Patient Care Coordinator

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.

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.

Qualifications:

• Background in healthcare revenue cycle work, with particular strength in front-end financial clearance or claims support functions.
• Practical experience with insurance verification, prior authorization, denial-related follow-up, and billing work queues.
• Ability to interpret commercial insurance, Medicare, and Medicaid benefits and apply that information accurately to patient accounts.
• Familiarity with Epic or other EMR/EHR platforms used to document eligibility, coverage, and account activity.
• Understanding of retail pharmacy payer processes or pharmacy-related authorization workflows is preferred.
• Strong written and verbal communication skills, with the ability to explain financial information clearly to patients and internal teams.
• Knowledge of medical terminology, clinical procedures, and patient financial responsibility calculations.
• Proven ability to work independently in a high-volume, productivity-focused environment while maintaining accuracy and attention to detail.

Compensation

$17.00-$18.00 Hourly

About Us

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All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

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