Patient Care Coordinator

We are seeking a Patient Care Coordinator to join our team, providing vital administrative and communication support to healthcare providers in a remote healthcare setting. The role involves managing patient information, coordinating care workflows, organizing documentation, and acting as a liaison between patients, doctors, administrative teams, labs, pharmacies, and other healthcare partners. The ideal candidate will be warm, empathetic, service-oriented, and possess clear English communication skills. Prior experience with U.S. healthcare providers and a mandatory MBBS degree are required. This is a full-time, in-office position with a rotating schedule every two months, requiring availability five days a week (Monday through Sunday) with two days off and the ability to work during all holidays except religious ones.

Key Responsibilities
- Coordinate telehealth appointments, ensuring patient readiness, completion of forms, and verification of identification and documentation.
- Monitor patient messages, collect relevant information, and route requests according to established protocols.
- Maintain accurate and organized patient records, notes, communications, and documentation within the Electronic Health Record (EHR) system.
- Manage lab orders and results, including tracking, confirming receipt, uploading documentation, and notifying providers.
- Handle medication-related requests such as refills, coordinating with providers and pharmacies.
- Submit and track referrals, document updates, and ensure follow-through.
- Conduct post-visit follow-ups and coordinate outstanding appointments and administrative tasks.
- Manage inboxes, task queues, and follow-up activities to ensure timely completion.
- Facilitate communication between doctors, patients, specialists, labs, pharmacies, and administrative teams.
- Perform eligibility and benefits verification through EHR systems, payer portals, clearinghouses, and other channels.
- Verify coverage details including copays, deductibles, coinsurance, and out-of-pocket maximums.
- Identify insurance requirements such as prior authorizations, network restrictions, visit limits, exclusions, and payer-specific policies.
- Document eligibility, benefits, patient responsibility, and coverage requirements accurately.
- Initiate and manage prior authorization requests for procedures, services, imaging, durable medical equipment (DME), and medications.
- Gather clinical information, coding references, and supporting documentation for prior authorizations.
- Maintain accurate, timely, and HIPAA-compliant documentation throughout all patient coordination activities.

Required Qualifications
- MBBS degree is mandatory.
- Prior experience working with U.S. healthcare providers or doctors is required.
- Clear and professional English communication skills.
- Experience using eClinicalWorks (eCW) or similar EHR systems.
- Demonstrated warm, empathetic, helpful, and service-oriented approach.
- Ability to work five days per week with rotating schedules every two months.
- Flexibility to work during all non-religious holidays.
- Comfortable working in an office environment.
- Strong interpersonal and customer service skills.
- Basic understanding of medical terminology and healthcare workflows.
- Excellent attention to detail and organizational skills.
- Ability to multitask and manage multiple patient requests simultaneously.
- Knowledge of confidentiality and HIPAA-compliant handling of patient information.

Hiring Process
Candidates will undergo a thorough application review followed by an interview with an Edge representative. Successful applicants will complete onboarding and training before participating in client interviews tailored to specific healthcare needs. Final selection leads to joining the Edge Global Talent Community, where you can contribute meaningfully to healthcare.

At Edge, we are committed to breaking down geographic barriers by connecting exceptional global talent with opportunities in the U.S. healthcare and insurance sectors. We foster a diverse and inclusive work environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration regardless of race, color, religion, gender identity, sexual orientation, national origin, disability, age, veteran status, or any other protected status.