Senior Patient Care Coordinator

2 weeks ago


Oconomowoc, Wisconsin, United States UnitedHealth Group Full time
Job Summary

We are seeking a highly skilled and experienced Senior Patient Care Coordinator to join our team at UnitedHealth Group. As a key member of our healthcare team, you will be responsible for providing exceptional patient care and administrative support to our patients and healthcare providers.

Key Responsibilities
  • Verify patient insurance coverage and eligibility, and update demographic and insurance information as needed.
  • Collect and post patient co-payments and other outstanding balances.
  • Generate and track patient encounter forms, and review them for completeness and accuracy.
  • Provide routine information on procedures and standard policies to patients, and refer matters to appropriate personnel as needed.
  • Identify problem-related priorities and respond to emergency needs by contacting physicians or providers within guidelines.
  • Resolve patient questions and concerns regarding clinic schedules and billing, and handle requests for prescription refills and rescheduled appointments.
  • Document information in computer systems, prepare patient charts, and ensure completeness by locating test results and reminding patients of appointments.
  • Update and maintain the 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 meet managed care requirements.
  • Provide patient education regarding managed care plans and referral processes, and answer patient questions and concerns.
  • Work collaboratively with primary care practices, patients, and specialty practices to process outgoing referrals prior to scheduled visits, and follow up with practices that do not issue a referral or obtain a referral on a timely basis.
  • Complete and maintain patient schedules, and schedule and coordinate patient visits and medical procedures for both inpatients and outpatients.
  • Notify providers, patients, and others of changes such as new scheduling, rescheduling, no-shows, emergency appointments, and add-ons.
  • Maintain recall lists and communicate with patients as needed.
  • May escort patients to examination rooms and chaperone patients as required, and process standard and non-standard business office administrative paperwork.
  • Provide guidance to departmental personnel on administrative policies and procedures.
  • Comply with health and safety requirements and regulatory agencies such as DPH.
  • Comply with established departmental policies, procedures, and objectives.
  • Enhance professional growth and development through educational programs, seminars, and other opportunities.
  • Attend meetings, conferences, and seminars as required or directed.
  • Regular, reliable, and predictable attendance is required.
  • Perform other similar and related duties as required or directed.
Requirements
  • High school diploma or equivalent required.
  • 2+ years of hospital and/or patient registration and/or clinic experience required.
  • Additional specialized medical secretarial/medical office training preferred.
  • 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, and EPIC.


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