Patient Services Coordinator/ Prior Authorization

Who we Are:

Nestled in the most northern part of Vermont, North Country Hospital is a community-focused 25 bed critical access hospital, where we prioritize the well-being of our neighbors. North Country Hospital is more than just a healthcare provider; we are a vital part of the community, working together to build a healthier future. Our patient's health is our priority, and we go above and beyond to care in every way possible.

Position Statement

Under the direction of the Director of OTC and in coordination with the other unit staff, the patient care coordinator manages overall services for patients and provides support for the smooth operation of the medical practice and services to the patients.

Key Responsibilities:

• Coordinates computerized scheduling for all patients.
• Verifies patient's insurance eligibility, updating demographics, making patient folders, preparing appropriate forms and labels needed for visits.
• Handles phone information requests with courtesy, accuracy, and respect for patient confidentiality
• Prior to scheduling visit, assures correct prior authorization has been obtained for medication and infusion.
• Reviews new orders and prior authorizations to determine coverage and congruence.
• LNA duties (not required):
• Assists and supervises patients to perform activities of daily living including toileting, eating, and ambulating.
• Performs and documents vital sign checks.
• IV removal

Knowledge, Skills and Abilities:

• High school diploma.
• Typing and computer skills required.
• Medical terminology and prior authorization experience required.
• Current Vermont LNA license preferred.
• Current BLS certification preferred.