Patient Care Coordinator

6 days ago

Mount Pleasant, Pennsylvania, United States UnitedHealth Group Full time
Job Summary

We are seeking a highly skilled and detail-oriented Patient Care Coordinator to join our team at UnitedHealth Group. As a key member of our clinical support team, you will be responsible for providing exceptional patient-oriented service in a fast-paced, customer-oriented clinical environment.

Key Responsibilities
  • Communicate directly with patients and/or families to complete the registration process, collecting patient demographics, health information, and verifying insurance eligibility and benefits.
  • Utilize computer systems to enter, access, or verify patient data in real-time, ensuring accuracy and completeness of information.
  • Gather necessary clinical information and process referrals, pre-certification, pre-determinations, and pre-authorizations according to insurance plan requirements.
  • Verify insurance coverage, benefits, and create price estimates, reverifications as needed.
  • Collect patient co-pays as appropriate and conduct conversations with patients on their out-of-pocket financial obligations.
  • Identify outstanding balances from patient's previous visits and attempt to collect any amount due.
  • Responsible for collecting data directly from patients and referring provider offices to confirm and create scheduled appointments for patient services prior to hospital discharge.
  • Respond to patient and caregiver inquiries related to routine and sensitive topics, always in a compassionate and respectful manner.
  • Generate, review, and analyze patient data reports and follow up on issues and inconsistencies as necessary.
  • Maintain 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.
Requirements
  • High School Diploma/GED or higher.
  • 1+ years of customer service experience in a hospital, office setting, customer service setting, or phone support.
  • Must be 18 years of age or older.
  • Ability to work an 8-hour shift in a 24/7 emergency room setting and work at least 2 weekend days a month and be part of holiday rotation.
Preferred Qualifications
  • Experience with Microsoft Office products.
  • Experience in a Hospital Patient Registration Department, Physician office, or any medical setting.
  • Working knowledge of medical terminology.
  • Understanding of insurance policies and procedures.
  • Experience in insurance reimbursement and financial verification.
  • Ability to perform basic mathematics for financial payments.
  • Experience in requesting and processing financial payments.
Soft Skills
  • Strong interpersonal, communication, and customer service skills.
Physical and Work Environment
  • Standing for long periods of time (10 to 12 hours) while using a workstation on wheels and phone/headset.

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