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Patient Care Coordinator
2 months ago
Overview
Optum is seeking a Per Diem Associate Patient Care Coordinator to provide patient-oriented service in a clinical or front office setting. This role will perform a variety of clerical and administrative duties related to the delivery of patient care, including greeting and checking in patients, answering phones, collecting patient co-pays and insurance payments, processing paperwork, and performing other front office duties as required in a fast-paced, customer-oriented clinical environment.
Responsibilities
- Communicate directly with patients and/or families to complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility/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-certification, 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 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.
- Must be 18 years of age or older.
- Ability to work an 8-hour shift in a 24/7 emergency room setting and work at least 2 weekend days a month and be part of holiday rotation.
Preferred Qualifications
- Experience with Microsoft Office products.
- Experience in a Hospital Patient Registration Department, Physician 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.
Soft Skills
- Strong interpersonal, communication, and customer service skills.
Physical and Work Environment
- Standing for long periods of time (10 to 12 hours) while using a workstation on wheels and phone/headset.
Equal Employment Opportunity
UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
Drug-Free Workplace
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
