Patient Care Coordinator
5 days ago
At Optum, we deliver 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. This position is full-time (40 hours/week), any day of the week. Hours are varied, could be day, evening, or overnight, and will be discussed during the interview. It may be necessary, given the business need, to work occasional overtime. Our team is located at the Emergency Department.
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 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) 1+ years of experience working in a hospital Patient Registration department, physician office setting, healthcare insurance company, revenue cycle vendor, and/or other revenue cycle related roles 1+ years of experience working with medical terminology 1+ years of experience in requesting and processing financial payments Intermediate (or higher) level of computer proficiency Ability to work on-site at our Emergency Department Able to work all of our overnight shifts (4pm to 2:30am, 6pm to 4:30am, and 8pm to 6:30am) as scheduled
Preferred Qualifications:
Knowledge of charity care programs as well as the various government and non-government programs Experience with MS4 and Cerner Bilingual fluency Strong knowledge of both government and commercial insurances
Soft Skill:
Thorough understanding of insurance policies and procedures
PLEASE NOTE The sign-on bonus is only available to external candidates.
Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.
California Residents Only:
The hourly range for California residents is $16.00 to $28.27 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable.
In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).
No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
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 identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #RED s-p-m1- By applying, you consent to your information being transmitted by Monster to the Employer, as data controller, through the Employer's data processor SonicJobs.
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