Patient Care Coordinator (On-site) Job at VQ Orthocare, Costa Mesa, CA

bFVWUWlLQkFQeVpMV1V0SGNtUWNIRm5GSnc9PQ==
  • VQ Orthocare
  • Costa Mesa, CA

Job Description

Job Description

Job Description

Job Title: Patient Care Coordinator

Job Code: PSPC1

Reports To: Patient Care Team Lead

FLSA Status: Non-Exempt

Department: Patient Care

Prepared Date:05-07-24

SUMMARY: The Patient Care Coordinator is responsible for all incoming and outgoing calls in a call Center environment on a call queue, follow-ups with patients to promote product satisfaction and encourage continued use of our products. This includes telephone, text, mail / email and processing of internet leads.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
• Communicate routinely with patients to ensure product satisfaction and compliance with prescribed medical devices and supplies. Track and review due dates, contact patients per department procedures, and process orders for ongoing supplies, and replacement medical devices.
• Ensure timely order delivery, patient fittings, and pick up of rental equipment by coordinating with multiple departments including Distribution, Field Sales staff, and Patient Technical services.
• Communicate with medical insurance organizations to obtain authorizations, renewal, and the purchase of rental equipment.
• Answer incoming calls to resolve patient concerns, educate on the use of medical devices, capture incident reports, discuss medical insurance coverage and benefit information, authorization process, and patient payment options.
• Receive, process, and prepare written summaries of patient, physician, or insurance correspondence per departmental timelines and procedures and prepare benefit analysis reports from patient use of prescribed medical devices.
• Verify that all required patient medical documentation complies with company guidelines and payor standards of medical necessity for compliance, authorizations, and reimbursement of services.
• Prioritize multiple tasks, complete projects on time, and perform other job functions with a high level of proficiency as needed.
COMPETENCY:
To perform the job successfully, an individual should demonstrate the following competencies:
• Leadership Responsibilities: The Patient Care Coordinator typically trains and guides other non-exempt staff, as needed, but will not have any direct reports.
• Decision Making, Judgment and Problem Solving: To act on broad knowledge of advanced concepts, principles, procedures & specialized job tasks to achieve solutions.
• Job Knowledge: To effectively act on specialized knowledge of Company practices, policies, procedures and job tasks to complete a wide variety of complex or non-routine assignments.
• Project Management, Planning & Organization: To effectively plan and organize responsibilities to complete assignments within required parameters and pre-established time-management standards.
• Communication and Ethics: To appropriately and ethically represent the company and initiate actions and/or communications which will best serve the interests of VQ OrthoCare
EDUCATION/EXPERIENCE:
• High School Diploma/GED


QUALIFICATIONS:
• Experience in a call center environment or medical office setting with a high call volume.
• Understanding of medical terminology and medical documentation review.
• Ability to add, subtract, multiply, and divide.
• Proficient in software such as Word, Excel.


PREFERRED QUALIFICATIONS:
• Knowledge of insurance company guidelines for contracted payors, group health, managed care, workers’ compensation, personal injury and/or governmental payor patient referrals consistent with corporate policy and procedures
• Experience with durable medical equipment, troubleshooting, product knowledge
PHYSICAL AND MENTAL DEMANDS:
• Typically interacts with staff, peers, senior management and external customers.
• Ability to handle moderate to high stress.
• Regularly required to sit, stand, move about, stoop, bend, and reach.
• Regularly must see and read computer displays and reports, PDA displays & cell phone displays.
• Must regularly type and or enter data using computer keyboards.
CERTIFICATES AND LICENSES:
No special certificates, licenses or registrations are required.
SUPERVISORY RESPONSIBILITIES:
The job has no supervisory responsibilities.
WORK ENVIRONMENT:
Reasonable accommodations may be provided in order to allow qualified individuals with disabilities to perform the essential duties and tasks. The work environment varies between that of a typical office setting with controlled temperature and humidity and a typical automobile interior, traffic and noise associated with commuting. Ambient noise levels are consistent and generally low.

*VQ Orthocare is and Equal Opportunity Employer: All Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

**VQ Orthocare is a participating E-Verify employer

Company Description

VQ Orthocare is a DME manufacturer and retailer recently celebrating our 25th year!

Company Description

VQ Orthocare is a DME manufacturer and retailer recently celebrating our 25th year!

Job Tags

Similar Jobs

Cypress HCM

Events Marketing Manager Job at Cypress HCM

 ...Job Description Job Description Event Marketing Manager The Event Marketing Manager for the Americas will play a pivotal role in elevating how our company connects with both consumers and partners through innovative and impactful events. This role is responsible... 

Saint Peter's Healthcare System

LPN Per Diem Adult Ambulatory Care Job at Saint Peter's Healthcare System

 ...multitasking and love a busy environment, this is the LPN role for you! The LPN Per Diem Adult Ambulatory Care will: Participate in data collection related to patient status and needs When requested, inform and instruct patient/caregivers on patient's health/illness and... 

Superior Recruiting Agency LLC

Recruiter Job at Superior Recruiting Agency LLC

 ...Job Description Job Description Superior Recruiting Agency is a dynamic and forward-thinking organization dedicated to connecting talented...  ...navigating various technology systems. o Experience with online job boards and networking platforms. o Demonstrated ability... 

Hire Energy, LLC

Chemical Plant Blender Job at Hire Energy, LLC

 ...Description Position Overview: We are currently seeking a skilled Chemical Plant Blender to join our team in Midland, TX. The Chemical Plant...  ...production of our chemical products. Responsibilities: Operate blending equipment and machinery to mix chemicals and raw... 

SARC

Case Manager Substance Use - Domestic Violence Shelter Job at SARC

 ...Center) is seeking dedicated individuals to join us in our mission to be Harford County s lifeline for victims and survivors of domestic violence sexual violence child abuse and stalking. About SARC: Established in 1978 through grassroots efforts SARC has been at...