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Patient Care Coordinator

4 months ago


Waukesha, United States Optum Full time

**Opportunities with ProHealth Care, part of the Optum family of businesses**. ProHealth Care is proud to be a leader in health care services, serving Waukesha County and the surrounding areas for more than a century. Explore opportunities across the full spectrum of care as you help us improve the well-being of the community with your skills, compassion, and innovation. Be part of a collaborative environment that strives for excellence, nurtures respect, and ensures high-quality care delivery to our patients. Join us in making an impact and discover the meaning behind **Caring. Connecting. Growing together.**

The hours for this role are Monday and Wednesday 10.30-7, Tuesday and Thursday and Friday 8.30-5. It may be necessary, given the business need, to work occasional overtime.

We offer 6 weeks of paid training. The hours of the training will be based on your schedule during normal business hours or will be discussed on your first day of employment.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

**Primary Responsibilities**:

- Supports patient care delivery in the areas of scheduling, insurance verification, and support services
- Ensure patients are fully ready to have successful interactions when they come in for a visit
- Own provider schedule accuracy, providing scheduling options, match patient needs to appointments across the continuum
- Adhere to multi - disciplinary standardized scheduling protocol for providers and supporting care teams
- Accurately maintain expertise in provider, care team, procedural and ancillary schedules and match patient needs to services offered
- Interprets multidisciplinary protocol for complex scheduling in multiple modalities
- Offers access center RN triage, Clinic RN Triage or Assessment & Referral Triage per department protocol
- Effectively utilize virtual patient support services (Pre - visit requirements, prior authorizations, insurance / billing, etc.)
- Place outbound communication to schedule follow - up or care gap closure appointments based
- Ensures revenue cycle integrity by understanding and updating / verifying all needs related to revisit questionnaires, labs, ancillary testing, contact info, demographic info, insurance information, and MyChart and video visit capability
- Accurately connect patients to other services as needed / anticipated (social, financial, billing, clinical, etc.)
- Takes concise phones messages and routes to appropriate staff or provider when immediate resolution cannot be completed
- Effectively work scheduling reports, registries, and work queues in EMR and payer generated reports to meet the needs of the system
- Provide patient with accurate information about any questions or concerns they might have in regards to their healthcare experience

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 in an office setting OR professional work environment

**Preferred Qualifications**:

- Knowledge of medical terminology
- Computer and keyboarding skills
- Medical office experience
- Experience with electronic medical records system

**Telecommuting Requirements**:

- Ability to keep all company sensitive documents secure (if applicable)
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

**Soft Skills**:

- Exemplifies characteristics of a change agent to the meet the needs of the department
- Use critical thinking skills to match patients to services across the organization
- Excellent customer service skills
- Excellent written and verbal communication skills
- Ability to work in fast paced environments
- All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
- 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 h