Patient Care Coordinator - Melville, NY

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  Wage: $TBD
  Department: Administrative
  Position Type: Full Time
  Location: Melville, NY

Achieve Beyond is a national Pediatric Therapy and Autism Services agency. With offices in New York (Metro area/Long Island, Hudson Valley & Albany), New Jersey, Virginia/DC area, Connecticut, Minnesota, Maryland, Delaware, and California (greater Los Angeles & Orange County, and San Diego). Achieve Beyond provides quality evaluation and therapy services such as special education, autism services, speech, physical, and occupational therapies to children birth through twenty-one years of age via telehealth, in clinic and in homes and the community.

Responsible for assisting case managers with daily tasks as well as various departments with coverage/miscellaneous tasks.

We believe that all children have potential. We are guided by the mission to support children with special needs to Achieve Beyond their current abilities. We are always striving for continuous improvement by setting goals and measuring performance.

It is the reason we will succeed together

Responsibilities:

  • Assures timely consistent communication with company personnel and outside providers
  • Update patient records to ensure accurate information
  • Verify insurance coverage for all clients
  • Process Plan of Cares for clients
  • Request authorizations for clients services
  • Input in all authorizations received
  • Create spreadsheets to send claims back for reprocessing
  • Discuss financial responsibility of patient and collect payments
  • Quality Assurance-quarterly audits including parent surveys
  • Ongoing prescription tracking
  • Coverage for various departments
  • Other duties as assigned by manager


Requirements:

  • Medical Billing Experience a plus
  • Knowledge of Insurance rules, regulations and compliance guidelines.
  • Medical Insurance Experience Preferred
  • Ability to multitask and respond quickly to concerns
  • Strong Knowledge of MS Office, Outlook and Excel
  • Ability to work overtime when needed


Benefits Include:

  • Personal and Sick Time
  • Medical/dental/vision coverage
  • Paid Holidays
  • 401k with matching
  • Short-term, long-term disability, life insurance
  • Employee Recognition Events-and so much more!

*Please note that this role's location is a full-time in office position.

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This job description is subject to change at any time.
Achieve Beyond provides equal employment opportunities to all employees and applicants and prohibits discrimination and harassment of any type regarding race, color, religion, age, sex, national origin, disability status, genetics, caregiver status, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. If you are an individual with a disability requesting an accommodation for the application process, please contact us for assistance.