Plan of Care Specialist

Jasper, GA - USA

Monthly Salary: Not Disclosed

Posted on: 7 hours ago

Vacancies: 1 Vacancy

Job Summary

Plan of Care Specialist ProgressiveHealth of Indiana LLC Jasper IN

We are looking for an energetic and customer service-driven Plan of Care Specialist to join our team! This position will maintain therapy Plans of Care and support front-office operations within our patient settings. This is a full-time in-office position with a weekday day-shift schedule. No previous experience is needed but would be ideal to have. This is also a wonderful opportunity to expand your knowledge and gain experience in the healthcare industry. Come be a part of a growing organization in a progressive supportive and innovative team!

Monday - Thursday 7:30AM - 4:30PM & Friday 7:30AM - 4PM

What will you be doing in this role

Monitoring and managing Outstanding Plan of Care (POC) Approval Reports and related POC work queues with accuracy and timeliness
Uploading and maintaining precise POC documentation within required timeframes with accurate approval dates
- Coordinating with provider offices to ensure timely POC certification and properly documenting all communication
Collaborating with clinic partners to reduce delays eliminate workflow barriers and uphold documentation quality
Monitoring aging POCs and securing necessary Delayed POC certifications to ensure compliance standards are met
Scheduling and recapturing appointments missing in action patients and pro-actively rescheduling appointments
Coordinating with the patient and/or referring physician to obtain referrals
- Documenting referrals as directed in appropriate logs
- Scheduling initial evaluations and follow-up visits to yield optimal visits per treatment plan
Verifying patients insurance in advance to ensure that necessary prior authorizations by payors have been obtained
Educating patients confidently about their coverage and payment responsibilities as it relates to therapy services
Ensuring patients understand and sign necessary documentation related to insurance coverage for services deemed non-covered
Collecting all monies that are due prior to each visit
- Could include co-payments deductibles co-insurance and payments on statements
Any other duties relating to the operations of the clinic that might be assigned by the Site Coordinator Revenue Cycle Department or Patient Experience Coordinator

This does not necessarily list all responsibilities duties requirements or efforts associated with the job. While this list is intended to be an accurate reflection of the job the company reserves the right to review and modify the functions duties and requirements of the job or to require that additional or different tasks be performed as circumstances or business needs require.

Our ideal candidate would:

Have a high school diploma or GED
Have at least a year of related experience and/or training
- Past medical office experience is preferred but not required
Have the ability to stand walk and sit throughout the entire assigned shift
Have a high degree of professionalism in both written and verbal communication
Have strong computer skills including proficiency with databases and with Microsoft Office applications including Outlook Word PowerPoint and Excel
Have the ability to work both independently and in a team environment without constant supervision
Be able to maintain confidentiality
Be able to adapt learn and multitask in a fast-paced setting

What you get from us:

Opportunity for important work/life balance
Monthly bonus potential
Paid time off (PTO) & paid holidays
A robust benefits package: medical (HSA/FSA availability) dental vision and supplemental insurance options

Health improvement plan opportunities to lower premium costs

FREEuse of the ProCare HealthSpot medical clinic for insured employees and dependents

Includes medical care virtual visits with a 24/7 nurse call line lab testing and generic medications

Company-sponsored basic life/AD&D insurance and long-term disability insurance
401(k) & ROTH 401(k) savings plans company match with auto-enrollment after probationary period
Opportunities for growth and advancement

Eligibility to Work:

This position requires candidates to be authorized to work in the United States on a full-time basis without requiring current or future sponsorship for an employment visa (e.g. H-1B OPT etc.).

About ProgressiveHealth:

ProgressiveHealth is the premier provider of a broad spectrum of occupational and non-occupational health services including on-site medical injury prevention health improvement rehabilitation management solutions and more! We are dedicated to delivering superior care and improving both patient and client outcomes. With over 1000 employees supporting operations across the United States and in Canada ProgressiveHealth continues to expand the number of client partners it serves and the lives it impacts.

An Equal Opportunity Employer

Required Experience:

Plan of Care Specialist ProgressiveHealth of Indiana LLC Jasper INWe are looking for an energetic and customer service-driven Plan of Care Specialist to join our team! This position will maintain therapy Plans of Care and support front-office operations within our patient settings. This is a full-t...