, Dental, and Vision Package
• 401(k) Plan with Company Match
• Generous PTO: Vacation, Sick Time, Personal Days, and Paid Holidays
• Life Insurance: Standard coverage with optional enhancements
• Employee Assistance Program: Free counseling and coaching sessions
• Emotional Well-being and Work-Life Balance Resources
• Short & Long-Term Disability: Company-paid with optional supplements
• Accidental Death and Dismemberment Insurance
• FSA and HSA: Manage healthcare expenses
• Commuter Spending Programs
• Volunteer and Engagement Opportunities
• Employee Referral Bonuses
• Exclusive Discounts on entertainment, travel and various other supplemental and cellphone plans

Equal Employment Opportunity?

The PromptCare Companies is committed to Equal Employment Opportunity (EEO) and prohibits employment discrimination on the basis of race, color, age, national origin, religion, gender, gender identity, sexual orientation, pregnancy, marital status, genetic disposition, disability, veteran's status or any other characteristic or classification protected by State/Federal/Local laws. We foster a work environment in which diversity and inclusion are embraced, people are hired and advanced on their merits, and employees are treated with mutual respect and dignity.