Job Description

Treatment Plan Coordinator

The Treatment Plan Coordinator serves as a liaison between the provider and the patient once the patient has been identified as a candidate for the PRM Protocol, clearly explaining the treatment and its related costs. This role relays information specific to the patient's treatment and timeline, and is prepared to explain, negotiate, and offer financial arrangements. The Treatment Plan Coordinator provides a calm, supportive environment for patients who may be anxious about moving forward with treatment and may also assist with insurance verification duties to support patients' questions about their treatment and cost.

Essential Duties & Responsibilities

• Be present via Teams during discussions with patients after they have seen the provider to help the patient understand the PRM Protocol and their financial responsibility based on their insurance
• When necessary, be present via Teams to go over cost with patients again for a second round of treatment
• Ensure patients understand the PRM Protocol and the financial cost to them
• Help patients understand why treatment is needed and offer options to help them afford it
• Present case fees and financial options to patients to facilitate the decision to move forward
• Present or co-present the treatment plan and consent
• Educate patients, as necessary, regarding their insurance benefits
• Determine medical benefit eligibility, limitations, and payment estimates necessary to facilitate financial arrangements
• Ensure patients are fully informed of their financial obligations
• Ask satisfied patients for a referral or online testimonial
• Proactively communicate with the team on whether the patient has decided to move forward with treatment and the financial decision made
• Track patients who have been spoken to and the outcome of that discussion for administration
• Additional duties as assigned

Compensation & Benefits

Pay Range: $25 - $29/hr

• Medical
• Dental
• Vision
• Life Insurance
• 401(k)
• Paid Time Off
• Paid Holidays

See PRM full benefits guide with job offer package

Requirements

Required Qualifications

• One to two years of relevant experience
• Healthcare insurance benefits experience required

Preferred Qualifications

• Experience with sales, out of network health care services
• Excellent customer service skills

Knowledge, Skills & Abilities

• In-depth knowledge of the PRM Protocol, explained in simple language
• Superb communication skills
• Familiarity with computer systems
• Customer service skills
• Self-directed
• Excellent telephone skills
• Influencing and negotiation skills
• Organizational skills
• Familiarity with out-of-network (OON) and self-pay benefits
• Creative problem-solving skills
• Keen understanding of scheduling and financial systems
• Ability to function within a team environment as a supportive and positive contributor
• Ability to work independently

Physical Demands & Work Environment

This role involves prolonged periods of computer and phone use in a remote or office-based setting, with regular use of telephones, calculators, EMR (eClinicalWorks), Microsoft Excel and Word, and Microsoft Teams to communicate with patients and document treatment plans.

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