Patient Care Coordinator

4 weeks ago

Branford, Connecticut, United States UnitedHealth Group Full time
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.

Key Responsibilities:
  • Verify patient insurance coverage and eligibility, and update demographic and insurance information.
  • Collect and post patient co-payments and other outstanding balances.
  • Generate and track patient encounter forms, and review them for completeness.
  • Receives and addresses patient-care related telephone calls, and provides routine information on procedures and standard policies.
  • Identify problem-related priorities, and respond to emergency needs by contacting physicians/providers within guidelines.
  • Resolve patients' questions regarding clinic schedules and billing concerns, and handle requests for prescription refills, reschedules appointments, etc.
  • Document information in computer systems, and prepare patient charts.
  • Update and maintain Telephone Message System (TMS) in computer systems, and follow through on requests.
  • Enter new referrals or ensure that existing referral numbers are linked in the system to ensure managed care requirements.
  • Provide patient education regarding managed care plans and referral process, and answer patients' referral questions, concerns, etc.
  • Work collaboratively with primary care practices, patients, and specialty practices to process outgoing referrals prior to scheduled visits.
  • Interface with staff, providers, and patients regarding denied referrals, and document information and assist with alternate plan of care, if needed.
  • Complete and maintain patient schedules, and schedule and coordinate patient visits, medical procedures for both inpatients and outpatients.
  • Notify providers, patients, and others of changes such as new scheduling, re-scheduling, no-show, 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, and collect and mail test results.
  • Provide guidance to departmental personnel in medical offices on administrative policies and procedures.
  • Comply with health and safety requirements, and with regulatory agencies such as DPH, etc.
  • Comply with established departmental policies, procedures, and objectives.
  • Enhance professional growth and development through educational programs, seminars, etc.
  • Attend a variety of meetings, conferences, and seminars as required or directed.
Why Choose UnitedHealth Group?
  • Competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success.
  • Paid Time Off, 8 Paid Holidays, Medical Plan options, 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.
Requirements:
  • High School Diploma/GED (or higher).
  • 1+ years of healthcare, customer service, and/or administrative experience.
Preferred Qualifications:
  • 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.
  • EPIC experience.

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