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Patient Care Coordinator- Remote Work Possibilities

Company: VGM Group
Location: Waterloo
Posted on: March 17, 2023

Job Description:

At VGM, we live by a common set of values that we call our power of one principles. We give our employees the freedom and resources they need, backed by our culture of collaboration and diverse thought, to continue innovating and advancing our services - if you want to be empowered to make a difference, you will love it here.

Click below to view a day in the life of a Patient Care Coordinator and learn how you can make a difference every day.

Patient Care Coordinator Summary

VGM HOMELINK Patient Care Coordinators [PCCs] work every day to ensure patients across the country receive the highest standard of care. PCCs do this by performing high quality customer service in an office environment utilizing various forms of technology. A PCC will verify insurance coverage and coordinate healthcare services such as durable medical equipment, medical supplies, transportation services, and home care services. The first few months as a PCC will be spent in training learning business objectives, software systems, and job specific goals. The HOMELINK training team will provide in depth training on of insurance carrier contracts, medical coding, and specific service coordination.

Commitment to in-depth knowledge of our insurance carrier contracts and expectations, as well as high-quality standards and timeliness are crucial to success in this role. This VGM job is fast-paced and ever changing; individuals with high energy and passion for exceeding expectations are encouraged to apply. This VGM job functions in a call-center environment and at minimum 75% of this role will included communication via phone with in-coming and out-going calls.

Working Location: Our main VGM campus is in Waterloo, Iowaremote / work-from-home possibilities can be explored for this role post training and meeting performance expectations *(work from home not guaranteed)

Hours: Monday-Friday; Full-time (40 hours/week) opportunities available. 1st shift 8am-5pm CST and 2nd shift 10am-7pm CST with periodic on call.

Starting Wage: $16 - $20 per hour

Patient Care Coordinator Responsibilities

Upon completion of initial training, PCCs are trained to perform the tasks of a designated service (such as transportation, durable medical equipment, or home health services). The role may include one or more of the following key responsibilities:

  • Answer calls, emails, and requests from customers in a timely and professional manner and perform duties in a call center environment
  • Intake new orders via phone, email, or other electronic means as needed during busy times
  • Review orders to ensure they are setup with accurate coding, quantity, and pricing
  • Negotiate with service providers on equipment or service pricing adhering to contractual requirements when necessary
  • Contact insurance companies to verify or obtain eligibility, benefits, and/or authorization for items or services requested for patients
  • Coordinate the delivery or scheduling of assigned healthcare services, including contacting the patient, provider, or on-line tracking system to confirm items were delivered and/or services rendered
  • Obtain and send appropriate clinical documentation to insurance companies and payer sources by fax or electronic means to determine medical necessity
  • Communicate with all internal and external parties to keep them informed of order status
  • Collect and enter accurate and detailed patient, provider, and payer information into the claim's platform on a real-time basis to prevent delays in billing or services
  • Ensure patients receive a high standard of service delivery and care through a series of follow-up quality questions to ensure quality standards are being met
  • Identify and resolve service issues and complaints
  • Availability for after hours on-call coverage
  • Follows strict confidentiality and HIPAA privacy and security guidelines
  • Complete course requirements to stay up to date on VGM policy and procedures and regulatory, contractual, and accreditation requirements
  • Performs other duties as assigned Patient Care Coordinator Qualifications

    • High School diploma/GED desired
    • Healthcare education or professional experience preferred
    • Must comply with continuing education per VGM, regulatory, contractual, and accreditation requirements Skills and competencies
      • Knowledge of various healthcare industry billing and/or coding terminologies such as ICD-10, HCPCS, CPT, modifiers, and various Medicare NCD's and LCD's preferred but not required
      • High comfort level in phone communication as this role primarily operates in a call center environment
      • Customer service focused with ability to multitask and prioritize
      • High degree of integrity and trust
      • Detail-oriented with strong time management and organizational skills
      • Works well under pressure and is punctual
      • Team player with excellent communication skills Physical Requirements:
        • Operation of office equipment and using technology efficiently such as computers, phones, misc. office equipment
        • Visual abilities to include reading, distance vision and peripheral vision At VGM, you'll enjoy:
          • Highly competitive wage
          • Health and Wellness: Free Walk-in Clinic to all employees & family members regardless of carrying VGM Insurance and 24/7 On-site fitness center and free fitness classes* [All in Waterloo]
          • Company Ownership: VGM is 100% employee-owned meaning employees can earn an annual gift of VGM stock equaling a portion of what you make.
          • Fantastic Benefits: 401k and ROTH 401k with up to 3% company match, Health Benefits, HSA options - single to family, Dental, Vision, Short and Long-Term Disability, Term Life and Voluntary Life Insurance and a physician network where you reside
          • Casual Dress: VGM has a casual work environment, we call it dress for your day.
          • Involvement: Ability to participate in Employee Get Connected Groups, (VGM Young Professionals, Garden Club, Women in Leadership) Volunteering, Companywide celebrations, and more
          • Work-life Balance: Paid Holidays with the Holiday of your Choice benefit, Paid maternity, and Paternity leave, Foster, and Adoption Assistance
            This job description reflects the general duties of the job but is not a detailed description of all duties which may be inherent to the position. Reasonably related additional duties may be assigned to the individual employee.

            VGM Group, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

            This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Keywords: VGM Group, Waterloo , Patient Care Coordinator- Remote Work Possibilities, Other , Waterloo, Iowa

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