Patient Care Coordinator (3694)
Full-time
Houston, TX, USA
Patient Care Coordinator (3694)
Overview
Description
US Heart and Vascular is needing a Patient Care Coordinator to join our team at Houston Cardiovascular Associates in Houston, TX.
Responsibilities:
- • Coordinate care for patients receiving specialty cardiovascular and rare disease therapies.
• Serve as a primary point of contact for patients throughout medication approval, enrollment, and treatment processes.
• Educate patients regarding treatment requirements, insurance processes, financial assistance programs, and follow-up care.
• Monitor treatment timelines and proactively address barriers to therapy initiation and continuation.
• Coordinate prior authorizations, benefits investigations, insurance appeals, and reimbursement processes.
• Collaborate with insurance carriers, specialty pharmacies, and manufacturer support programs to facilitate medication access.
• Obtain and submit clinical documentation required for treatment approvals.
• Track authorization status and ensure timely follow-up on pending requests.
• Assist patients in securing copay assistance and financial support programs when eligible.
• Support specialty medication and cardiovascular care programs, including heart failure, cardiac amyloidosis, and hypertrophic cardiomyopathy initiatives. - • Coordinate patient identification, eligibility review, enrollment, and therapy initiation workflows.
• Assist with the integration and coordination of specialty pharmacy partnerships and patient access programs.
• Maintain program tracking tools and contribute to workflow improvement initiatives that enhance patient care and operational effectiveness.
• Work closely with physicians, advanced practice providers, clinical staff, pharmaceutical representatives, specialty pharmacies, and external healthcare partners.
• Facilitate communication among stakeholders to ensure seamless coordination of care.
• Support multidisciplinary efforts focused on improving patient access, treatment adherence, and clinical outcomes.
• Maintain accurate and timely documentation in the electronic health record and other applicable systems. - • Ensure compliance with organizational policies, payer requirements, HIPAA regulations, and manufacturer program guidelines.
• Assist with reporting, audits, quality initiatives, and performance tracking as needed.
• Additional duties as assigned based on practice needs
Requirements:
• High School Diploma or GED required.
• Current Medical Assistant certification (CMA, RMA, CCMA, or equivalent) required.
• Associate degree preferred.
• Bachelor's degree in Healthcare Administration, Health Sciences, Nursing, or a related field preferred.• Minimum of three years of healthcare experience required.
• Cardiovascular experience preferred.
• Experience with specialty medications, prior authorizations, reimbursement support, specialty pharmacy coordination, or patient assistance programs preferred.
Why Choose Us?
• Comprehensive benefits package
• Monday-Friday schedule
• CME allowance
About Houston, TX:
Houston is a diverse city with a booming job market in energy, healthcare, and tech. It has no state income tax, an affordable cost of living, and world-class dining and entertainment. Green spaces, museums, and pro sports teams add to its appeal. Whether for career growth or culture, Houston has it all.