Patient Care Coordinator

4 days ago

Leominster, Massachusetts, United States Optum Full time

Optum Medical Office Coordinator Job Summary

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. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.

Key Responsibilities:

  • Verify patient insurance coverage and eligibility, and update demographic, insurance, and other patient information.
  • Generate and track patient encounter forms, and review them for completeness.
  • Maintain records, make daily cash deposits, and respond to patient-care related telephone calls.
  • Identify problem-related priorities, and respond to emergency needs by contacting physicians/providers within guidelines.
  • Resolve patients' questions regarding clinic schedules and billing concerns, handle requests for prescription refills, reschedule appointments, and document information in computer systems.
  • Update and maintain the Telephone Message System (TMS) in computer systems, follow through on requests, and distribute messages to appropriate providers or others for action.
  • Enter new referrals or ensure that existing referral numbers are linked in the system to meet managed care requirements.
  • Provide patient education regarding managed care plans and referral processes, answer patients' referral questions, concerns, and provide available options.
  • Work collaboratively with primary care practices, patients, and specialty practices to process outgoing referrals prior to scheduled visits, follow up with practices that do not issue a referral or obtain a referral on a timely basis.
  • Interface with staff, providers, and patients regarding denied referrals, document information, and assist with alternate plans of care if needed.
  • Complete and maintain patient schedules, schedule and coordinate patient visits, medical procedures for both inpatients and outpatients, and communicate with patients regarding all information related to scheduled appointments.
  • 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, collect and mail test results.
  • Escort patients to examination rooms and chaperone patients as required, process standard and non-standard business office administrative paperwork, and follow up with personnel outside the medical office to expedite timely action and alleviate or report delays as appropriate.
  • 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 Consider Working for Optum?

Optum offers a comprehensive benefits package, performance rewards, and a management team that demonstrates commitment to your success. Some of our offerings include:

  • Paid Time Off, 8 Paid Holidays, Medical Plan options, Health Spending Account or 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.).

Required Qualifications:

  • High School Diploma/GED (or higher)
  • 1+ years of 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, ability to think critically and exercise sound judgment
  • Excellent communication, interpersonal, and organizational skills
  • Familiarity with various software applications such as Microsoft Word, Outlook, Excel, etc.

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