RN Care Coordinator

The Care Coordinator provides a collaborative approach with nursing, pharmacy, sales and the Revenue Cycle Management departments to ensure timely onboarding and ongoing reimbursement of services for all specialty care patients throughout the duration of therapy.

Essential Job Duties

• Coordinates patient care to meet the needs of complex specialty care patients.
• Manages referrals within a team environment and directs the process of these accounts to ensure they are on-boarded in a timely manner.
• Responsible for the timely and complete on boarding process which includes obtaining all required intake documentation and discussing the financial obligations of the patient associated with the service.
• Serve as a resource and problem solver for patients and their caregivers, nurses, pharmacists, reimbursement coordinators, intake and insurance coordinators payer relations personnel, sales and marketing representatives, patients and their caregivers.
• Provides a collaborative approach between patient and provider to advocate for professional excellence and quality outcomes.
• Other job duties and special projects as assigned.
  
  

Ideal Candidate Will Have

• College degree or a minimum of 7 years’ experience in a related field such as intake, customer service, complete verification/authorization of benefits, billing & collections for home infusion therapies, durable medical equipment or health insurance background are required.
• Compact Nursing Licensure required; Current licensure as a Registered Nurse and the ability to obtain and maintain all required state licensures for your Region (East, Central, West and/or HAI).
• Skilled in medical billing and reimbursement; 3-5 years of case management experience and clinical experience in home infusion therapy.
• Proficiency with CPR+ and exceptional computer skills with programs such as MS Outlook, Word, Excel and PowerPoint.
• Skilled in medical billing and reimbursement and skilled at multitasking, teamwork and communication.
  
  

Salary Range: $65,000

Pentec Health offers a comprehensive compensation and full benefits package. Actual pay will be based on several factors such as qualifications and skills for the role plus geographic location.

Benefits may include but are not limited to medical, dental, vision, 401k match, PTO, paid holidays, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits