Patient Care Coordinator

• Investigate and correct claim issues caused by incomplete, inaccurate, or missing billing information so accounts can move forward for timely submission
• Enter charges manually by compiling demographic details, insurance data, and visit information from multiple sources to support accurate fee billing
• Review coverage status and confirm that active insurance applies to scheduled services, procedures, or visits before billing is processed
• Interpret plan benefits, coverage limits, effective dates, authorization rules, and patient cost obligations for upcoming care
• Complete eligibility checks through available verification tools and record all findings clearly within Epic or other applicable electronic systems
• Provide patients with understandable cost estimates and explain expected out-of-pocket expenses related to their care
• Guide patients and families toward financial assistance or counseling resources when insurance coverage is limited or insufficient
• Communicate important patient-facing policies and required documentation details when clarification is needed during the financial clearance process
• Support productivity goals in a high-volume workflow while collaborating with team members on escalated payer or account issues
• Share knowledge with colleagues by offering guidance on payer requirements, revenue cycle processes, and billing-related questions

• Background in healthcare revenue cycle work, with particular strength in front-end financial clearance or claims support functions
• Practical experience with insurance verification, prior authorization, denial-related follow-up, and billing work queues
• Ability to interpret commercial insurance, Medicare, and Medicaid benefits and apply that information accurately to patient accounts
• Familiarity with Epic or other EMR/EHR platforms used to document eligibility, coverage, and account activity
• Strong written and verbal communication skills, with the ability to explain financial information clearly to patients and internal teams
• Knowledge of medical terminology, clinical procedures, and patient financial responsibility calculations
• Proven ability to work independently in a high-volume, productivity-focused environment while maintaining accuracy and attention to detail

Understanding of retail pharmacy payer processes or pharmacy-related authorization workflows is preferred

• medical
• vision
• dental
• life and disability insurance
• 401(k) plan