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Patient Care Coordinator Associate
1 month ago
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 Associate, you'll play a vital role in delivering exceptional patient care in a fast-paced, customer-oriented clinical environment.
Key Responsibilities:
- Communicate effectively with patients and families to complete the registration process, collecting demographic and health information, and verifying insurance eligibility and benefits.
- Submit patient authorizations to insurance companies and utilize computer systems to enter, access, or verify patient data in real-time.
- 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 data 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, following up on issues and inconsistencies as necessary.
- Maintain up-to-date knowledge of specific registration requirements for all areas, including Main Admitting, OP Registration, ED Registration, Maternity, and Rehabilitation units.
Requirements:
- High School Diploma or equivalent.
- 1+ years of experience in a hospital, office setting, customer service setting, or phone support role.
- Ability to work part-time, 32 hours a week, between Friday and Monday, 8am to 4:30pm.
Preferred Qualifications:
- Experience with Microsoft Office products.
- Experience in benefits, eligibility, and authorizations.
- 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.
UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer.