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Patient Care Coordinator Associate

2 months ago

Greensburg, Pennsylvania, United States Optum Full time
Job Summary

We are seeking a highly skilled and detail-oriented Patient Care Coordinator Associate to join our team at Optum. As a key member of our clinical support team, you will play a vital role in providing exceptional patient care and administrative support in a fast-paced, customer-oriented clinical environment.

Key Responsibilities:
  • Registration and Scheduling: Communicate directly with patients and/or families to complete the registration process, collecting patient demographics, health information, and verifying insurance eligibility and benefits.
  • Data Entry and Verification: Utilize computer systems to enter, access, or verify patient data in real-time, ensuring accuracy and completeness of information.
  • Referrals and Authorizations: Gather necessary clinical information and process referrals, pre-certifications, pre-determinations, and pre-authorizations according to insurance plan requirements.
  • Financial Verification and Collections: Verify insurance coverage, benefits, and create price estimates, reverifications as needed. Collect patient co-pays and conduct conversations with patients on their out-of-pocket financial obligations.
  • Outstanding Balances and Collections: Identify outstanding balances from patient's previous visits and attempt to collect any amount due.
  • Scheduling and Follow-up: Collect data directly from patients and referring provider offices to confirm and create scheduled appointments for patient services prior to hospital discharge.
  • Patient Communication: Respond to patient and caregiver inquiries related to routine and sensitive topics in a compassionate and respectful manner.
  • Reporting and Analysis: Generate, review, and analyze patient data reports, following up on issues and inconsistencies as necessary.
Requirements:
  • Education: High School Diploma or equivalent.
  • Experience: 1+ years of customer service experience in a hospital, office setting, customer service setting, or phone support role.
  • Skills: Strong interpersonal, communication, and customer service skills. Ability to work part-time, including occasional overtime, given the business need.
Preferred Qualifications:
  • Technical Skills: Experience with Microsoft Office products.
  • Medical Knowledge: Working knowledge of medical terminology and understanding of insurance policies and procedures.
  • Financial Skills: Ability to perform basic mathematics for financial payments and experience in requesting and processing financial payments.
Work Environment:

This role requires standing for long periods of time (10 to 12 hours) while using a workstation on wheels and phone/headset.

We offer a comprehensive benefits package, competitive base pay, and opportunities for career growth and development. If you are a motivated and detail-oriented individual who is passionate about delivering exceptional patient care, we encourage you to apply for this exciting opportunity to join our team at Optum.