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Patient care coordinator jobs in Southaven, MS

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  • Patient Care Coordinator

    Results Physiotherapy 3.9company rating

    Patient care coordinator job in Memphis, TN

    Results Physiotherapy, a brand partner of Upstream Rehabilitation, is looking for a Patient Care Coordinator to join our team in Memphis, TN. (Chickasaw Gardens) Are you looking for a position in a growing organization where you can make a significant impact on the lives of others? What is a Patient Care Coordinator? A Patient Care Coordinator is an entry-level office role that is responsible for maintaining pleasant and consistent daily operations of the clinic. Our Patient Care Coordinators have excellent customer service skills. Patient Care Coordinators learn new things - a lot! The Patient Care Coordinator multitasks in multiple computer programs each day. A day in the life of a Patient Care Coordinator: Greets everyone who enters the clinic in a friendly and welcoming manner. Schedules new referrals received by fax or by telephone from patients, physician offices. Verifies insurance coverage for patients. Collects patient payments. Maintains an orderly and organized front office workspace. Other duties as assigned. Fulltime positions include: Annual paid Charity Day to give back to a cause meaningful to you Medical, Dental, Vision, Life, Short-Term and Long-Term Disability Insurance 3-week Paid Time Off plus paid holidays 401K + company match Position Summary: The Patient Care Coordinator - I (PCC-I) supports clinic growth through excellence in execution of the practice management role and patient intake processes. This individual will work in collaboration with the Clinic Director (CD) to carry out efficient clinic procedures. The PCC-I position is responsible for supporting the mission, vision, and values of Upstream Rehabilitation. Responsibilities: Core responsibilities Collect all money due at the time of service Convert referrals into evaluations Schedule patient visits Customer Service Create an inviting clinic atmosphere. Make all welcome calls Monitor and influence arrival rate through creation of a great customer experience Practice Management Manage schedule efficiently Manage document routing Manage personal overtime Manage non-clinical documentation Manage deposits Manage caseload, D/C candidate, progress note, and insurance reporting Monitor clinic inventory Training o Attend any required training with the Territory Field Trainers (TFT) for Raintree and other business process updates. Complete quarterly compliance training. Qualifications: High School Diploma or equivalent Communication skills - must be able to relate well to Business Office and Field leadership Ability to multitask, organizational detail, ability to meet deadlines, work with little to no supervision As a member of a team, must possess efficient time management and presentation skills Physical Requirements: This position is subject to inside environmental conditions: protections from weather conditions but not necessarily from temperature changes; exposed to noise consistent with indoor environment. This is a full-time position operating within normal business hours Monday through Friday, with an expectation of minimum of 40 hours per week; May be required to attend special events some evenings and weekends, or work additional hours as needed. This position is subject to sedentary work. Constantly sits, with ability to interchange with standing as needed. Constantly communicates with associates, must be able to hear and speak to accurately exchange information in these situations. Frequently operates a computer and other office equipment such as printers, phone, keyboard, mouse and copy machines using gross and fine manipulation. Constantly uses repetitive motions to type. Must be able to constantly view computer screen (near acuity) and read items on screen. Must have ability to comprehend information provided, use judgement to appropriately respond in various situations. Occasionally walks, stands, pushes or pulls 0-20 lbs., lifts 0-20 lbs. from floor to waist; carries, pushes, and pulls 0-20 lbs. Rarely crawls, crouches, kneels, stoops, climbs stairs or ladders, reaches above shoulder height, lifts under 10 lbs. from waist to shoulder. This job description is not an all-inclusive list of all duties that may be required of the incumbent and is subject to change at any time with or without notice. Incumbents must be able to perform the essential functions of the position satisfactorily and that, if requested, reasonable accommodations may be made to enable associates with disabilities to perform the essential functions of their job, absent undue hardship. Please do not contact the clinic directly. Follow @Lifeatupstream on Instagram, and check out our LinkedIn company page to learn more about what it's like to be part of the #upstreamfamily. CLICK HERE TO LEARN EVEN MORE ABOUT UPSTREAM
    $22k-30k yearly est. Auto-Apply 12d ago
  • Patient Authorization Coordinator

    Viemed Careers 3.8company rating

    Patient care coordinator job in Memphis, TN

    Responsible for obtaining re-authorization requirements for on-going coverage of durable medical equipment. Review and obtain necessary compliance documents, medical records and prescriptions in order to submit for re-authorization. Responsible for assisting patients in the re-authorization process Responsible for working with sales and clinical personnel to facilitate re-authorization tasks. Review & work pending re-authorization tasks daily Assist in the appeals process for denied re-authorizations Travel as needed to provider's office/clinic/hospital to obtain records for re-authorization. Contact patients to coordinate any necessary doctor's appointments needed in order to submit re-authorization Notify RT/Sales teams regarding non-compliance and re-authorization deadlines that are not met Establishes and maintains effective communication and good working relationship with co-workers for the patient's benefit. Performs other clerical tasks as needed, such as answering phones, faxing, and emailing. Completes other duties, as assigned Communicates appropriately and clearly to Manager/Supervisor, and other superiors. Reports all concerns or issues directly to Regional Sales Manager. Requirements: Learns and maintains knowledge of current patient database and billing system Ability to understand re-authorization requirements General knowledge of government, regulatory billing and compliance regulations/policies for Medicare, Medicare Advantage, Commercial Insurance & Medicaid Medical Terminology background Enough knowledge of policies and procedures to accurately answer questions from internal and external customers. Utilizes initiative; maintains set level of productivity goals with ability to consistently and accurately Experience: Clinical administrative experience preferred Two years' experience in insurance office, doctor's office, or three years' general office experience. Skills: Superior organizational skill. Attention to detail and accuracy. Ability to work as part of a health care team. Effectively communicate with physicians, patients, insurers, colleagues and staff Proficient in Microsoft Office, including Outlook, Word, and Excel
    $27k-33k yearly est. 3d ago
  • Patient Care Coordinator

    Upstream Rehabilitation

    Patient care coordinator job in Olive Branch, MS

    Elite Physical Therapy, a brand partner of Upstream Rehabilitation, is looking for a Patient Care Coordinator to join our team in Olive Branch, MS. Are you looking for a position in a growing organization where you can make a significant impact on the lives of others? What is a Patient Care Coordinator? A Patient Care Coordinator is an entry-level office role that is responsible for maintaining pleasant and consistent daily operations of the clinic. Our Patient Care Coordinators have excellent customer service skills. Patient Care Coordinators learn new things - a lot! The Patient Care Coordinator multitasks in multiple computer programs each day. A day in the life of a Patient Care Coordinator: Greets everyone who enters the clinic in a friendly and welcoming manner. Schedules new referrals received by fax or by telephone from patients, physician offices. Verifies insurance coverage for patients. Collects patient payments. Maintains an orderly and organized front office workspace. Other duties as assigned. Fulltime positions include: Annual paid Charity Day to give back to a cause meaningful to you Medical, Dental, Vision, Life, Short-Term and Long-Term Disability Insurance 3-week Paid Time Off plus paid holidays 401K + company match Position Summary: The Patient Care Coordinator - I (PCC-I) supports clinic growth through excellence in execution of the practice management role and patient intake processes. This individual will work in collaboration with the Clinic Director (CD) to carry out efficient clinic procedures. The PCC-I position is responsible for supporting the mission, vision, and values of Upstream Rehabilitation. Responsibilities: Core responsibilities Collect all money due at the time of service Convert referrals into evaluations Schedule patient visits Customer Service Create an inviting clinic atmosphere. Make all welcome calls Monitor and influence arrival rate through creation of a great customer experience Practice Management Manage schedule efficiently Manage document routing Manage personal overtime Manage non-clinical documentation Manage deposits Manage caseload, D/C candidate, progress note, and insurance reporting Monitor clinic inventory Training o Attend any required training with the Territory Field Trainers (TFT) for Raintree and other business process updates. Complete quarterly compliance training. Qualifications: High School Diploma or equivalent Communication skills - must be able to relate well to Business Office and Field leadership Ability to multitask, organizational detail, ability to meet deadlines, work with little to no supervision As a member of a team, must possess efficient time management and presentation skills Physical Requirements: This position is subject to inside environmental conditions: protections from weather conditions but not necessarily from temperature changes; exposed to noise consistent with indoor environment. This is a full-time position operating within normal business hours Monday through Friday, with an expectation of minimum of 40 hours per week; May be required to attend special events some evenings and weekends, or work additional hours as needed. This position is subject to sedentary work. Constantly sits, with ability to interchange with standing as needed. Constantly communicates with associates, must be able to hear and speak to accurately exchange information in these situations. Frequently operates a computer and other office equipment such as printers, phone, keyboard, mouse and copy machines using gross and fine manipulation. Constantly uses repetitive motions to type. Must be able to constantly view computer screen (near acuity) and read items on screen. Must have ability to comprehend information provided, use judgement to appropriately respond in various situations. Occasionally walks, stands, pushes or pulls 0-20 lbs., lifts 0-20 lbs. from floor to waist; carries, pushes, and pulls 0-20 lbs. Rarely crawls, crouches, kneels, stoops, climbs stairs or ladders, reaches above shoulder height, lifts under 10 lbs. from waist to shoulder. This job description is not an all-inclusive list of all duties that may be required of the incumbent and is subject to change at any time with or without notice. Incumbents must be able to perform the essential functions of the position satisfactorily and that, if requested, reasonable accommodations may be made to enable associates with disabilities to perform the essential functions of their job, absent undue hardship. Please do not contact the clinic directly. Follow @Lifeatupstream on Instagram, and check out our LinkedIn company page to learn more about what it's like to be part of the #upstreamfamily. CLICK HERE TO LEARN EVEN MORE ABOUT UPSTREAM
    $31k-45k yearly est. Auto-Apply 60d+ ago
  • Patient Care Coordinator

    Integrity Rehab Group

    Patient care coordinator job in Hernando, MS

    Memphis Orthopaedic Group/ Integrity Rehab Group, a brand partner of Upstream Rehabilitation, is looking for a Patient Care Coordinator to join our team in Hernando, MS! Are you looking for a position in a growing organization where you can make a significant impact on the lives of others? What is a Patient Care Coordinator? A Patient Care Coordinator is an entry-level office role that is responsible for maintaining pleasant and consistent daily operations of the clinic. Our Patient Care Coordinators have excellent customer service skills. Patient Care Coordinators learn new things - a lot! The Patient Care Coordinator multitasks in multiple computer programs each day. A day in the life of a Patient Care Coordinator: Greets everyone who enters the clinic in a friendly and welcoming manner. Schedules new referrals received by fax or by telephone from patients, physician offices. Verifies insurance coverage for patients. Collects patient payments. Maintains an orderly and organized front office workspace. Other duties as assigned. Fulltime positions include: Annual paid Charity Day to give back to a cause meaningful to you Medical, Dental, Vision, Life, Short-Term and Long-Term Disability Insurance 3-week Paid Time Off plus paid holidays 401K + company match Position Summary: The Patient Care Coordinator - I (PCC-I) supports clinic growth through excellence in execution of the practice management role and patient intake processes. This individual will work in collaboration with the Clinic Director (CD) to carry out efficient clinic procedures. The PCC-I position is responsible for supporting the mission, vision, and values of Upstream Rehabilitation. Responsibilities: Core responsibilities Collect all money due at the time of service Convert referrals into evaluations Schedule patient visits Customer Service Create an inviting clinic atmosphere. Make all welcome calls Monitor and influence arrival rate through creation of a great customer experience Practice Management Manage schedule efficiently Manage document routing Manage personal overtime Manage non-clinical documentation Manage deposits Manage caseload, D/C candidate, progress note, and insurance reporting Monitor clinic inventory Training o Attend any required training with the Territory Field Trainers (TFT) for Raintree and other business process updates. Complete quarterly compliance training. Qualifications: High School Diploma or equivalent Communication skills - must be able to relate well to Business Office and Field leadership Ability to multitask, organizational detail, ability to meet deadlines, work with little to no supervision As a member of a team, must possess efficient time management and presentation skills Physical Requirements: This position is subject to inside environmental conditions: protections from weather conditions but not necessarily from temperature changes; exposed to noise consistent with indoor environment. This is a full-time position operating within normal business hours Monday through Friday, with an expectation of minimum of 40 hours per week; May be required to attend special events some evenings and weekends, or work additional hours as needed. This position is subject to sedentary work. Constantly sits, with ability to interchange with standing as needed. Constantly communicates with associates, must be able to hear and speak to accurately exchange information in these situations. Frequently operates a computer and other office equipment such as printers, phone, keyboard, mouse and copy machines using gross and fine manipulation. Constantly uses repetitive motions to type. Must be able to constantly view computer screen (near acuity) and read items on screen. Must have ability to comprehend information provided, use judgement to appropriately respond in various situations. Occasionally walks, stands, pushes or pulls 0-20 lbs., lifts 0-20 lbs. from floor to waist; carries, pushes, and pulls 0-20 lbs. Rarely crawls, crouches, kneels, stoops, climbs stairs or ladders, reaches above shoulder height, lifts under 10 lbs. from waist to shoulder. This job description is not an all-inclusive list of all duties that may be required of the incumbent and is subject to change at any time with or without notice. Incumbents must be able to perform the essential functions of the position satisfactorily and that, if requested, reasonable accommodations may be made to enable associates with disabilities to perform the essential functions of their job, absent undue hardship. Please do not contact the clinic directly. Follow @Lifeatupstream on Instagram, and check out our LinkedIn company page to learn more about what it's like to be part of the #upstreamfamily. CLICK HERE TO LEARN EVEN MORE ABOUT UPSTREAM Upstream Rehabilitation is an Equal Opportunity Employer that strives to provide an inclusive work environment where our differences are celebrated for the value they bring to our communities, our patients and our teammates. Upstream Rehabilitation does not discriminate on the basis of race, color, national origin, religion, gender (including pregnancy), sexual orientation, age, disability, veteran status, or other status protected under applicable law.
    $31k-45k yearly est. Auto-Apply 9d ago
  • Coordinator-Quality Point Of Care

    Baptist 3.9company rating

    Patient care coordinator job in Southaven, MS

    Coordinates interdepartmental activities for Quality Management and Point of Care laboratory testing by monitoring staff training, competencies, and compliance with applicable regulatory agencies. Staff is also responsible for recommending and evaluating technical methods and procedures as well as executing effective and efficient Laboratory operations. Responsibilities Coordinates interdepartmental activities for Point of Care Laboratory Testing. Monitors staff training and competencies. Preforms quality control, proficiency testing and routine instrument maintenance.. Evaluates positive patient identification to reduce analytical and post-analytical error and/or adverse patient outcomes. Assesses, evaluates and draws appropriate conclusions. Evaluates technical methods and procedures. Executes effective and efficient Laboratory operations. Supports life long learning Completes assigned goals. Quality - Provides overall technical and supervisory direction to ensure that laboratory services comply with standards established by IHS Laboratory Services, CAP, AABB, FDA, OSHA, AND JCAHO and other regulatory services. Specifications Experience Minimum Required 4 years experience as Medical Technologist Preferred/Desired Hospital experience preferred. Education Minimum Required BS in Medical Technology. State licensure and/or national registration or certification in concordance with current Federal and/or State regulations. Preferred/Desired Training Minimum Required State licensure and/or national registration or certification in concordance with current Federal and/or State regulations Preferred/Desired NAACLS program completed or experience as required. Special Skills Minimum Required Basic computer literacy Preferred/Desired Licensure Minimum Required ASCP;NCA;AMT Preferred/Desired ASCP
    $26k-34k yearly est. Auto-Apply 60d+ ago
  • CHOICES Care Coordinator- Shelby County

    Bluecross Blueshield of Tennessee 4.7company rating

    Patient care coordinator job in Memphis, TN

    Are you a compassionate individual who enjoys helping others achieve their personal health and wellness goals? If so, a career as a CHOICES Care Coordinator might be perfect for you. As a Care Coordinator, you will make a lasting impact on members' lives by ensuring their safety at home or within a community setting. In this role, you'll travel to member's homes for visits, while managing various demands and requests from both internal and external stakeholders. We're seeking individuals who excel in problem-solving through critical thinking, and who are adept at time management and prioritizing daily tasks. You should be self-motivated, flexible, and thrive in a fast-paced environment. Most importantly, you should have a passion for improving the quality of life for diverse members in their communities. You will be a great match for this role if you have: • 3 years of experience in a clinical setting • Registered nurse with an active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Act; or Masters in Social Work with an active unrestricted license (LCSW, LMSW, or LAPSW). • Exceptional customer service skills • Must live within the following counties: Memphis/Shelby County • Available for an 8:00am - 5:00pm EST(no on call) schedule, with the option (upon management approval) to work a compressed work week after 1 year. Job Responsibilities Partnering with members and families to identify needed supports and direct services to meet personal goals for good health, employment and independent or community living. Collaborates with a team of clinical and social support colleagues to meet the physical, behavioral health and long term service needs of each member. Conduct thorough and objective face-to-face visits with and assess each members situation to determine current status and needs, including physical, behavioral, functional, psycho-social, financial, and employment and independent living expectations. Utilizing criteria for authorizing appropriate home and community based services and confirm those services are being provided and that members needs are being met. Valid Driver's License. TB Skin Test (applies to coordinators that work in the field). Position requires 24 months in role before eligible to post for other internal positions. Various immunizations and/or associated medical tests may be required for this position. Job Qualifications Experience 2 years - Clinical experience required Skills\Certifications PC Skills required (Basic Microsoft Office and E-Mail) Effective time management skills Excellent oral and written communication skills Strong interpersonal and organizational skills License Registered nurse with an active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Act; or Masters in Social Work with an active unrestricted license (LCSW, LMSW, or LAPSW). Employees who are required to operate either a BCBST-owned vehicle or a personal or rental vehicle for company business on a routine basis* will be automatically enrolled into the BCBST Driver Safety Program. The employee will also be required to adhere to the guidelines set forth through the program. This includes, maintaining a valid driver's license, auto insurance compliance with minimum liability requirements; as defined in the “Use of Non BCBST-Owned Vehicle” Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR). *The definition for "routine basis" is defined as daily, weekly or at regularly schedule times. Number of Openings Available 1 Worker Type: Employee Company: VSHP Volunteer State Health Plan, Inc Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.
    $25k-30k yearly est. Auto-Apply 60d+ ago
  • Lead Patient Care Coordinator-Brink & White

    Bebright

    Patient care coordinator job in Bartlett, TN

    WHO WE ARE: At Brink & White Pediatric Dental Associates, we are committed to treating every child like our own. With locations in Bartlett, Lakeland, and Munford, we create a welcoming, fun, and comfortable environment where children receive high-quality dental care designed to support healthy smiles that last a lifetime. Our team is passionate about providing exceptional pediatric dentistry while making each visit a positive experience for both children and their families. Visit our Website: ********************************* RESPONSIBILITIES: Support daily front office operations, ensuring smooth workflow, team communication, and patient satisfaction. Lead team meetings and individual sessions to promote teamwork and growth. Maintain adherence to protocols and regulatory standards while promoting innovation and encouraging initiative and independent problem-solving. Manage timekeeping, finance administration, and vendor relationships with a focus on collaboration and respect. Coordinate insurance, treatment plans, and collections with empathy and transparency. Train, Lead and mentor the administrative team. Oversee daily office operations related to scheduling, reception and patient care. Monitor staff performance and provide ongoing feedback to patient care coordinators. Escalating any ongoing issues to the Practice Admin. Collaborate with Practice Admin on staffing needs, workflows and process improvements. Handle patient financial accounts by addressing past-due balances and managing collections in a professional manner. Implement marketing initiatives to attract new patients and strengthen community presence. Serve as a backup for administrative team coordination during staff absences/call-outs. Coordinator with the Patient Support department to address and resolve insurance-related issues or questions. Assist with end-of-day (EOD) reporting to ensure accuracy and timely completion. Serve as a point of escalation for resolving concerns, including communicating professionally with difficult or upset parents both in person and over the phone. WHAT WE OFFER: Competitive salary with bonus potential. Comprehensive medical and vision insurance, 401k, PTO, paid holidays. Engaging team activities and a supportive work environment that values your contribution to our culture. We provide a fun and fast-paced work environment with flexible work hours, competitive salaries, and excellent benefits packages! Brink & White participates in E-Verify.
    $23k-34k yearly est. Auto-Apply 60d+ ago
  • Patient Financial Advocate

    Firstsource 4.0company rating

    Patient care coordinator job in Southaven, MS

    Full Time, Entry Level - GREAT way to get hands on experience! Plenty of opportunities for growth within! Hours: Thurs - Sat 7:30am - 8pm and healthcare setting, up to date immunizations are required. We are a leading provider of transformational outsourcing solutions and services spanning the customer lifecycle across the Healthcare industry. At Firstsource Solutions USA, LLC, our employees are there for the moments that matter for customers as they navigate some of the biggest, most challenging, nerve-racking, and rewarding decisions of their lives. Dealing with healthcare challenges is hard enough but the added burden of not knowing how much that care will cost or having a means to pay for it often creates additional stress and anxiety. It's times like these when our teams are there to help guide these patients and their families through the complex eligibility and payment process. At Firstsource Solutions USA, LLC., we take the burden away from the patient and their family allowing them to focus on their health when they need to most. Afterwards, we work with patients to identify insurance eligibility, help them navigate their financial responsibilities and introduce ways to achieve financial well-being through payment arrangement options. Our Firstsource Solutions USA, LLC teams are with patients all the way, providing support and assistance all the while seeing first-hand the positive impact of their work through the emotions of relief and joy of the patients. Join our team and make a difference! The Patient Financial Advocate is responsible to screen patients on-site at hospitals for eligibility assistance programs either bedside or in the ER. This includes providing information and reports to client contact(s), keeping them current on our progress. Essential Duties and Responsibilities: Review the hospital census or utilize established referral method to identify self-pay patients consistently throughout the day. Screen those patients that are referred to Firstsource for State, County and/or Federal eligibility assistance programs. Initiate the application process bedside when possible. Identifies specific patient needs and assist them with an enrollment application to the appropriate agency for assistance. Introduces the patients to Firstsource services and informs them that we will be contacting them on a regular basis about their progress. Provides transition, as applicable, for the backend Patient Advocate Specialist to develop a positive relationship with the patient. Records all patient information on the designated in-house screening sheet. Document the results of the screening in the onsite tracking tool and hospital computer system. Identifies out-patient/ER accounts from the census or applicable referral method that are designated as self-pay. Reviews system for available information for each outpatient account identified as self-pay. Face to face screen patients on site as able. Attempts to reach patient by telephone if unable to screen face to face. Document out-patient/ER accounts when accepted in the hospital system and on-site tracking tool. Outside field work as required to include Patient home visits to screen for eligibility of State, County, and Federal programs. Other Duties as assigned or required by client contract Additional Duties and Responsibilities: Maintain a positive working relationship with the hospital staff of all levels and departments. Report any important occurrences to management as soon as possible (dramatic change in the number or type of referrals, etc.) Access information for the Patient Advocate Specialist as needed (discharge dates, balances, itemized statements, medical records, etc.). Keep an accurate log of accounts referred each day. Meet specified goals and objectives as assigned by management on a regular basis. Maintain confidentiality of account information at all times. Maintain a neat and orderly workstation. Adhere to prescribed policies and procedures as outlined in the Employee Handbook and the Employee Code of Conduct. Maintain awareness of and actively participate in the Corporate Compliance Program. Educational/Vocational/Previous Experience Recommendations: High School Diploma or equivalent required. 1 - 3 years' experience of medical coding, medical billing, eligibility (hospital or government) or other pertinent medical experience is preferred. Previous customer service experience preferred. Must have basic computer skills. Working Conditions: Must be able to walk, sit, and stand for extended periods of time. Dress code and other policies may be different at each healthcare facility. Working on holidays or odd hours may be required at times. Benefits including but not limited to: Medical, Vision, Dental, 401K, Paid Time Off. We are an Equal Opportunity Employer. All qualified applicants are considered for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by federal, state or local law.
    $36k-44k yearly est. 60d+ ago
  • PATIENT ENGAGEMENT SPECIALIST

    Christ Community Health Services 4.3company rating

    Patient care coordinator job in Memphis, TN

    JOB TITLE: Patient Engagement Specialist DEPARTMENT: Quality REPORTS TO: Director of Population Health FLSA STATUS: Exempt REVISION DATES: 01/29/19 The Patient Engagement Specialist supports and participates in the Patient Centered Medical Home (PCMH) concepts of care coordination and team-based care. The Patient Engagement Specialist will assess, plan, implement, coordinate, monitor, and evaluate healthcare options and services with the goal of increasing the likelihood of improvement to the health status of identified populations across the practice. In addition, this job is responsible for stratifying patient populations, applying the appropriate engagement tactics to support the stratified population to close care gaps, promote wellness screenings, ultimately minimizing potential health risks. KEY RESPONSIBILITIES Collect data on quality metrics and track as required for improvement efforts the assigned patient population listed below: Hypertension Diabetes Asthma Pediatrics Behavioral Health Women's Health HIV Dental Participate in process/quality improvement initiatives to achieve targets as defined by organizational goals and objectives Directs outreach to targeted patients with the goal of meeting identified goals and targets for the stratified population Track activities, outreach efforts, and care results and tracks in appropriate database Makes multiple attempts to reach patients in specific patient populations and sets goals within scope of the engagement process Creates and cultivates relationships in specific patient populations Gathers and manages quantitative and qualitative patient data using Electronic Health Records, population registries, and evidenced-based assessment tools Provide data management, coordination, and patient outreach as needed for specific target patient populations Use internal and external resources (such as claims, Managed Care Organization patient registries, referrals, and pharmacy data) to identify accurate, successful modes of communication with unreachable or hard-to-reach members Respond to inquiries from the practice regarding outcomes of outreach calls to patients Identify, document, and mitigates patient barriers to improved outcomes Prepares and submits reports on the progress of engagement efforts as directed Other duties as required JOBS THIS POSITION DIRECTLY SUPERVISES If no supervisory duties, leave blank. POSITION REQUIREMENTS Education: Bachelor's degree preferred Experience: One to two years working in a healthcare setting and working with the underserved Working knowledge of basic medical terms Knowledge of and use Microsoft Word and Microsoft Excel Proficient in data management and reporting Licenses or Certifications: Certified Medical Assistant (CMA) certification Mental Requirements Level 1 - Requires some concentration and normal attention. Generally, once the job is learned, the tasks can be performed more or less automatically. Level 2 - Requires high periods of concentration intermittently and normal attention. Generally, even once the job is learned, tasks will require normal attention to deal with recurring variables. X Level 3 - Requires a high level of concentration and high level of attention intermittently. Generally, the approach to tasks may be consistent, but the number of steps required and/or the number of variables involved creates the possibility of errors unless the incumbent pays close attention. Physical Requirements Activity Approximate % of Time Comments Sitting 50% At phone/desk/computer a great deal of time. Standing 25% Talking to patients and doctors Walking 25% Walking through the clinic to engage patients in waiting room, treatment rooms, etc… Walking to engage with the various care teams in the clinic 100% Approximate percentage of time spent lifting, pulling and/or pushing: 5% Maximum number of pounds required (with or without assistance): 30 lbs. Types of objects the incumbent is required to lift/pull/push. Machines and Equipment Used: Machines, Equipment, Tools Approximate % of Time Degree of Hand:Eye Coordination Required 1. Computer Varies Normal 2. Telephone Varies Normal 3. Photocopier, fax machine Varies Normal Approximate percentage of time incumbent spends in “on-the-job” travel, excluding commuting to regular work location: Between 5% - 30%, depending on specific work assignment. Working Conditions Typical office environment on day-to-day basis; regular exposure patients or family members that may be emotionally unstable; exposure to patients with infectious disease or contagious illness
    $25k-34k yearly est. 25d ago
  • Centralized Scheduler- Radiology

    WVU Medicine 4.1company rating

    Patient care coordinator job in University, MS

    Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. Responsible for scheduling, cancelling, rescheduling and registering of outpatient visits and procedures for multiple ambulatory clinics, by collecting all necessary information for schedule and registration preparation. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. High School diploma or equivalent. 2. State criminal background check and Federal (if applicable), as required for regulated areas. CORE JOB DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned. 1. Checks in and Checks out patients in accordance with Scheduling/Registration guidelines, with the ability to prioritize according to the patient's needs. 2. Obtain and verify patient guarantor information a minimum of once a year to ensure that the patient record is up-to-date. If a referral or authorization is needed we generate the referral at this time. 3. Schedules and registers patients/customers based on scheduling guidelines and medical appropriateness within the appropriate clinic. 4. Assures upon check out all follow up appointments & testing are coordinated with the patient. 5. Obtaining and collecting all necessary information from the patient/customer to schedule and register the patient for an appointment. 6. Identifies and communicates need for scheduling modifications and development. 7. Notifying appropriate personnel of any scheduling change due to patient cancellation in a timely fashion. 8. Receives and responds to patient and staff needs and complaints appropriately within the realm of the "patient care" environment, involving department supervisors and patient representatives as needed. 9. Consults with referring physician's office to ensure written and/or electronic orders exist and obtain them as needed. Verifies upon receiving for completeness of the written orders and notes. Make documentation that outside orders are requested. 10. Responsible for collecting all time of service payments and copayments for patients in the check-in or check-out process. 11. Upon end of day, responsible for reconciling cash drawer and all contents. Responsible for reporting any discrepancies within the cash drawer to the Supervisor or Manager. 12. Responsible for collecting all signatures on waivers for managed care at the point of check in. 13. Completes Workques as needed in a timely fashion along with daily tasks according to the scheduling area working in. 14. Responds to all patient communication in a timely manner. PHYSICAL REQUIREMENTS: 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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Ability to sit for extended periods of time. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Standard office environment. SKILLS AND ABILITIES: 1. Strong written and verbal communication skills. Additional Job Description: Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: United States of America (Non-Exempt) Company: WVUH West Virginia University Hospitals Cost Center: 153 WVUH Radiology Support Services Address: 6040 University Town Center Drive Morgantown West Virginia Equal Opportunity Employer West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.
    $21k-25k yearly est. Auto-Apply 3d ago
  • Coordinator-Payer Enrollment - MG CBO Credentialing

    Baptist Memorial Health 4.7company rating

    Patient care coordinator job in Memphis, TN

    Supports Payer Enrollment Specialists, Manager and Director in the efforts to accomplish and maintain enrollment and/or facility affiliations. Performs initial development of Enrollment Portfolio for newly hired providers and assists in auditing established provider files. This will include performing primary data source verifications and monitoring per established protocols. Creation of provider profile within the Symed/One App Pro database as per established guidelines. Communicates directly with providers, payers, office managers, Operations Directors, and Executive Directors as needed. Generates reports. Performs CAQH attestation. All functions require high levels of accuracy, attention to detail and confidentiality. Performs other duties as assigned. Responsibilities Maintains current provider profiles in the BMG Credentialing database SyMed OneApp. Maintains current provider profiles in the CAQH database. Performs primary data source verification of new providers joining BMG. Performs initial communication to providers requesting supporting documents required for the completion of payer enrollment. Completes assigned goals. Requirements, Preferences and Experience Education Preferred : Medical Billing and Coding Diploma from an accredited facility. Minimum : High School/GED Experience Preferred : 2 years in a medical billing organization Minimum : 4 years of office experience Special Skills Preferred : Familiarity with CAQH, NPDP, AMA. Experience with primary data source verification. Minimum : Strong skills in communication both written and verbal Training Preferred : Proficient in Microsoft Office About Baptist Memorial Health Care At Baptist, we owe our success to our colleagues, who have both technical expertise and a compassionate attitude. Every day they carry out Christ's three-fold ministry-healing, preaching and teaching. And, we reward their efforts with compensation and benefits packages that are highly competitive in the Mid-South health care community. For two consecutive years, Baptist has won a Best in Benefits award for offering the best benefit plans compared with their peer groups. Winners are chosen based on plan designs, premiums and the results of a Benefits Benchmarking Survey. At Baptist, We Offer: Competitive salaries Paid vacation/time off Continuing education opportunities Generous retirement plan Health insurance, including dental and vision Sick leave Service awards Free parking Short-term disability Life insurance Health care and dependent care spending accounts Education assistance/continuing education Employee referral program Job Summary: Position: 5348 - Coordinator-Payer Enrollment Facility: BMG - Central Business Office Department: MG CBO Credentialing Category: Finance and Accounting Type: Non Clinical Work Type: Full Time Work Schedule: Days Location: US:TN:Memphis Located in the Memphis metro area
    $35k-50k yearly est. 8d ago
  • Scheduling Specialist

    Tennessee Quality Care

    Patient care coordinator job in Covington, TN

    Job Description Now Hiring: Full-Time Scheduling Specialist - Home Health | Covington/Bartlett, TN New Competitive pay rate Must have Home Health experience. Make a difference in your community! Tennessee Quality Care is seeking a compassionate (SS) Scheduling Specialist for our Home Health team. Monday-Friday, 8:00 AM-4:30 PM. Perks: PTO + Holidays Mileage Reimbursement Flexible Schedule 401(k) with Company Match Comprehensive Benefits Supportive Team Serve patients where they live-recovering, managing chronic illness, or maintaining independence. Join a team that values you and your impact. Apply today! Text to apply: Texted: 9762 to ************ We offer: Great culture and team atmosphere Comprehensive benefits (medical, dental, vision, life/AD&D, disability) 401(k) retirement plan with a generous company match Generous time off accruals Paid holidays Tuition Reimbursement Employee Referral Program Merit Increases Employee Discount Programs Work/life balance What You'll Do: Confirms patient appointments and perform patient reminder calls according to client guidelines Manages client and care provider's schedules efficiently Tracks and reports daily scheduling metrics and communicates all client scheduling trends to management Answers all incoming calls and provide exceptional customer service to all callers, patients, clients and visitors Maintains patient records in billing/scheduling system formats and in hard copy when indicated Completes patient schedules, forms and all correspondence Provides additional billing and customer service support Maintains a high degree of confidentiality at all times due to access to sensitive information Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department Qualifications: High school diploma required. College degree a plus Bilingual in Spanish is a plus Experience in a high volume medical office environment required Scheduling patients and patient testing preparation experience in a physician office preferred Computer Proficiency - MS Office Ability to work well with others in a professional manner in a team oriented environment 2 years in a medical setting preferred #ACHH
    $24k-33k yearly est. 7d ago
  • THL Care Coordinator

    Clarvida

    Patient care coordinator job in Covington, TN

    at Clarvida - Tennessee Clarvida's success is built on the strength of our people: individuals who bring the right skills and a deep commitment to our mission of improving lives and communities. Our employees are empowered to bring their full potential to the table, ensuring long-term success for our team and those we serve.About your Role:As a THL Care Coordinator, You will provide therapeutic interventions, case coordination and/or resource linkage to clients and other involved parties (i.e. family, DCS, Court personnel, non-relative supports, etc.) to affect identified needed changes within the individual or family.Perks of this role: Competitive pay of $18.27 per hour Does the Following Apply to You? A Bachelor's degree in a Human Service discipline from an accredited four-year college or university 1 year of experience working with children/adolescents in a therapeutic, community-based treatment environment What we offer: Full Time Employees: Paid vacation days that increase with tenure Separate sick leave that rolls over each year up to 10 Paid holidays* Medical, Dental, Vision benefit plan options DailyPay- Access to your daily earnings without waiting for payday* Training, Development and Continuing Education Credits for licensure requirements All Employees: 401K Free licensure supervision Pet Insurance Employee Assistance program Perks @Clarvida - national discounts on shopping, travel, Verizon, and entertainment Mileage reimbursement Cellphone stipend *benefits may vary based on Position/State/County Application Deadline: Applications will be reviewed on a rolling basis until the position is filled. If you're #readytowork we are #readytohire! Now hiring! Not the job you're looking for?Clarvida has a variety of positions in various locations; please go to******************************************** To Learn More About Us: Clarvida @ ************************************************** Clarvida is an equal opportunity employer with a commitment to diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, disability, veteran status or any other protected characteristic. We encourage job seekers to be vigilant against fraudulent recruitment activities that are on the rise across the healthcare industry. Communication about legitimate Clarvida job opportunities will only come from an authorized Clarvida.com email address, A [email protected] email (the email address for which will change upon your reply) or a personal LinkedIn account that is associated with a Clarvida.com email address.
    $18.3 hourly Auto-Apply 42d ago
  • Patient Authorization Coordinator

    Viemed Healthcare Inc. 3.8company rating

    Patient care coordinator job in Memphis, TN

    * Responsible for obtaining re-authorization requirements for on-going coverage of durable medical equipment. * Review and obtain necessary compliance documents, medical records and prescriptions in order to submit for re-authorization. * Responsible for assisting patients in the re-authorization process * Responsible for working with sales and clinical personnel to facilitate re-authorization tasks. * Review & work pending re-authorization tasks daily * Assist in the appeals process for denied re-authorizations * Travel as needed to provider's office/clinic/hospital to obtain records for re-authorization. * Contact patients to coordinate any necessary doctor's appointments needed in order to submit re-authorization * Notify RT/Sales teams regarding non-compliance and re-authorization deadlines that are not met * Establishes and maintains effective communication and good working relationship with co-workers for the patient's benefit. * Performs other clerical tasks as needed, such as answering phones, faxing, and emailing. * Completes other duties, as assigned * Communicates appropriately and clearly to Manager/Supervisor, and other superiors. Reports all concerns or issues directly to Regional Sales Manager. Requirements: * Learns and maintains knowledge of current patient database and billing system * Ability to understand re-authorization requirements * General knowledge of government, regulatory billing and compliance regulations/policies for Medicare, Medicare Advantage, Commercial Insurance & Medicaid * Medical Terminology background * Enough knowledge of policies and procedures to accurately answer questions from internal and external customers. * Utilizes initiative; maintains set level of productivity goals with ability to consistently and accurately Experience: * Clinical administrative experience preferred * Two years' experience in insurance office, doctor's office, or three years' general office experience. Skills: * Superior organizational skill. * Attention to detail and accuracy. * Ability to work as part of a health care team. * Effectively communicate with physicians, patients, insurers, colleagues and staff * Proficient in Microsoft Office, including Outlook, Word, and Excel
    $27k-33k yearly est. 7d ago
  • Patient Care Coordinator

    Upstream Rehabilitation Inc.

    Patient care coordinator job in Memphis, TN

    Results Physiotherapy, a brand partner of Upstream Rehabilitation, is looking for a Patient Care Coordinator to join our team in Memphis, TN. (Chickasaw Gardens) Are you looking for a position in a growing organization where you can make a significant impact on the lives of others? What is a Patient Care Coordinator? * A Patient Care Coordinator is an entry-level office role that is responsible for maintaining pleasant and consistent daily operations of the clinic. * Our Patient Care Coordinators have excellent customer service skills. * Patient Care Coordinators learn new things - a lot! The Patient Care Coordinator multitasks in multiple computer programs each day. A day in the life of a Patient Care Coordinator: * Greets everyone who enters the clinic in a friendly and welcoming manner. * Schedules new referrals received by fax or by telephone from patients, physician offices. * Verifies insurance coverage for patients. * Collects patient payments. * Maintains an orderly and organized front office workspace. * Other duties as assigned. Fulltime positions include: * Annual paid Charity Day to give back to a cause meaningful to you * Medical, Dental, Vision, Life, Short-Term and Long-Term Disability Insurance * 3-week Paid Time Off plus paid holidays * 401K + company match Position Summary: The Patient Care Coordinator - I (PCC-I) supports clinic growth through excellence in execution of the practice management role and patient intake processes. This individual will work in collaboration with the Clinic Director (CD) to carry out efficient clinic procedures. The PCC-I position is responsible for supporting the mission, vision, and values of Upstream Rehabilitation. Responsibilities: * Core responsibilities * Collect all money due at the time of service * Convert referrals into evaluations * Schedule patient visits * Customer Service * Create an inviting clinic atmosphere. * Make all welcome calls * Monitor and influence arrival rate through creation of a great customer experience * Practice Management * Manage schedule efficiently * Manage document routing * Manage personal overtime * Manage non-clinical documentation * Manage deposits * Manage caseload, D/C candidate, progress note, and insurance reporting * Monitor clinic inventory * Training * o Attend any required training with the Territory Field Trainers (TFT) for Raintree and other business process updates. * Complete quarterly compliance training. Qualifications: * High School Diploma or equivalent * Communication skills - must be able to relate well to Business Office and Field leadership * Ability to multitask, organizational detail, ability to meet deadlines, work with little to no supervision * As a member of a team, must possess efficient time management and presentation skills Physical Requirements: * This position is subject to inside environmental conditions: protections from weather conditions but not necessarily from temperature changes; exposed to noise consistent with indoor environment. * This is a full-time position operating within normal business hours Monday through Friday, with an expectation of minimum of 40 hours per week; May be required to attend special events some evenings and weekends, or work additional hours as needed. * This position is subject to sedentary work. * Constantly sits, with ability to interchange with standing as needed. * Constantly communicates with associates, must be able to hear and speak to accurately exchange information in these situations. * Frequently operates a computer and other office equipment such as printers, phone, keyboard, mouse and copy machines using gross and fine manipulation. * Constantly uses repetitive motions to type. * Must be able to constantly view computer screen (near acuity) and read items on screen. * Must have ability to comprehend information provided, use judgement to appropriately respond in various situations. * Occasionally walks, stands, pushes or pulls 0-20 lbs., lifts 0-20 lbs. from floor to waist; carries, pushes, and pulls 0-20 lbs. * Rarely crawls, crouches, kneels, stoops, climbs stairs or ladders, reaches above shoulder height, lifts under 10 lbs. from waist to shoulder. This job description is not an all-inclusive list of all duties that may be required of the incumbent and is subject to change at any time with or without notice. Incumbents must be able to perform the essential functions of the position satisfactorily and that, if requested, reasonable accommodations may be made to enable associates with disabilities to perform the essential functions of their job, absent undue hardship. Please do not contact the clinic directly. Follow @Lifeatupstream on Instagram, and check out our LinkedIn company page to learn more about what it's like to be part of the #upstreamfamily. CLICK HERE TO LEARN EVEN MORE ABOUT UPSTREAM Upstream Rehabilitation is an Equal Opportunity Employer that strives to provide an inclusive work environment where our differences are celebrated for the value they bring to our communities, our patients and our teammates. Upstream Rehabilitation does not discriminate on the basis of race, color, national origin, religion, gender (including pregnancy), sexual orientation, age, disability, veteran status, or other status protected under applicable law.
    $23k-34k yearly est. 12d ago
  • Patient Financial Advocate

    Firstsource 4.0company rating

    Patient care coordinator job in Olive Branch, MS

    PART Time, Entry Level - GREAT way to get hands on experience! Plenty of opportunities for growth within! and healthcare setting, up to date immunizations are required. Hours: 12pm-6pm Monday through Friday We are a leading provider of transformational outsourcing solutions and services spanning the customer lifecycle across the Healthcare industry. At Firstsource Solutions USA, LLC, our employees are there for the moments that matter for customers as they navigate some of the biggest, most challenging, nerve-racking, and rewarding decisions of their lives. Dealing with healthcare challenges is hard enough but the added burden of not knowing how much that care will cost or having a means to pay for it often creates additional stress and anxiety. It's times like these when our teams are there to help guide these patients and their families through the complex eligibility and payment process. At Firstsource Solutions USA, LLC., we take the burden away from the patient and their family allowing them to focus on their health when they need to most. Afterwards, we work with patients to identify insurance eligibility, help them navigate their financial responsibilities and introduce ways to achieve financial well-being through payment arrangement options. Our Firstsource Solutions USA, LLC teams are with patients all the way, providing support and assistance all the while seeing first-hand the positive impact of their work through the emotions of relief and joy of the patients. Join our team and make a difference! The Patient Financial Advocate is responsible to screen patients on-site at hospitals for eligibility assistance programs either bedside or in the ER. This includes providing information and reports to client contact(s), keeping them current on our progress. Essential Duties and Responsibilities: Review the hospital census or utilize established referral method to identify self-pay patients consistently throughout the day. Screen those patients that are referred to Firstsource for State, County and/or Federal eligibility assistance programs. Initiate the application process bedside when possible. Identifies specific patient needs and assist them with an enrollment application to the appropriate agency for assistance. Introduces the patients to Firstsource services and informs them that we will be contacting them on a regular basis about their progress. Provides transition, as applicable, for the backend Patient Advocate Specialist to develop a positive relationship with the patient. Records all patient information on the designated in-house screening sheet. Document the results of the screening in the onsite tracking tool and hospital computer system. Identifies out-patient/ER accounts from the census or applicable referral method that are designated as self-pay. Reviews system for available information for each outpatient account identified as self-pay. Face to face screen patients on site as able. Attempts to reach patient by telephone if unable to screen face to face. Document out-patient/ER accounts when accepted in the hospital system and on-site tracking tool. Outside field work as required to include Patient home visits to screen for eligibility of State, County, and Federal programs. Other Duties as assigned or required by client contract Additional Duties and Responsibilities: Maintain a positive working relationship with the hospital staff of all levels and departments. Report any important occurrences to management as soon as possible (dramatic change in the number or type of referrals, etc.) Access information for the Patient Advocate Specialist as needed (discharge dates, balances, itemized statements, medical records, etc.). Keep an accurate log of accounts referred each day. Meet specified goals and objectives as assigned by management on a regular basis. Maintain confidentiality of account information at all times. Maintain a neat and orderly workstation. Adhere to prescribed policies and procedures as outlined in the Employee Handbook and the Employee Code of Conduct. Maintain awareness of and actively participate in the Corporate Compliance Program. Educational/Vocational/Previous Experience Recommendations: High School Diploma or equivalent required. 1 - 3 years' experience of medical coding, medical billing, eligibility (hospital or government) or other pertinent medical experience is preferred. Previous customer service experience preferred. Must have basic computer skills. Working Conditions: Must be able to walk, sit, and stand for extended periods of time. Dress code and other policies may be different at each healthcare facility. Working on holidays or odd hours may be required at times. Benefits including but not limited to: Medical, Vision, Dental, 401K, Paid Time Off. We are an Equal Opportunity Employer. All qualified applicants are considered for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by federal, state or local law.
    $36k-44k yearly est. 60d+ ago
  • Specialist-Authorization Denial

    Baptist Memorial Health 4.7company rating

    Patient care coordinator job in Memphis, TN

    Authorization Denial Specialist ensures that chemotherapy (specialty group) and other infusions/radiation therapy/radiology/ surgical services meet medical necessity and appropriateness per insurance medical policies/ FDA/NCCN guidelines. Initiates and coordinates pre-certifications/prior authorizations per payer guidelines prior to services being rendered and completes the Insurance verification process. Reviews clinical information and supporting documentation for outpatient or Part B services authorization denials to determine and perform retro authorizations, reconsiderations, or appeal actions to defend the revenue. Performs other duties as assigned. Job Responsibilities • Obtain and review treatment/therapy plan orders for medical necessity and appropriateness according to insurance medical policy/FDA/NCCN guidelines and requirements. • Research insurance company medical policies, medical literature, and compendiums to determine eligibility for services. Utilize multiple healthcare websites • Responsible for tracking, obtaining, and extending authorizations from various carriers in a timely manner • Responsible for completing the Insurance Verification process • Works closely with physicians and clinic staff obtain authorizations to promote positive patient outcomes, timely treatment, and positive reimbursement • Understands and complies with regulatory requirements by specific insurance companies and facilitates compliance by maintaining awareness of guidelines and ensuring compliance through communication and documentation to appropriate staff. • Reviews, assesses and evaluates all authorization denial communications received in order to optimize reimbursement. Requirements, Preferences and Experience Education Preferred : Associates degree or 2 years of college level courses. Minimum : Skill in communicating clearly and effectively using standard English in written, oral, and verbal format to achieve high productivity and efficiency. Skill to write legibly and record information accurately as necessary to perform job duties. Experience Preferred : 5 years of business experience in a healthcare environment with at least 3 years payer specific experience. Minimum : 3 years clinical experience in a clinical care setting. Pre-certification experiences desired. Special Skills Preferred : Education Minimum Required 3 - 5 years of business experience in a healthcare environment with 2 of those years being in a clinical setting. Preferred/Desired 5 years of business experience in a healthcare environment with at least 3 years payer specific experience. 3 years clinical experience in a clinical care setting Pre-certification experience desired. Education Minimum Required Skill in communicating clearly and effectively using standard English in written, oral, and verbal format to achieve high productivity and efficiency. Skill to write legibly and record information accurately as necessary to perform job duties. Strong organizational skills. Ability to type and/or key correctly Preferred/Desired Associates degree or 2 years of college level courses. Training Minimum Required Requires critical thinking and judgement. Preferred/Desired Must demonstrate the ability to appropriately use standard criteria established by payers. Special Skills Excellent customer service and communication skills. Ability to speak, articulate, and be understood clearly. Minimum Required Ability to read and understand medical policies, compendiums, LCDs, and FDA guidelines. Must be able to multitask and be flexible. Advance computer literacy skills and problem-solving skills. Ability to deal with confrontational issues and high stress situations with patients, family, and physicians. Minimum : Knowledge of oncology pre-certification requirements and guidelines. Licensure, Registration, Certification Preferred : Pharmacy Tech, CHAA, RHIT, LPN, RN About Baptist Memorial Health Care At Baptist, we owe our success to our colleagues, who have both technical expertise and a compassionate attitude. Every day they carry out Christ's three-fold ministry-healing, preaching, and teaching. And we reward their efforts with compensation and benefits packages that are highly competitive in the Mid-South health care community. For two consecutive years, Baptist has won a Best in Benefits award for offering the best benefit plans compared with their peer groups. Winners are chosen based on plan designs, premiums, and the results of a Benefits Benchmarking Survey. At Baptist, We Offer: Competitive salaries Paid vacation/time off Continuing education opportunities Generous retirement plan Health insurance, including dental and vision Sick leave Service awards Free parking Short-term disability Life insurance Health care and dependent care spending accounts Education assistance/continuing education Employee referral program Category: Finance and Accounting Type: Non-Clinical Work Type: Full Time Work Schedule: Days Location: US: Memphis, TN Located in the Memphis, TN area
    $30k-37k yearly est. 8d ago
  • PATIENT ENGAGEMENT SPECIALIST

    Christ Community Health Services 4.3company rating

    Patient care coordinator job in Memphis, TN

    JOB TITLE: Patient Engagement Specialist DEPARTMENT: Quality REPORTS TO: Director of Population Health FLSA STATUS: Exempt REVISION DATES: 01/29/19 The Patient Engagement Specialist supports and participates in the Patient Centered Medical Home (PCMH) concepts of care coordination and team-based care. The Patient Engagement Specialist will assess, plan, implement, coordinate, monitor, and evaluate healthcare options and services with the goal of increasing the likelihood of improvement to the health status of identified populations across the practice. In addition, this job is responsible for stratifying patient populations, applying the appropriate engagement tactics to support the stratified population to close care gaps, promote wellness screenings, ultimately minimizing potential health risks. KEY RESPONSIBILITIES Collect data on quality metrics and track as required for improvement efforts the assigned patient population listed below: * Hypertension * Diabetes * Asthma * Pediatrics * Behavioral Health * Women's Health * HIV * Dental Participate in process/quality improvement initiatives to achieve targets as defined by organizational goals and objectives Directs outreach to targeted patients with the goal of meeting identified goals and targets for the stratified population Track activities, outreach efforts, and care results and tracks in appropriate database Makes multiple attempts to reach patients in specific patient populations and sets goals within scope of the engagement process Creates and cultivates relationships in specific patient populations Gathers and manages quantitative and qualitative patient data using Electronic Health Records, population registries, and evidenced-based assessment tools Provide data management, coordination, and patient outreach as needed for specific target patient populations Use internal and external resources (such as claims, Managed Care Organization patient registries, referrals, and pharmacy data) to identify accurate, successful modes of communication with unreachable or hard-to-reach members Respond to inquiries from the practice regarding outcomes of outreach calls to patients Identify, document, and mitigates patient barriers to improved outcomes Prepares and submits reports on the progress of engagement efforts as directed Other duties as required JOBS THIS POSITION DIRECTLY SUPERVISES If no supervisory duties, leave blank. POSITION REQUIREMENTS Education: Bachelor's degree preferred Experience: * One to two years working in a healthcare setting and working with the underserved * Working knowledge of basic medical terms * Knowledge of and use Microsoft Word and Microsoft Excel * Proficient in data management and reporting Licenses or Certifications: Certified Medical Assistant (CMA) certification Mental Requirements Level 1 - Requires some concentration and normal attention. Generally, once the job is learned, the tasks can be performed more or less automatically. Level 2 - Requires high periods of concentration intermittently and normal attention. Generally, even once the job is learned, tasks will require normal attention to deal with recurring variables. X Level 3 - Requires a high level of concentration and high level of attention intermittently. Generally, the approach to tasks may be consistent, but the number of steps required and/or the number of variables involved creates the possibility of errors unless the incumbent pays close attention. Physical Requirements Activity Approximate % of Time Comments Sitting 50% At phone/desk/computer a great deal of time. Standing 25% Talking to patients and doctors Walking 25% Walking through the clinic to engage patients in waiting room, treatment rooms, etc… Walking to engage with the various care teams in the clinic 100% Approximate percentage of time spent lifting, pulling and/or pushing: 5% Maximum number of pounds required (with or without assistance): 30 lbs. Types of objects the incumbent is required to lift/pull/push. Machines and Equipment Used: Machines, Equipment, Tools Approximate % of Time Degree of Hand:Eye Coordination Required 1. Computer Varies Normal 2. Telephone Varies Normal 3. Photocopier, fax machine Varies Normal Approximate percentage of time incumbent spends in "on-the-job" travel, excluding commuting to regular work location: Between 5% - 30%, depending on specific work assignment. Working Conditions Typical office environment on day-to-day basis; regular exposure patients or family members that may be emotionally unstable; exposure to patients with infectious disease or contagious illness
    $27k-33k yearly est. 47d ago
  • THL Care Coordinator

    Clarvida

    Patient care coordinator job in Memphis, TN

    at Clarvida - Tennessee Clarvida's success is built on the strength of our people: individuals who bring the right skills and a deep commitment to our mission of improving lives and communities. Our employees are empowered to bring their full potential to the table, ensuring long-term success for our team and those we serve.About your Role:As a THL Care Coordinator, You will provide therapeutic interventions, case coordination and/or resource linkage to clients and other involved parties (i.e. family, DCS, Court personnel, non-relative supports, etc.) to affect identified needed changes within the individual or family.Perks of this role: Competitive pay of $18.27 per hour Does the Following Apply to You? A Bachelor's degree in a Human Service discipline from an accredited four-year college or university 1 year of experience working with children/adolescents in a therapeutic, community-based treatment environment What we offer: Full Time Employees: Paid vacation days that increase with tenure Separate sick leave that rolls over each year up to 10 Paid holidays* Medical, Dental, Vision benefit plan options DailyPay- Access to your daily earnings without waiting for payday* Training, Development and Continuing Education Credits for licensure requirements All Employees: 401K Free licensure supervision Pet Insurance Employee Assistance program Perks @Clarvida - national discounts on shopping, travel, Verizon, and entertainment Mileage reimbursement Cellphone stipend *benefits may vary based on Position/State/County Application Deadline: Applications will be reviewed on a rolling basis until the position is filled. If you're #readytowork we are #readytohire! Now hiring! Not the job you're looking for?Clarvida has a variety of positions in various locations; please go to******************************************** To Learn More About Us: Clarvida @ ************************************************** Clarvida is an equal opportunity employer with a commitment to diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, disability, veteran status or any other protected characteristic. We encourage job seekers to be vigilant against fraudulent recruitment activities that are on the rise across the healthcare industry. Communication about legitimate Clarvida job opportunities will only come from an authorized Clarvida.com email address, A [email protected] email (the email address for which will change upon your reply) or a personal LinkedIn account that is associated with a Clarvida.com email address.
    $18.3 hourly Auto-Apply 55d ago
  • Patient Care Coordinator - IRG/Memphis Orthopaedic Group - Ortho South (Arlington)

    Upstream Rehabilitation

    Patient care coordinator job in Arlington, TN

    Integrity Rehab Group (IRG) is an industry leading therapy management company that partners with physician practices across the nation. IRG partners with Memphis Orthopaedic Group - Ortho South (Arlington) to offer exceptional outpatient orthopedic therapy services to the Arlington, TN community. We are looking for an energetic and motivated individual to fill our available Patient Care Coordinator position. What is a Patient Care Coordinator? A Patient Care Coordinator is the first person to greet our patients, assisting with insurance, patient referrals, and scheduling questions. Our Patient Care Coordinators have excellent customer service skills and are capable of multitasking in a fast-paced environment. Attention to detail is crucial in this role to ensure our clinics operate with accuracy and efficiency. Patient Care Coordinators build strong patient rapport and help in the patient recovery process. This is reported to be one of their greatest job highlights. Company Benefits: PTO, holiday pay, medical/dental/vision insurance, and more 401k match Competitive wages Essential qualities of a Patient Care Coordinator: Great attitude and a desire to help others Ability to work independently and as a team Superior customer service and communication skills Ability to multitask and remain detail oriented Adaptable Appropriate computer skills Job Duties Include: Working knowledge of our electronic health records system Navigating between multiple computer programs and web base portals Greeting patients in a friendly, supportive manner Answering incoming calls Scheduling new and reoccurring appointments Verifying insurance coverage and obtaining insurance authorizations Collecting patient payments and balancing end of day Post daily charges into billing software Manage insurance denials and accounts receivable Participating in training programs and staff meetings Prior healthcare and billing experience are strongly preferred. Please do not contact the clinic directly.
    $23k-34k yearly est. Auto-Apply 59d ago

Learn more about patient care coordinator jobs

How much does a patient care coordinator earn in Southaven, MS?

The average patient care coordinator in Southaven, MS earns between $26,000 and $54,000 annually. This compares to the national average patient care coordinator range of $23,000 to $52,000.

Average patient care coordinator salary in Southaven, MS

$38,000

What are the biggest employers of Patient Care Coordinators in Southaven, MS?

The biggest employers of Patient Care Coordinators in Southaven, MS are:
  1. Upstream Rehabilitation
  2. Baptists
  3. Integrity Rehab Group
  4. Upstream Rehabilitation Inc.
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