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 inclusion, talented peers, comprehensive benefits and career development opportunities.

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

Primary Responsibilities:

Verifies and authorizes patient insurance coverage and eligibility. Updates demographics and other patient information including necessary consents and other documents

Maintains collection records and makes daily cash deposits as assigned

Schedules patients accurately, according to department protocols and provider preference

Completes patient check-out, coordinates scheduling, and other services as directed. Manages and updates the department appointment report

Provides education, estimate preparation, and other pre-appointment instruction as needed

Receives and addresses patient-care-related telephone calls. Provides routine information on procedures and standard policies, and refers matters to the appropriate person within the department/site Resolves patient's questions regarding clinic schedules and billing concerns; handles requests for prescription refills, reschedules appointments, etc.

Accurately and appropriately documents information in the electronic medical record system

Receives and processes incoming and outgoing insurance referral requests based on department protocol. Collaborates with staff, patients, and providers as needed to complete requests. Completes follow-up and documentation as needed

Obtains prior authorizations for various orders (such as sleep studies, cardiac imaging, outside imaging) according to established procedures

Performs appropriate action regarding, No Show, Cancellations, Recall, Waitlist and Reschedule lists, per established guidelines. Follows up with the patient, provider, etc. as needed

Processes personal in-basket and department pool encounter in Epic in a timely and appropriate manner

In conjunction with department leadership and training acts as an educator to new PSS staff

Processes department and provider mail and faxes in a timely and appropriate manner

Performs chart review in order to satisfy patient requests for form completion, resolve patient complaints or inquiries, or coordinate care related to appointment scheduling

Able to identify when patient-related issues need urgent attention and escalate to nursing or provider and/or leadership as needed

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

Complies with established departmental policies, procedures, and objectives

Participates in learning opportunities provided through the learning management system

Participates in departmental meetings and huddles as directed by department leadership

Regular, reliable, and predictable attendance is required

Performs other similar and related duties as required or directed 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:

1+ years of customer service experience

Ability to think critically and exercise sound judgment and manage multiple priorities and deadlines

Excellent communication, customer service, interpersonal and organizational skills

Preferred Qualifications:

1+ years of experience working in a medical office Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives.

The hourly pay for this role will range from $18.00 to $32.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
At United Health Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes.

We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health…