Healthcare Coordination Specialist
2 weeks ago
At UnitedHealth Group, we are dedicated to enhancing health outcomes through innovative care solutions and technology. As a vital member of our team, your contributions will play a significant role in connecting individuals with essential healthcare services, pharmacy benefits, and vital resources. Our workplace fosters a culture of diversity and inclusion, offers talented colleagues, comprehensive benefits, and opportunities for professional growth. Join us in our mission to promote health equity on a global scale and experience the fulfillment of Caring. Connecting. Growing together.
Work Schedule: Monday to Friday, 7:30 am to 4:00 pm.
Key Responsibilities:
- Verify and authorize patient insurance coverage and eligibility using our advanced patient registration and scheduling systems. Update and maintain patient demographic and insurance information while managing co-payments and outstanding balances.
- Maintain accurate records and perform daily cash deposits as assigned.
- Handle patient inquiries via telephone, providing information on procedures and policies, and directing calls to the appropriate personnel.
- Assess urgent patient needs and coordinate with healthcare providers as necessary.
- Address patient questions regarding appointment scheduling and billing issues, including prescription refill requests and appointment rescheduling.
- Document relevant patient information in our systems, prepare patient charts, and ensure all necessary documentation is complete for appointments.
- Manage the Telephone Message System (TMS), ensuring timely follow-up on requests and appropriate message distribution.
- Process new referrals and ensure compliance with managed care requirements.
- Educate patients about managed care plans and the referral process, addressing any questions or concerns.
- Collaborate with primary care and specialty practices to facilitate timely processing of referrals.
- Communicate with staff and patients regarding denied referrals and assist in developing alternative care plans as needed.
- Organize and maintain patient schedules, coordinating visits and medical procedures for both inpatient and outpatient services.
- Notify relevant parties of scheduling changes, including new appointments, cancellations, and emergencies.
- Maintain recall lists and engage with patients as necessary.
- May assist nursing staff with laboratory results and diagnostic studies; responsible for mailing test results.
- May escort patients to examination rooms and handle various administrative tasks as required.
- Provide guidance to team members on administrative policies and procedures.
- Adhere to health and safety regulations and comply with all relevant regulatory standards.
- Participate in professional development opportunities through educational programs and seminars.
- Attend meetings and conferences as required.
- Demonstrate regular and reliable attendance.
- Perform additional related duties as assigned.
Why consider a career with UnitedHealth Group? We offer competitive compensation, a comprehensive benefits package, performance incentives, and a management team committed to your success. Our benefits include:
- Accrued Paid Time Off and 8 Paid Holidays
- Medical Plan options with Health Spending or Health Saving Accounts
- Dental, Vision, Life & AD&D Insurance, along with Short-term and Long-term Disability coverage
- 401(k) Savings Plan and Employee Stock Purchase Plan
- Education Reimbursement and Employee Discounts
- Employee Assistance Program and Referral Bonus Program
- Voluntary Benefits such as pet insurance and legal insurance
Required Qualifications:
- High School Diploma/GED (or higher)
- Specialized training in medical secretarial or medical office procedures
- Exceptional customer service skills with the ability to manage multiple tasks and resolve patient concerns efficiently
- Strong communication, interpersonal, and organizational abilities
- Proficiency in software applications such as Microsoft Word, Outlook, and Excel
We are an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to any characteristic protected by law.
UnitedHealth Group maintains a drug-free workplace, and candidates must pass a drug test prior to employment.
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