Patient Coordinator (Insurance Authorization)

The Patient Coordinator provides administrative support across the patient journey, combining patient intake, care coordination, patient account management, and billing and collections in one role. The position serves as a central point of contact for patients, families, providers, and insurance companies, helping ensure timely access to services and accurate management of patient information and accounts.

This role coordinates appointments and referrals, verifies insurance and authorizations, manages claims and payments, and resolves patient inquiries. By keeping information accurate and following through on outstanding needs, the Patient Coordinator supports patient satisfaction, efficient care delivery, and healthy revenue cycle performance. The Patient Coordinator may be assigned to a specific line of business based on operational needs, with day-to-day responsibilities aligned to the workflows and requirements of that assignment.

Responsibilities & Duties

Patient Intake and Registration

• Collect and verify patient demographics, contact details, insurance information, medical history, and referral details required for services.
• Enter and update information in EHR, patient registration, and practice management systems; check for missing or inconsistent information.
• Ensure required intake forms and consents are completed and signed, explain documentation requirements, and route complete records to the appropriate teams.

Patient Support and Care Coordination

• Act as a primary contact for patients and families regarding services, appointments, care coordination, and next steps; respond with empathy and professionalism.
• Schedule and confirm appointments, tests, and follow-ups; coordinate referrals with physicians, specialists, hospitals, and other healthcare providers.
• Coordinate with clinical teams and case managers to address patient needs, remove administrative barriers, and follow up on unresolved concerns.
• Relay provider-approved instructions on treatment plans, medications, discharge, follow-up care, and lifestyle changes; refer clinical questions or urgent concerns to qualified clinical staff.

Insurance Verification and Authorization

• Verify eligibility, coverage, benefits, and referral or prior authorization requirements before services or billing, as applicable.
• Obtain and track authorizations for treatments, procedures, or medications; coordinate supporting documentation and follow up with payers and providers.
• Explain insurance benefits, authorization status, and estimated out-of-pocket costs to patients using verified information.

Patient Account Management and Billing

• Maintain accurate patient accounts, including demographic and insurance details, charges, balances, and documented account activity.
• Prepare and issue accurate patient invoices or statements; explain charges, insurance coverage, outstanding balances, and payment options.
• Resolve billing inquiries and discrepancies, coordinate approved payment plans, and escalate unresolved disputes to the appropriate lead.

Claims Management and Collections

• Prepare, review, and submit medical claims for completeness, accuracy, and alignment with documented services and applicable coding requirements.
• Follow up on unpaid, rejected, or denied claims; resolve discrepancies, obtain corrections from the appropriate team, and resubmit claims as needed.
• Communicate with insurance providers about claim status and reimbursement; monitor payments for timeliness and accuracy.
• Track accounts receivable and overdue balances, conduct patient and payer follow-ups, and document collection activity and agreed next steps.

Payment Processing and Reconciliation

• Post patient and insurance payments accurately in the billing system.
• Process adjustments, credits, and refunds within approved policies and authorization limits.
• Reconcile daily deposits, payments, and account balances; investigate and escalate discrepancies.

Records Communication and Reporting

• Maintain complete and current records of care plans, provider-documented treatments, patient communications, authorizations, claims, and financial transactions.
• Facilitate authorized medical record transfers between departments and providers and ensure timely information sharing across clinical, billing, and administrative teams.
• Prepare reports on task completion, billing activity, collections, outstanding accounts, and unresolved patient or insurance issues.
• Identify recurring billing errors, denial patterns, patient concerns, or process delays and recommend improvements.

Compliance and Confidentiality

• Follow HIPAA requirements, applicable healthcare and payer requirements, and organizational policies for intake, documentation, billing, and collections.
• Protect confidential patient medical and financial information and use approved systems and communication channels.
• Maintain professional, sensitive patient interactions and promptly report privacy concerns, errors, or matters requiring management or clinical intervention.

Requirements

• 1–3 years of relevant experience in healthcare administration, patient services, medical billing, patient accounts, accounts receivable, or collections, with demonstrated ability to support the combined responsibilities.
• Hands-on experience with patient intake or registration, scheduling, insurance eligibility, authorizations, claims follow-up, and billing or collections workflows.
• Experience using EHR, patient registration or practice management systems, and medical billing software.
• Working knowledge of medical terminology, CPT and ICD-10 codes, insurance reimbursement processes, and patient information confidentiality.
• Strong spoken and written English, accurate data entry, attention to detail, and the ability to explain administrative and billing information clearly.
• Proficiency in Microsoft Excel, Word, and Outlook; ability to prioritize multiple patient and account-related tasks.

Preferred Qualifications

• Experience supporting a US healthcare account across intake, care coordination, and revenue cycle functions.
• Experience resolving claim denials, reconciling payments, arranging approved payment plans, and analyzing aging accounts or recurring billing issues.
• Experience working with clinical, billing, and administrative teams in a shared service environment.

Educational Requirements & Certifications

• High school diploma or equivalent required.
• Associate’s or bachelor’s degree in healthcare administration, nursing, social work, business, accounting, finance, or a related field preferred.
• Relevant certification or coursework in medical administration, care coordination, medical billing and coding, or healthcare finance preferred.

Benefits

• HMO with 1 free dependent upon hire
• Life Insurance
• 20 PTO credits annually
• Great Company Culture
• Career Growth and Learnings
• Equipment will be provided by the company
• 10% Night Differential
• NIGHT SHIFT
• ONSITE (SM Clark or Makati)
• Php 28,000 (Basic) + 4,500 PHP (Allowance)