Patient Care Coordinator

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.

Hours:

Monday through Friday, rotating schedule of 8am-4:30pm or 8:30am-5pm

Location:

275 New Lancaster Rd. Leominster, MA

Primary Responsibilities:

Generates and tracks patient encounter forms. Reviews patient encounter forms for completeness and resolves any discrepancies. Batches encounter forms and submit to appropriate billing area Identifies problem related priorities, and responds to emergency needs by contacting/interrupting physician/provider within guidelines

Resolves patients' questions regarding clinic schedules and billing concerns; handles requests for prescription refills, reschedules appointments, etc.

Documents appropriate information in computer system. Prepares patient charts. Ensures completeness by locating test results, reminding patients of appointments, including appropriate forms, etc., for patient appointments

Updates and maintains Telephone Message System (TMS) in computer system. Follows through on requests. Distributes messages to appropriate provider or others for appropriate action

Enters new referrals or ensures that existing referral numbers are linked in the system to ensure managed care requirements

Provides patient education regarding managed care plans and referral process. Answers patients' referral questions, concerns, etc. Provides patient with available options

Works collaboratively with primary care practices, patients and specialty practices to process outgoing referrals prior to scheduled visits. Follows up with practices that do not issue a referral or obtain referral on a timely basis

Interfaces with staff, providers and patients regarding denied referrals. Documents information and assists with alternate plan of care, if needed

Completes and maintains patient schedules. Schedules and coordinates patient visits, medical procedures for both inpatients and outpatients. Communicates with patients regarding all information related to scheduled appointments

Notifies providers, patients and others of changes such as new scheduling, re-scheduling, no-show, emergency appointments and add-ons Maintains recall lists and communicates with patients as appropriate

May inform nursing staff or others of laboratory and diagnostic study results; collects and mails test results

May escort patient to examination rooms and chaperones patients as required. May process standard and non-standard business office administrative paperwork, such as purchase requisitions, employee time sheets, expense vouchers, etc. Follows-up with personnel outside the medical office to expedite timely action and alleviate, or report delays as appropriate

Provides guidance to departmental personnel in medical office on administrative policies and procedures

Complies with health and safety requirements and with regulatory agencies such as DPH, etc.

Complies with established departmental policies, procedures, and objectives

Enhances professional growth and development through educational programs, seminars, etc.

Attends a variety of meetings, conferences, and seminars as required or directed

Regular, reliable and predictable attendance is required

Performs other similar and related duties as required or directed

What are…