- Communicate routinely with patients to ensure product satisfaction and compliance with prescribed medical devices and supplies. Track and review due dates, contact patients per department procedures, and process orders for ongoing supplies, and replacement medical devices.
- Ensure timely order delivery, patient fittings, and pick up of rental equipment by coordinating with multiple departments including Distribution, Field Sales staff, and Patient Technical services.
- Communicate with medical insurance organizations to obtain authorizations, renewal, and the purchase of rental equipment.
- Answer incoming calls to resolve patient concerns, educate on the use of medical devices, capture incident reports, discuss medical insurance coverage and benefit information, authorization process, and patient payment options.
- Receive, process, and prepare written summaries of patient, physician, or insurance correspondence per departmental timelines and procedures and prepare benefit analysis reports from patient use of prescribed medical devices.
- Verify that all required patient medical documentation complies with company guidelines and payor standards of medical necessity for compliance, authorizations, and reimbursement of services.
- Prioritize multiple tasks, complete projects on time, and perform other job functions with a high level of proficiency as needed.
- Decision Making, Judgment and
- Project Management, Planning & Organization: To effectively plan and organize responsibilities to complete assignments within required parameters and pre-established time-management standards.
- High School Diploma/GED
- Experience in a call center environment or medical office setting with a high call volume.
- Understanding of medical terminology and medical documentation review.
- Ability to add, subtract, multiply, and divide.
- Proficient in software such as Word, Excel.
- Knowledge of insurance company guidelines for contracted payors, group health, managed care, workers' compensation, personal injury and/or governmental payor patient referrals consistent with corporate policy and procedures
- Experience with durable medical equipment, troubleshooting, product knowledge
- Typically interacts with staff, peers, senior management and external customers.
- Ability to handle moderate to high stress.
- Regularly required to sit, stand, move about, stoop, bend, and reach.
- Regularly must see and read computer displays and reports, PDA displays & cell phone displays.
- Must regularly type and or enter data using computer keyboards.
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Patient Care Coordinator - Costa Mesa, United States - VQ OrthoCare
Description
Job DescriptionJob Description
Job Title:
Patient Care Coordinator
Job Code:
PSPC1
Reports To:
Patient Care Team Lead
FLSA Status:
Non-Exempt
Department:
Patient Care
Prepared Date:
SUMMARY:
The Patient Care Coordinator is responsible for all incoming and outgoing calls in a call Center environment on a call queue, follow-ups with patients to promote product satisfaction and encourage continued use of our products.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
COMPETENCY:
To perform the job successfully, an individual should demonstrate the following competencies:
Leadership Responsibilities:
The Patient Care Coordinator typically trains and guides other non-exempt staff, as needed, but will not have any direct reports.
Problem Solving:
To act on broad knowledge of advanced concepts, principles, procedures & specialized job tasks to achieve solutions.
Job Knowledge:
To effectively act on specialized knowledge of Company practices, policies, procedures and job tasks to complete a wide variety of complex or non-routine assignments.
Communication and Ethics:
To appropriately and ethically represent the company and initiate actions and/or communications which will best serve the interests of VQ OrthoCare
EDUCATION/EXPERIENCE:
QUALIFICATIONS:
QUALIFICATIONS:
PHYSICAL AND MENTAL DEMANDS:
CERTIFICATES AND LICENSES:
No special certificates, licenses or registrations are required.
SUPERVISORY RESPONSIBILITIES:
The job has no supervisory responsibilities.
WORK ENVIRONMENT:
Reasonable accommodations may be provided in order to allow qualified individuals with disabilities to perform the essential duties and tasks.
The work environment varies between that of a typical office setting with controlled temperature and humidity and a typical automobile interior, traffic and noise associated with commuting.
Ambient noise levels are consistent and generally low.*VQ Orthocare is and
Equal Opportunity Employer:
All Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
**VQ Orthocare is a participating E-Verify employerCompany Description VQ Orthocare is a DME manufacturer and retailer recently celebrating our 25th year
Company Description
VQ Orthocare is a DME
manufacturer and retailer recently celebrating our 25th year
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