The Patient Intake & PIP Coordinator contacts verified leads, educates them about care and wage‑loss recovery options, and seamlessly connects them with medical providers and attorneys. The role also verifies coverage, coordinates telemedicine visits, and manages PIP billing and collections in accordance with state‑specific requirements.
What we offer…
- Monday to Friday / Full-Time / Eastern Time Zone.
- Be part of an international business and increase your work experience.
- Create your comforts to work as you will have your own space to do so.
- Forget about wasting time going to an office as you will work from home.
What will you be doing in this position?
- Call verified leads daily to explain services and guide them through the intake process.
- Confirm PIP insurance coverage and eligibility using verification tools (e.g., Axle) and carrier portals.
- Collect patient demographics, accident details, and relevant medical history; ensure accurate intake documentation.
- Immediately connect patients with a telemedicine provider for evaluation and treatment when appropriate.
- Coordinate with wage‑loss attorneys to ensure they receive required patient information and records.
- Prepare, submit, and track PIP claims in compliance with state‑specific rules and timelines.
- Follow up on outstanding claims, address denials, and pursue timely payment; escalate per SOPs.
- Maintain accurate, HIPAA‑compliant patient, claim, and billing records across systems (EMR, billing, portals).
- Provide excellent customer service and build trust with patients during a stressful time.
- Collaborate with providers and internal teams to resolve coverage, documentation, and scheduling issues promptly.
What do we need from you?
- Prior experience in medical intake, patient coordination, or billing/collections highly preferred.
- Knowledge of PIP insurance or personal injury medical billing is highly preferred.
- Strong communication skills; able to explain processes clearly and empathetically to patients.
- Tech‑savvy; comfortable navigating EMR, telemedicine platforms, insurance portals, and verification tools.
- Organized, detail‑oriented, and able to manage multiple cases concurrently.
- Bilingual (Spanish & English) required.
Your typical workday, workweek and your performance evaluation will be based on…
- Daily Tasks:
- Prioritize and contact new verified leads; document conversations and next steps.
- Verify coverage/eligibility; capture demographics, accident details, and consents.
- Schedule same‑day/next‑day telemedicine evaluations; coordinate reminders and instructions.
- Prepare and submit initial PIP claims and required forms; upload supporting documentation.
- Work claim follow‑ups and denials; communicate with carriers and attorneys; update aging queues.
- Maintain accurate records in EMR and billing systems; complete end‑of‑day reconciliations.
- Weekly Tasks:
- Pipeline review: intake queue, scheduled telemedicine, and claim aging.
- Weekly sync with lead/manager to review KPIs, blockers, and process improvements.
- Quality audit of documentation and compliance; update checklists/templates as needed.
- Coordination huddles with providers and wage‑loss attorneys to resolve open items.
Performance Evaluation & KPIs:
- Speed‑to‑first‑contact: % of new verified leads contacted within same business day.
- Lead‑to‑appointment conversion: % of contacted leads scheduled for telemedicine.
- Coverage verification turnaround: Median hours to confirm PIP eligibility.
- Show rate: % of scheduled telemedicine visits completed; no‑show rate ≤ 15% (with reminder protocol).
- First‑pass claim acceptance: ≥ 95% for initial PIP submissions.
- Days‑to‑payment (DSO): Median days from submission to payment, aligned with state timelines.
- Denial resolution: % of denials appealed/resolved within SLA.
- Documentation quality: QA score ≥ 97% on accuracy, completeness, and HIPAA compliance.
Patient satisfaction: Positive feedback/call‑quality scores.
About our Client…
We connect patients with the medical care and legal support they need after an accident. Our teams coordinate intake, verify benefits and coverage, facilitate telemedicine evaluations, and manage PIP (Personal Injury Protection) billing and collections so patients can recover health and wages with less stress.
Apply now to join VA Locator and start making a significant impact in a dynamic environment.
We look forward to your application!
