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Patient Care Coordinator

2 months ago

Glendale, California, United States UnitedHealth Group Full time
About the Role

At UnitedHealth Group, we're committed to helping people live healthier lives and making the health system work better for everyone. As a Patient Care Coordinator in our Admitting Department, you'll play a critical role in ensuring that patients receive the care they need in a timely and efficient manner.

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-certifications, 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 setting
  • Ability to work a minimum of 1 shift a month with flexibility to work any of the following shifts: 4 PM – 2:30 AM PST, 6 PM – 4:30 AM PST, or 8 PM – 6:30 AM PST
Preferred Qualifications
  • Experience in a Hospital Patient Registration Department, Physician's 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
What We Offer

At UnitedHealth Group, we offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution (all benefits are subject to eligibility requirements). We're committed to creating a diverse and inclusive work environment that values and respects all employees.