We are actively seeking a Patient Care Coordinator with one of our Fortune 500 Client in Lewisville, Texas, 75067
Interviews will be ASAP !
Job Title: Patient Care Coordinator
Location: Lewisville, Texas, 75067
Client: Fortune 500 Company
Pay Rate: $18/hr.
• The individual will support patient access to therapy through Reimbursement Support Services in accordance with the program business rules and HIPAA regulations.
• This position is responsible for guiding the patient through the various process steps of their patient journey to therapy.
• These steps include patient referral intake, investigating all patient health insurance benefits, and proactively following up with various partners including the insurance payers, specialty pharmacies, support organizations, and the patient/physician to facilitate coverage and delivery of product in a timely manner.
• Experience conducting, and documenting patient health insurance benefit investigations, prior authorizations, and appeals is a must (1-2 years)
• Knowledge of Medicare, Medicaid and Commercially insured payer common practices and policies is a must
• Critical and creative thinking is a must
• Knowledge of the Health Insurance Market Place and the Affordable Care Act preferred
• Knowledge of Medical/Pharmacy billing and coding is preferred
• Important to have a strong attention to detail