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Patient Care Coordinator
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Robert Half
Brockton, MA (In Person)
Full-Time
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Job Description
We are looking for a Patient Care Coordinator to support claims resolution and financial clearance activities for a healthcare organization.
This long-term contract position is ideal for someone with hands-on experience in healthcare revenue cycle operations, insurance verification, prior authorization, and patient financial communication. The person in this role will work in a fast-paced, queue-driven environment, handling claim-related issues, validating coverage, and helping patients understand billing and benefit responsibilities while maintaining accurate documentation in electronic health record systems.
This long-term contract position is ideal for someone with hands-on experience in healthcare revenue cycle operations, insurance verification, prior authorization, and patient financial communication. The person in this role will work in a fast-paced, queue-driven environment, handling claim-related issues, validating coverage, and helping patients understand billing and benefit responsibilities while maintaining accurate documentation in electronic health record systems.
Responsibilities:
- Investigate and correct claim issues caused by incomplete, inaccurate, or missing billing information so accounts can move forward for timely submission.
- Enter charges manually by compiling demographic details, insurance data, and visit information from multiple sources to support accurate fee billing.
- Review coverage status and confirm that active insurance applies to scheduled services, procedures, or visits before billing is processed.
- Interpret plan benefits, coverage limits, effective dates, authorization rules, and patient cost obligations for upcoming care.
- Complete eligibility checks through available verification tools and record all findings clearly within Epic or other applicable electronic systems.
- Provide patients with understandable cost estimates and explain expected out-of-pocket expenses related to their care.
- Guide patients and families toward financial assistance or counseling resources when insurance coverage is limited or insufficient.
- Communicate important patient-facing policies and required documentation details when clarification is needed during the financial clearance process.
- Support productivity goals in a high-volume workflow while collaborating with team members on escalated payer or account issues.
- Share knowledge with colleagues by offering guidance on payer requirements, revenue cycle processes, and billing-related questions.