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Patient Care Coordinator

2 months ago

Framingham, Massachusetts, United States Optum Full time
About the Role

This is a dynamic opportunity to join Optum as a Patient Care Coordinator, where you will play a vital role in delivering exceptional patient care and administrative support to our healthcare team.

Key Responsibilities
  • Verify and authorize patient insurance coverage and eligibility, ensuring accurate and timely processing of patient information.
  • Update and maintain patient records, including demographic, insurance, and other relevant information.
  • Collect and post patient co-payments and outstanding balances, ensuring accurate and timely financial processing.
  • Generate and track patient encounter forms, reviewing them for completeness and resolving any discrepancies.
  • Maintain records and make daily cash deposits as assigned, ensuring accurate and timely financial processing.
  • Respond to patient-care related telephone calls, providing routine information on procedures and standard policies, and referring matters to appropriate personnel.
  • Identify and prioritize problem-related tasks, responding to emergency needs by contacting physicians/providers within guidelines.
  • Resolve patient questions regarding clinic schedules and billing concerns, handling requests for prescription refills, rescheduling appointments, and providing general administrative support.
  • Document information in computer systems, preparing patient charts, and ensuring completeness by locating test results, reminding patients of appointments, and including relevant forms.
  • Update and maintain the Telephone Message System (TMS) in computer systems, following through on requests and distributing messages to appropriate personnel for action.
  • Enter new referrals or ensure existing referral numbers are linked in the system to meet managed care requirements.
  • Provide patient education regarding managed care plans and referral processes, answering patient questions and concerns, and offering available options.
  • Collaborate with primary care practices, patients, and specialty practices to process outgoing referrals prior to scheduled visits, following up with practices that do not issue referrals or obtain them in a timely manner.
  • Interface with staff, providers, and patients regarding denied referrals, documenting information and assisting with alternate plans of care as needed.
  • Complete and maintain patient schedules, scheduling and coordinating patient visits, medical procedures for both inpatients and outpatients, and communicating with patients regarding all information related to scheduled appointments.
  • Notify providers, patients, and others of changes such as new scheduling, rescheduling, no-shows, emergency appointments, and add-ons.
  • Maintain recall lists and communicate with patients as appropriate.
  • Inform nursing staff or others of laboratory and diagnostic study results, collect and mail test results, and escort patients to examination rooms as required.
  • Process standard and non-standard business office administrative paperwork, such as purchase requisitions, employee time sheets, expense vouchers, and follow up with personnel outside the medical office to expedite timely action and alleviate or report delays as necessary.
  • Provide guidance to departmental personnel in medical offices on administrative policies and procedures.
  • Comply with health and safety requirements and regulatory agencies such as DPH, and comply with established departmental policies, procedures, and objectives.
  • Enhance professional growth and development through educational programs, seminars, and other opportunities.
  • Attend various meetings, conferences, and seminars as required or directed.
What We Offer

As a Patient Care Coordinator at Optum, you will be part of a dynamic team that is dedicated to delivering exceptional patient care and administrative support. We offer a comprehensive benefits package, including:

  • Paid Time Off, which you start to accrue with your first pay period, plus 8 Paid Holidays
  • Medical Plan options, including participation in a Health Spending Account or a Health Saving account
  • Dental, Vision, Life & AD&D Insurance, 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.)
Requirements

To be successful in this role, you will need:

  • High School Diploma/GED (or higher)
  • Additional specialized medical secretarial/medical office training
  • Superior customer service skills, including the ability to multi-task and resolve patient concerns in a timely manner
  • Excellent communication, interpersonal, and organizational skills
  • Familiarity with various software applications such as Microsoft Word, Outlook, Excel, etc.
About Optum

At Optum, 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: Optum 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.