Associate Patient Care Coordinator

Jobtome; Paradise Valley (NV); On-site; USD 22,000 - 40,000; Full time

Job summary

UnitedHealth Group is seeking a Patient Access Representative to provide patient-centered service in a clinical front office. You will greet patients, collect demographics, verify insurance eligibility, and process co-pays while entering data in real time to ensure accurate records.

You will handle referrals, pre-certifications, and pre-authorizations, verify coverage, and schedule appointments with providers. The role requires standing for long periods and a flexible schedule.

Qualifications

• High School Diploma or GED required.
• 1+ years of customer service experience in hospital, office, or phone support setting.
• Ability to work Monday - Wednesday - 2 pm - 2:30 am, Thursday - 2 pm - 8 pm.

Responsibilities

• Greet and check in patients, collect demographics, verify insurance eligibility/benefits.
• Enter and verify patient data in computer systems in real time.
• Process referrals, pre-certification, pre-determinations, and pre-authorizations.
• Verify insurance coverage and collect co-pays and balances; explain financial obligations.
• Schedule appointments and coordinate with provider offices for pre-discharge activities.
• Respond to patient inquiries with compassionate, respectful service.

Skills

Customer service

Communication

Data entry

Microsoft Office

Medical terminology

Education

High School Diploma/GED

Job description

$2,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS 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.

The Patient Access Representative is responsible for providing patient-oriented service in a clinical or front office setting; performs a variety of clerical and administrative duties related to the delivery of patient care, including greeting, and checking in patients, answering phones, collecting patient co-pays and insurance payments, processing paperwork, and performing other front office duties as required in a fast-paced, customer-oriented clinical environment. The role plays a key part of the patient journey and is essential for a smooth and accurate registration process.

Primary Responsibilities

• Communicates directly with patients and / or families either in person or on the phone to complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility / benefits
• Utilizes computer systems to enter access or verify patient data in real - time ensuring accuracy and completeness of information
• Gathers necessary clinical information and processes referrals, pre-certification, pre-determinations, and pre-authorizes according to insurance plan requirements
• Verifies insurance coverage, benefits and creates price estimates, reverifications as needed
• Collects patient co-pays as appropriate and conducts conversations with patients on their out-of-pocket financial obligations
• Identifies outstanding balances from patient's previous visits and attempts to collect any amount due
• Responsible for collecting data directly from patients and referring to provider offices to confirm and create scheduled appointments for patient services prior to hospital discharge
• Responds to patient and caregivers' inquiries related to routine and sensitive topics always in a compassionate and respectful manner
• Generates, reviews, and analyzes patient data reports and follows up on issues and inconsistencies as necessary

What are the reasons to consider working for UnitedHealth Group?

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life & AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

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
• 1+ years of customer service experience in a hospital, office setting, customer service setting, or phone support role
• Ability to work Monday - Wednesday - 2 pm - 2:30 am, Thursday - 2 pm - 8 pm
• Must be 18 years of age or older

Preferred Qualifications

• Experience with Microsoft Office products
• Experience in a Hospital Patient Registration Department, Physician office or any medical setting
• Experience in insurance reimbursement and financial verification
• Experience in requesting and processing financial payments
• Working knowledge of medical terminology
• Understanding of insurance policies and procedures
• Ability to perform basic mathematics for financial payments

Soft Skills

• Strong interpersonal, communication and customer service skills

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

All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

The sign-on bonus is only available to external candidates. Candidates who are currently working for UnitedHealth Group, UnitedHealthcare 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 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 $16.00 to $29.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth 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 outcomes - an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.