Per Diem Associate Patient Care Coordinator

Overview

Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities.

Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

Our office is located at 1420 S Central Ave., Glendale CA 91204. This position will be in the Admitting Department.

This role will require the need to work either 12-hour shift - 7 AM - 7 PM or 7 PM - 7 AM with the flexibility to work weekends.

• Maintains 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
• Ensures complete, accurate and timely entry of demographic information into the ADT system at the time of registration
• Properly identifies the patient to ensure medical record numbers are not duplicated
• Responsible for reviewing assigned accounts to ensure accuracy and required documentation is obtained and complete
• Meet CMS billing requirements for the completion of the MSP, issuance of the Important Message from Medicare, issuance of the Observation Notice, and other requirements, as applicable and documenting completion within the hospital's information system for regulatory compliance and audit purposes
• Collects and enters required data into the ADT system with emphasis on accuracy of demographic and financial information in order to ensure appropriate reimbursement
• Carefully reviews all information entered in ADT on pre-registered accounts. Verifies all information with patient at time of registration; corrects any errors identified
• Identify all forms requiring patient/guarantor signature and obtains signatures
• Ensures all required documents are scanned into the appropriate system(s)
• Identifies all appropriate printed material hand-outs for the patient and provides them to the patient/guarantor (Patient Rights and Responsibilities, HIPAA Privacy Act notification, Advance Directive, etc.)
• Follows "downtime" procedures by manually entering patient information; identifying patients MRN in the MPI database, assigning a financial number; and, accurately entering all information when the ADT system is live
• Follows EMTALA-compliant registration steps for both Emergency Department and Labor and Delivery areas
• Assesses self-pay patients for presumptive eligibility and when appropriate, initiates the process
• As patients require admissions, Transfers and or Discharges at the facility location. With the understanding to teamwork and support that may require modification to meet those needs.
• Supports clinical bed management duties by ensuring system updates have been made in required IT systems for Admits, Transfers and Discharges, meeting 5-minute performance standard.
• Corrects registration edits and demographic updates as required when changing patient status.
• Conduct Insurance Eligibility / Benefit Verification via web-based tools and as necessary by phone.
• Supports registration activities by printing necessary documentation (i.e., face sheets, patient armbands, and etc.), coordinating production with the facility caring for the patient.
• Provides fax, phone, or electronic notification to payers of patient admissions and upgrades.
• Identifies issues in need of escalation to corporate Financial Clearance staff and / or facility financial specialists (i.e., Financial Clearance and / or Financial Counseling staff).
• M gains up-to-date knowledge of specific registration requirements for all areas, including Inpatient and Outpatient Registration Services.
• Ensures complete, accurate and timely entry of demographic information into the ADT system at the time of registration. Communicates with the facility or providers when necessary to clarify or obtain additional patient information.
• When necessary, escalates accounts to appropriate facility Patient Registration leadership staff.
• Complies with HIPPA, PHI and its implications, ABN, MSP, EMTALA, etc. and other regulations which affect the registration process.

• High School diploma /GED (or higher)
• 3+ years of experience working in a hospital Patient Registration department, physician office setting, healthcare insurance company, revenue cycle vendor, and/or other revenue cycle related role
• 3+ years of experience with insurance - Medicare Medi-Cal, and Commercial
• 1+ years of experience in requesting and processing financial payments
• 1+ years of experience working in medical terminology
• Advanced level of computer proficiency
• Ability to work on-site at our Admitting Department at 1420 S Central Ave., Glendale CA 91204