Executive/Senior Executive - Offshore Patient Care Relations

Job Summary

The Patient Care Coordinator is the primary point of contact for patients, helping them navigate the complexities of their care under healthcare policies and insurance systems. This role ensures smooth coordination from appointment booking through precertification, benefits verification, coding (CPT/ICD), and timely communication. The coordinator works closely with internal teams and external stakeholders (insurers, providers, patients) to manage expectations and resolve issues.

Key Responsibilities

• Schedule and manage patient appointments, including followups.
• Handle precertification / preauthorization processes: submit required documents to insurers; track approval status.
• Conduct benefits verification: confirm patient insurance coverage, eligibility, limitations, deductibles, outofpocket maximums.
• Calculate patient copays / coinsurance / deductibles accurately based on plan details.
• Ensure CPT/ICD coding / certification compliance: coordinate with coding teams as needed to ensure claims align with diagnoses and procedures.
• Communicate clearly and courteously with patients: explain insurance status, what they owe, payment options; ensure they are informed in a timely manner.
• Follow up on insurance denials or claim adjustments; escalate issues to medical billing or finance when needed.
• Maintain accurate and uptodate documentation of all interactions, approvals, patient info, insurance info.
• Liaise with insurance companies, providers, and internal teams to resolve discrepancies or delays.
• Provide excellent customer service and support to patients throughout the care process.
• Manage all the queries from the patient including clinical care, billing, insurance pre-authorization, inpatient status, complaints, medical records, and general service-related queries.

Required Skills & Qualifications

• Bachelors degree in healthcare administration, business, nursing, or related field (or equivalent experience).
• Minimum 2 to 3 years in US healthcare setting particularly in insurance verification, claims support, patientfacing roles.
• Solid understanding of insurance terminology (deductible, co-pay, coinsurance), payer policies, preauthorization, and claims adjudication.
• Working knowledge of CPT & ICD coding systems, or experience coordinating with certified coders.
• Excellent communication (oral & written), interpersonal and customer service skills.
• High attention to detail; strong organizational skills; ability to manage multiple tasks and deadlines.
• Proficiency in using EMR / patient management systems; strong computer skills (MS Office etc.).
• Ability to stay calm under pressure and handle sensitive / confidential patient and insurance information.