Patient Care Coordinator
San Diego, CA - USA
Job Summary
Were on the lookout for driven patient focused Patient Care Coordinators to join our REMOTE Call Center - part-time and full-time opportunities await.
Come be a part of the future of Sleep Medicine! Join our Growth & Experience team and help us improve the lives of countless patients suffering from sleep apnea! Were on a mission to make a positive impact on the lives of patients living with sleep disorders by simplifying the complex process from diagnosis to treatment.
The Patient Care Coordinator (Call Center) is responsible for delivering high-quality patient support primarily through inbound and outbound phone chat and digital channels. This role manages patient scheduling education order coordination and issue resolution across the full patient lifecycle.
The Patient Care Coordinator serves as a central point of contact for patients and provider offices ensuring efficient call handling accurate documentation proper authorization and seamless patient experience while supporting therapy adherence and outcomes.
CORE RESPONSIBILITIES
To perform this job successfully an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge skill and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Patient Communication & Call Management
Handle high-volume inbound calls chats and voicemails
Handle outbound calling as needed
Guide patients through scheduling therapy programs and web-based tools
Triage patient needs and escalates clinical concerns to Respiratory Therapists when appropriate
Manage ACD queues and ensure timely response to all patient inquiries
Acts as a main point of contact for Providers Health System and Insurances
Provide clear professional communication including with escalated or dissatisfied callers
Scheduling & Care Coordination
Initiates calls to patients and schedules routine appointments for equipment set ups home visits follow up appointments and other procedures as needed. Enters all appointments into the electronic scheduling system
Informs patients on what to expect during their appointments and provides basic education on company services
Coordinate across departments to ensure timely patient progression through care
Maintain accurate scheduling and patient records in systems
Orders Benefits & Medical Records
Create and process orders for equipment and services
Contacts physician offices for Certificate of Medical Necessity (CMN) referrals and qualifiers for sleep studies and for orders complications and recommendations as necessary
Ensure all related price quotes given to customers/patients are appropriate and meet current company pricing policy
Explain insurance benefits authorizations coverage and copays to patients and collect payment
Ensure compliance with payer requirements and company policies
Patient Education & Support
Educate patients on therapy expectations equipment basics and next steps
Support compliance outreach efforts to improve adherence and outcomes
Act as a patient advocate and liaison across internal teams
Identifies patient urgency and routes patient requests to appropriate staff
Documentation & Systems
Ensure HIPAA compliance and adherence to regulatory standards (e.g. Joint Commission Medicare) in Brightree and other systems
Process faxes documentation and physician communications
Generate and send compliance reports and updates to provider offices
Review patient files both electronic and hard copy for accuracy and for compliance with BetterNights policy and procedures
QUALIFICATIONS
Must be able to work standard business hours in Pacific Standard Time Zone (California time).
Strong commitment to patient care
Strong level of product knowledge
High school diploma or equivalent required
13 years of healthcare customer service or administrative experience preferred
Strong communication problem-solving and organizational skills
Knowledge of HIPAA and patient rights
Experience with Brightree or similar systems preferred
Strong communication and de-escalation skills
Ability to multitask across systems while on calls
Comfortable in a fast-paced metric driven environment
High attention to detail and documentation accuracy
2-3 years experience working in customer service administration or reception is required
Experience in the healthcare industry or DME preferred
Full-time Employees eligible for Medical Dental Vision Sick Holiday & Vacation time off
$18.00 - $22.00 / hour DOE
BetterNight is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin or protected veteran status and will not be discriminated against on the basis of disability. The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about discussed or disclosed their own pay or the pay of another employee or applicant. However employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information unless the disclosure is (a) in response to a formal complaint or charge (b) in furtherance of an investigation proceeding hearing or action including an investigation conducted by the employer or (c) consistent with contractors legal duty to furnish information. 4I CFR 60-I.35(C).
Required Experience:
IC
About Company
BetterNight’s platform integrates a comprehensive sleep apnea solution including screening, testing, telemedicine, therapy and remote patient monitoring.