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Patient Care Coordinator
4 weeks ago
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.** **Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale.** **Join us to start **Caring. Connecting. Growing together.**
The **Patient Care Coordinator** will be performing registrations for Urgent Care.
This position is full - time (32hrs/week), Friday-Monday. Employees are required to work our normal business hours of Friday and Monday from 7:30am to 4:00pm PST and Saturday and Sunday from 8:15am to 5:15pm PST. It may be necessary, given the business need, to work occasional overtime and holidays. Our office is located at 1450 TREAT BOULEVARD, WALNUT CREEK, CA.
**Primary Responsibilities**:
- Verifies insurance eligibility and benefits on all assigned accounts using electronic verification systems or by contacting payers directly to determine level of insurance coverage
- When contacting payers directly, utilizes approved scripting
- Obtains referral, authorization and pre - certification information and documents this information in system
- Identifies outstanding balances from patient’s previous visits and attempts to collect any amount due
- Trains staff on computer systems, new processes, payer updates and assigned reporting
- Functions as a Superuser for primary computer systems
- Proactively identifies and leads department process improvement opportunities
- Works on Special Projects as needed
- Performs the duties of a Patient Access Representative
- Maintains up - to - date knowledge of specific admission, registration, and pre - registration requirements for all areas
**What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include**:
- Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
- Medical Plan options along with participation in a Health Spending Account or a Health Saving account
- Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
- 401(k) Savings Plan, Employee Stock Purchase Plan
- Education Reimbursement
- Employee Discounts
- Employee Assistance Program
- Employee Referral Bonus Program
- Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications**:
- High School Diploma / GED (or higher)
- 2+ years of Customer Service experience
- 1+ years of electronic health record experience
- Ability to work (40hrs/week) any 8-hour shift during business hours including the flexibility to work occasional overtime based on business need
**Preferred Qualifications**:
- 1+ years of experience with prior authorizations
- Experience with using Microsoft Office products
- Working knowledge of medical terminology
- Understanding of insurance policies and procedures
- Ability to perform basic mathematics for financial payments
- Experience in requesting and processing financial payments
- Experience in insurance reimbursement and financial verification
- Experience in a Hospital Patient Registration Department, Physician's office, OR any medical setting
**Soft Skills**:
- Strong interpersonal, communication, and customer service skills
- At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission._
- Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender ident
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