Patient Coordinator

Our client is looking for a Patient Coordinator to support a high-volume virtual care operation by combining patient outreach, insurance eligibility verification, referral processing, and accurate medical record documentation. They operate in the virtual healthcare and remote patient monitoring industry and have expanded their care management services while reporting measurable improvements in hospital readmissions and avoidable emergency visits.

This position is ideal for someone who is comfortable speaking with patients, reviewing detailed healthcare information, and maintaining accurate records. The Patient Coordinator will contact eligible patients, explain available care management programs, verify insurance coverage, process referrals, and document each interaction in the electronic medical record.

The role requires strong communication, attention to detail, and the ability to balance outbound calls with administrative responsibilities. The selected candidate will work with approximately 20 to 25 referrals per day and will be expected to meet a minimum daily completion target.

• Conduct outbound calls to eligible patients and introduce available virtual care services.
• Clearly and compassionately explain Chronic Care Management (CCM), Remote Patient Monitoring (RPM), Transitional Care Management (TCM), Behavioral Health Integration (BHI), and other care management programs.
• Educate patients on program benefits and answer questions regarding enrollment and participation.
• Obtain and accurately document patient consent according to Medicare requirements.
• Follow up with patients regarding appointments, missed visits, care plans, referrals, and enrollment status.
• Review incoming referrals and confirm that patient, provider, insurance, and demographic information is complete.
• Verify Medicare and commercial insurance eligibility before beginning services.
• Confirm active coverage, payer details, policy information, and patient demographics.
• Review primary and secondary insurance coverage and identify potential discrepancies.
• Determine whether patients meet eligibility requirements for Medicare care management programs.
• Communicate insurance changes or coverage issues to the billing team.
• Enter and update patient demographics, insurance information, provider details, referrals, and orders in Athenahealth.
• Document patient calls, outreach attempts, consent, enrollment status, and care coordination activities.
• Upload, organize, and maintain supporting documentation within the electronic medical record.
• Review records for missing or inconsistent information and make the necessary corrections.
• Protect patient information and ensure all documentation follows HIPAA requirements.
• Maintain data accuracy while managing approximately 20 to 25 referrals per day.
• Meet the established minimum daily target for completed referral or enrollment cases.
• Coordinate with clinical, billing, and administrative team members when additional follow-up is required.

• Previous experience in patient coordination, medical administration, referral management, insurance verification, patient access, or a similar healthcare position.
• Experience conducting outbound patient calls in a professional and compassionate manner.
• Familiarity with Medicare and commercial insurance eligibility verification.
• Understanding of primary and secondary insurance coverage.
• Experience reviewing patient referrals and identifying missing or incorrect information.
• Strong data entry skills and exceptional attention to detail.
• Ability to enter and maintain accurate patient information in an EMR or EHR platform.
• Familiarity with HIPAA requirements and the appropriate handling of protected health information.
• Strong verbal and written English communication skills.
• Ability to explain healthcare programs and benefits using clear, patient-friendly language.
• Strong organizational and time-management skills.
• Ability to balance patient outreach, insurance verification, and documentation throughout the workday.
• Comfortable working with daily productivity expectations and a high volume of referrals.
• Reliable internet connection and a professional remote workspace.

• U.S. Medical Assistant (MA) certification is required
• Experience with another EMR or EHR platform may be considered.
• Familiarity with CCM, RPM, TCM, BHI, telehealth, or chronic care programs is preferred.
• Experience supporting healthcare organizations, physician practices, home health agencies, hospitals, or virtual care…