Job Description

Are you passionate about helping patients navigate their care while managing the administrative and financial details of a thriving medical practice? Core Medical Center is seeking a

Patient Care Coordinator

to oversee patient care plans, ensure compliance, and manage relationships with referral sources across all patient types, including

commercial insurance, Medicare, workers' compensation, and motor vehicle accident (MVA) cases

.

Position Overview:

As a Client Care Coordinator, you will be responsible for creating and managing patient care plans from intake to completion. Your role ensures patients feel cared for, treatment plans are followed, and all services are provided efficiently and ethically. This includes working with diverse payer types and collaborating with internal teams and external referral sources to deliver excellent care while securing timely payment for services.

Key Responsibilities:

Care Plan Development and Oversight:

Draft detailed care plans for all patients, regardless of insurance type, outlining diagnoses, goals, services, and benchmarks for progress. Collaborate with multidisciplinary teams to ensure holistic care tailored to individual needs. Educate patients on their care plans, ensuring they understand treatment goals, responsibilities, and timelines.

Cost Calculation and Presentation:

Calculate care plan costs, breaking down services by CPT codes, payer policies, and patient responsibilities. Present itemized cost breakdowns to patients and stakeholders in a clear, professional manner. Manage pre-authorizations for commercial, Medicare, workers' compensation, and MVA cases to ensure proper coverage.

Patient Intake and Coordination:

Handle patient intake across all payer types, collecting demographic and insurance information. Manage initial assessments and set up care plans in the electronic health record (EHR) system. Serve as the central point of contact for patients and referral sources, ensuring a smooth onboarding process.

Progress Tracking and Compliance Management:

Use tools like EHR alerts and outcome measures to monitor patient progress and identify gaps in care plan adherence. Ensure all appointments, make-ups, and follow-ups are scheduled and completed. Document milestones and barriers, adjusting care plans as necessary to meet patient needs.

Timely Submission and Payment Management:

Submit claims and supporting documents for all patient encounters within 24 hours of service. Track the status of pre-authorizations, approvals, and claims to avoid delays in service or payment. Communicate with funding companies, payers, and referral sources to resolve issues quickly and effectively.

Relationship Building:

Act as the primary liaison for employers, adjusters, attorneys, and funding companies. Foster strong relationships with referral sources through consistent communication and problem-solving. Participate in meetings with referral partners to strengthen partnerships and improve processes.

Performance Objectives:

Ensure patients remain compliant with their care plans and feel supported throughout their journey. Maintain timely communication with referral sources and internal teams to keep care plans on track. Track key performance indicators (KPIs) for patient care, referral management, and case progress. Provide timely and accurate documentation to all stakeholders.

Key Competencies and Skills:

Exceptional organizational and relationship-building skills. Strong verbal and written communication abilities. Proficient in navigating EHR systems and payer websites for claims and pre-authorizations. Ability to work independently while collaborating with multidisciplinary teams. Problem-solving mindset and the ability to balance patient care with payer requirements.

About Core Medical Center:

At Core Medical Center, we provide comprehensive, multi-specialty care designed to improve or enhance our patients' ability to function and enjoy life. From commercial insurance to Medicare, workers' compensation, and MVA cases, we strive to offer exceptional care tailored to individual needs while simplifying the process for patients and referral partners alike.

Commitment to Diversity:

Core Medical Center is committed to fostering an inclusive workplace that reflects the diversity of the community we serve. We welcome talent from all backgrounds and are an equal opportunity employer.

If you are ready to make a difference by coordinating care and managing relationships in a dynamic healthcare setting,

apply today!

Let's work together to deliver exceptional care to every patient, every time.

Job Type: Full-time

Pay: $20.00 - $24.00 per hour

Benefits:

401(k) 401(k) matching Dental insurance Employee discount Health insurance Life insurance Paid time off Vision insurance
Work Location: In person