Associate Patient Care Coordinator

3 weeks ago

Glendale, United States Optum Full time

**$2,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS**

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.**

As **Patient Care Coordinator,** we are often the first point of contact for our patients and their families. As such we value representing an important first impression. Our professionalism, expertise and dedication help ensure that our patients receive the quality of care they need. We are diligent in obtaining complete and accurate insurance and demographic information in a timely manner, this enable us to provide high quality, compassionate health care service to all who need them, regardless of their ability to pay.

**Hours**:Thursday 12:00pm to 6:30pm; Friday, Saturday and Sunday 6:00 am to 6:30 pm

**Location**: 17040 N 51st Ave., Glendale, AZ 85308

**Primary Responsibilities**:

- Maintains up-to-date knowledge of specific registration requirements for all areas, including but not limited to: Main Admitting, OP Registration, ED Registration, Maternity, and Rehabilitation units
- Ensures complete, accurate and timely entry of demographic information into the ADT system at the time of registration
- Properly identifies the patient to ensure medical record numbers are not duplicated
- Responsible for reviewing assigned accounts to ensure accuracy and required documentation is obtained and complete
- Meet CMS billing requirements for the completion of the MSP, issuance of the Important Message from Medicare, issuance of the Observation Notice, and other requirements, as applicable and documenting completion within the hospital’s information system for regulatory compliance and audit purposes
- Collects and enters required data into the ADT system with emphasis on accuracy of demographic and financial information in order to ensure appropriate reimbursement
- Carefully reviews all information entered in ADT on pre-registered accounts
- Verifies all information with patient at time of registration; corrects any errors identified
- Identifies all forms requiring patient/guarantor signature and obtains signatures
- Ensures all required documents are scanned into the appropriate system(s)
- Identifies all appropriate printed material hand-outs for the patient and provides them to the patient/guarantor (Patient Rights and Responsibilities, HIPAA Privacy Act notification, Advance Directive, etc.)
- Follows “downtime” procedures by manually entering patient information; identifying patient’s MRN in the MPI database, assigning a financial number; and, accurately entering all information when the ADT system is live
- Follows EMTALA-compliant registration steps for both Emergency Department and Labor and Delivery areas
- Assesses self-pay patients for presumptive eligibility and when appropriate initiates the process
- In the Emergency Department follows protocol for special cases, including but not limited to 5150, Sexual Assault Response Team (SART), Domestic Violence patients, Child Protective Services, incarcerated patients, Worker Compensation patients, auto accidents, animal bite reporting, etc as required
- Monitors and addresses tasks associated with the Mede/Analytics PAI tool
- Follows approved scripting, verifies insurance benefits on all patients registered daily by using electronic verification systems or by contacting payers directly to determine the level of insurance coverage
- Thoroughly and accurately documents insurance verification information in the ADT system, identifying deductibles, copayments, coinsurance, and policy limitations
- Obtains referral, authorization and pre-certification information; documents this information in the ADT system and submits notices of admission when necessary
- Verifies medical necessity check has been completed for outpatient services. If not completed and only when appropriate, uses technology tool to complete medical necessity check and/or notifies patient that an ABN will need to be signed
- Identifies payer requirements for medical necessity
- Verifies patient liabilities with payers, calculates patient’s payment, and requests payment at the time of registration
- Identifies any outstanding balance due from previous visits, notifies patient and requests patient payment
- Sets up payment plans for patients who cannot pay their entire current copayment and/or past balance in one payment
- Thoroughly and accurately documents the conversation with the patient regarding financial liabilities and agreement to pay
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