Job Summary:

Accucare Home Medical, a specialist provider of quality home medical equipment, is seeking a full-time Patient Care Coordinator. This role supports our Respiratory Therapist with scheduling, resupply for PAP therapy patients, and any other PAP therapy patient orders or requests. The ideal candidate must be a team player, organized, and willing to follow direction.

Essential Duties and Responsibilities:

Verify patient insurance, including eligibility, patient responsibility, and covered services/equipment.

Obtain proper clinical documentation, prescriptions, and reports to support medical necessity.

Obtain any precertification needed to process the claim.

Create and send out any Certificate of Medical Necessity forms to providers and follow up on timely retrieval.

Assist with intake/customer service and billing functions, including payment posting, payment arrangements, and collections.

Work directly with our resupply program vendor.

Monitor website requests and determine which department will process these requests.

Maintain knowledge of industry rules and regulations and ensure compliance.

Comply with company policies and procedures.

Perform other duties as directed by the Direct Supervisor and/or General Manager.

Supervisory Responsibilities:

None

Competencies:

Customer Service: Manage difficult or emotional customer situations, respond promptly to customer needs, solicit feedback, and ensure commitment to service.

Interpersonal Skills: Focus on conflict resolution, maintain accountability, listen with empathy, and manage interpersonal conflicts positively.

Communication: Speak clearly and professionally in positive or negative situations, write clearly and informatively, listen for clarification, and interpret written information accurately. Recognize and direct information to the appropriate health care provider.

Join our team and contribute to our mission of providing exceptional home medical care!

Minimum Qualifications

Organizational skills sufficient to maintain consistently accurate records.
Experience in customer service and medical order processing.
Familiarity with basic medical terminology.
Ability to evaluate options and to make efficient decisions.
Ability to accurately enter data and information into computer programs.
Computer skills that include proficiency with spreadsheets and use of the internet, as well as word processing, and efficient use of e-mail.

Physical Requirements
The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions in this job description:

The employee is regularly required to stand, walk, and sit, as well as talk and hear.
The employee is required to use their hands to operate vehicles and office equipment.
The employee must occasionally lift and/or move up to 30 pounds.
Specific vision abilities required by this job include close vision, distance vision, peripheral vision, and the ability to adjust focus.

Education, Credentials, Certification, and/or Experience:

High School Diploma or GED, 2-year degree preferred.
2 years related experience and/or training in medical services related fields.
Spanish speaking and writing abilities preferred.

Knowledge, Skills, and Abilities:

Strong interpersonal / CSR skills.
Strong verbal and written communication skills.
Good computer skills.
Good organizational skills.
Competent in usage of office equipment.