Patient Care Associate

Summary: We are seeking a friendly, reliable, and customer-focused individual to join our vibrant team. If you enjoy helping people and thrive in a fast-paced retail environment, we’d love to hear from you! The associate ensures accurate, compliant billing and recordkeeping while supporting the organization's operational workflow.

Responsibilities and Duties:

• Answer incoming phone calls and take customer inquiries and orders. Set up new patient files.
• Verify private insurance, Medicare, and Medicaid coverage. Process intake forms and all necessary forms for product or service delivery. Familiar with rules and regulations for the coverage being billed.
• Respond to patient inquiries and problems. Serve as a liaison between the customer and the company.
• Maintain communication with patients and referral sources. Communicate with the physician's office to follow up or request authorization forms.
• Maintain accurate and complete patients’ records for all billing purposes.
• Communicate and resolve problems with patients, referral sources, and third-party insurance, as well as with DMEPOS operations for proper procedures for reimbursement.
• Obtain necessary information for billing purposes, review it for completeness and accuracy, and oversee the claims submittal process.
• Maintain rental files by verifying that the customer is still using equipment, verifying Medicaid coverage each month, and following up on Medicaid Pending patients.
• Responsible for computer input, summary printouts, and monthly reports
• Prepare invoices and other documents for the following day’s route deliveries.
• Assist in preparing driver routes and communicate with patients as necessary. Act on a call basis for patient care delivery in an emergency.
• Perform manual or electronic processing of reimbursement claims.
• Maintain files on DME patients on types of equipment and repairs furnished
• Attend in-service training and group meetings regularly to be updated on all new DME and insurance regulations and compliance issues.
• Input data from various sources. Print orders, invoices, statements, and various reports.
• Request assignment of benefits, prescriptions, letters of medical necessity, and other required information
• Perform other duties as assigned by supervisors.

Qualifications:

• Education: Graduate of an accredited high school or equivalent.
• Previous data entry or customer service experience; basic computer skills.
• Excellent customer relations skills. Excellent telephone manner.
• Able to communicate effectively both orally and in writing.

Physical Requirement:

• Ability to stand for 8 hours or to walk back and forth for an 8 hr work shift.
• Ability to lift 15 pounds, 4 feet off the floor.

Continuous Educational and Licensing Requirements: In-service training on HIPAA, sexual harassment, infection control, appropriate Medicare billing requirements, prevention of billing errors and fraud and abuse, and relevant product knowledge. A satisfactory annual job performance evaluation.

Disclaimer: The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.

Job Types: Full-time, Part-time

Pay: $18.00 - $22.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Flexible spending account
• Health insurance
• Paid time off

Language:

• Chinese Dialects (Required)

Work Location: In person