
501 - 1000 employees
Founded 2005
⚕️ Healthcare Insurance
📚 Education
🧘 Wellness
Healthcare Insurance • Education • Wellness
PM Pediatric Care is a healthcare provider specializing in pediatric urgent care and comprehensive behavioral health services for children and young adults aged 5-26. The company offers convenient, top-quality, evidence-based medical care with services that include virtual visits, medication management, and psychiatric services. Additionally, PM Pediatric Care provides educational resources for parents and caregivers and works closely with schools to improve K-12 student outcomes with full-spectrum physical and mental health programs. They also have strategic partnerships with leading health systems and provide professional development for clinicians.
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🗣️🇪🇸 Spanish Required
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501 - 1000 employees
Founded 2005
⚕️ Healthcare Insurance
📚 Education
🧘 Wellness
Healthcare Insurance • Education • Wellness
PM Pediatric Care is a healthcare provider specializing in pediatric urgent care and comprehensive behavioral health services for children and young adults aged 5-26. The company offers convenient, top-quality, evidence-based medical care with services that include virtual visits, medication management, and psychiatric services. Additionally, PM Pediatric Care provides educational resources for parents and caregivers and works closely with schools to improve K-12 student outcomes with full-spectrum physical and mental health programs. They also have strategic partnerships with leading health systems and provide professional development for clinicians.
• Provide warm, friendly, and excellent customer service through all interactions with patients, referral sources and staff members. • Communicate directly with patients to schedule, re-schedule and/or cancel their initial and subsequent appointment requests accurately by following practice scheduling protocols and tools. • Provide accurate and courteous information regarding our services to physicians and other callers. • Respond effectively and promptly to all patient, provider, and team member requests. • Maintain/Update patient information and working knowledge of insurance protocols. • Utilize eligibility systems, on-line websites or phone calls to determine insurance benefits. • Provide information to the patient and/or guarantors regarding their benefits and financial obligations. • Handle billing inquiries, collect any out of pocket (deductibles, copays, etc), and process payments accurately. • Explain insurance coverage and financial responsibility to patients in clear language. • Communicate when insurance issues arise (inactive coverage, referral needed, etc.). • Work with billing teams to correct coverage issues. • Maintain insurance panels. • Obtain approval for schedule changes or cancellations as appropriate. • Meet specified goals and objectives assigned by management. • Escalate any problems that may arise to management. • Complete other duties as assigned or identified based on patient needs. • Ability to adhere to quality and productivity standards.
• Experience with insurance eligibility • Bilingual Spanish Preferred • Bachelor’s degree preferred • Attention to detail a requirement • Strong organizational skills • Ability to multi-task and prioritize • Ability to work well with others in a team driven environment
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