Associate Patient Care Coordinator

$2,000 SIGN ON BONUS FOR EXTERNAL APPLICANTSOptum 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.

Primary Responsibilities:

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 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 obtain 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 patient's 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

In the Emergency Department follows protocol for special cases, including but not limited to 5150, Sexual Assault Response Team (SART), Domestic Violence patients, Child Protective Services, incarcerated patients, Worker Compensation patients, auto accidents, animal bite reporting, etc. as required

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

High School Diploma/GED 2+ 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 role2+ years of experience in understanding insurance policies and procedures, both commercial and government1+ years of experience in requesting and processing financial payments1+ years of experience working in medical terminology

Intermediate level of computer proficiency

Ability to work shift times of 4:00 PM - 2:30 AM, 6:00 PM - 4:30 AM, and 8:00 PM - 6:30 AM per business need Ability to work on-site at our Emergency Department at 1420 S Central Ave., Glendale CA 91204

Preferred Qualifications:

Experience with MS4 and Cerner Knowledge of charity care programs as well as the various government and non-government programs

Strong knowledge of both government and commercial insurances

Bilingual fluency         
** PLEASE NOTE
** The sign-on bonus is only available to external candidates.  Candidates who are currently working for United Health Group, United Healthcare or a related entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.  Pay is based on several factors including but not limited to local labor…