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We are looking for a detail-oriented Patient Care Coordinator to support financial clearance activities. This Long-term Contract position focuses on insurance verification, benefit review, prior authorization support, and patient cost communication within a fast-paced healthcare revenue cycle environment. The ideal candidate brings front-end revenue cycle experience, strong knowledge of payer guidelines, and the ability to work independently while contributing to a collaborative team. Success in this role requires accuracy, sound judgment, and clear communication with patients, payers, and internal care teams.
Job Responsibility
Review insurance coverage for upcoming services and document verification details accurately within the electronic health record
Evaluate active benefits, policy effective dates, service limitations, authorization requirements, and expected patient out-of-pocket responsibility
Prepare patient-friendly cost estimates and explain financial obligations before scheduled visits, procedures, or stays
Identify insufficient coverage situations and connect patients or families with financial counseling or available assistance programs
Support prior authorization and payer-related clearance activities to help reduce delays, denials, and reimbursement issues
Manage assigned work queues efficiently while meeting established productivity and quality standards in a high-volume setting
Collaborate with clinical and revenue cycle teams to clarify documentation, resolve coverage questions, and support timely patient access
Provide guidance to less experienced colleagues when needed on payer rules, benefit interpretation, and financial clearance processes
Complete additional business office tasks and special assignments as needed to support departmental operations
Requirements
High school diploma or equivalent required
At least 6 months of experience performing insurance or benefit verification in a healthcare business office, insurance operations, or similar setting
Hands-on knowledge of healthcare front-end revenue cycle workflows, including eligibility review, benefit interpretation, and patient financial clearance
Familiarity with commercial insurance, Medicare, and Medicaid plan structures, coverage rules, and patient liability determination
Experience using EMR or EHR platforms
Epic is preferred
Ability to work effectively with clinical teams and interpret clinical documentation related to services and procedures
Strong written and verbal communication skills with the ability to explain financial information clearly and professionally
Prior exposure to retail pharmacy, prior authorization, billing work queues, or related payer operations is preferred
Nice to have
Epic is preferred
Prior exposure to retail pharmacy, prior authorization, billing work queues, or related payer operations is preferred