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We are looking for a Patient Care Coordinator to support financial clearance and pre-registration activities for hospital services. This is a long-term contract position supporting remote patient access teams that manage insurance verification, prior authorization, benefit review, and patient financial estimates in a fast-paced healthcare setting. The role requires strong communication skills, sound knowledge of healthcare coverage rules, and the ability to work accurately within electronic health record systems while helping patients understand their financial obligations.
Job Responsibility
Conduct pre-registration and financial clearance activities by gathering required patient information and entering complete, accurate documentation into the designated health record system
Review insurance coverage for upcoming services, confirm active eligibility, and record benefit details, limitations, and authorization requirements
Determine patient cost responsibilities by analyzing plan benefits and preparing clear estimates for scheduled visits or procedures
Explain billing-related information, patient rights, consent requirements, and other relevant service policies in a clear and patient-friendly manner
Identify accounts with insufficient coverage, discuss available assistance options, and direct patients to appropriate financial counseling resources when needed
Process benefit verification and payer-related follow-up tasks efficiently in a high-volume, productivity-driven environment
Support accurate handling of prior authorization activities and payer communications related to pharmacy or hospital services
Collaborate with remote team members through regular check-ins and provide guidance to less experienced staff when appropriate
Complete additional assigned duties that contribute to revenue cycle performance and patient access operations
Requirements
High school diploma or equivalent is required
At least 6 months of experience in healthcare insurance eligibility, benefit verification, or pre-registration activities is required
Practical knowledge of front-end revenue cycle operations, including financial clearance and denial-related follow-up
Ability to interpret commercial insurance, Medicare, and Medicaid benefits and communicate coverage details clearly
Experience using EMR or EHR platforms
Epic experience is preferred
Familiarity with prior authorization processes, medical terminology, and patient financial responsibility estimates
Background in retail pharmacy, payer processes, or healthcare billing workflows is preferred
Strong written and verbal communication skills with the ability to work effectively in a remote, high-volume environment
Nice to have
Epic experience
Background in retail pharmacy, payer processes, or healthcare billing workflows
What we offer
medical, vision, dental, and life and disability insurance