Private Pay Coordinator(HealthCare)

The Patient Account Coordinator Private Pay is the employee that manages the patient / client’s account for all private pay reorders. This employee also contacts patients about claim rejections and discontinues patients when service ends. This employee also assists with collections. This position at the corporate office works closely with the Patient Care Supervisor / Operations Manager and contributes greatly to the overall satisfaction of our customers, vendors, and Business associates.

ESSENTIAL JOB RESPONSIBILITIES

 Calls private pay patients for reorders and sets up ship date.

 Verifies patient’s address and phone numbers.

 Documents ship date.

 Contacts family regarding claim rejections.

 Works with field staff on patient / MD issues.

 Faxes refill requests to doctors offices.

 Notifies doctors' offices of non-compliant patients.

 Makes collection phone calls, as necessary.

 Processes credit card payments per rotation schedule.

 Verifies all Major Medical benefits at least annually and as appropriate.

 Reviews Discharged accounts for any possible credits and / or outstanding balances.

 Contacts families with credit balances, verifies address and initiates refund process.

 Takes calls regarding billing issues as needed for reorder prescriptions.

 DC’s close out files on discontinued patients- includes notifying MD, and drug company

(when needed).

 Performs other related duties as required and assigned.

Requirements

• Strong verbal and written communication skills are required.
• Must be knowledgeable in basic office operations and be able to perform multiple tasks simultaneously.
• Must be able to work under pressure, delineate priorities when workload is abundant.
• Must be able to represent the company in a professional manner.
• Must maintain HIPAA (Health Insurance Portability and Accountability Act) compliance in accordance with the provisions outlined in the company’s Employee Manual and HIPAA manual and understand their obligations under the Privacy Rule.
• Able to perform the essential duties of this position without posing a “direct threat” to the health or safety of self or others.

EDUCATION / EXPERIENCE

Benefits