Patient Care Coordinator

Jobtome; Pleasanton (CA); On-site; USD 25,000 - 44,000; Full time

Benefits offered by this job

Paid time off

Health insurance

Dental & Vision

401(k) plan

Education reimbursement

Job summary

UnitedHealth Group in Pleasanton, CA seeks a Patient Care Coordinator to join our on-site team. This full-time role operates Monday–Friday 7:30am–4:00pm, with occasional weekends/holidays and overtime based on business need.

You will verify insurance, collect balances, train staff, and manage primary computer systems while supporting department improvements. The position is based at the Pleasanton Outpatient Center.

Qualifications

• High School Diploma or GED required.
• 1+ year in customer service or related computer/phone work.
• Ability to work on-site in Pleasanton, CA 94588.
• Experience with EMR/EHR and Office products preferred.

Responsibilities

• Verify insurance eligibility and benefits for accounts.
• Contact payers and use approved scripting as needed.
• Identify outstanding balances and collect amounts due.
• Train staff on computer systems and payer updates.
• Proactively identify department process improvements.
• Perform Patient Access Representative duties as needed.
• Maintain knowledge of admission and pre-registration requirements.

Skills

Customer service

Communication

On-site work

Education

High School Diploma or GED

Tools

EMR/EHR systems

Microsoft Office

Electronic verification systems

Job description

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 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.

The Patient Care Coordinator functions as an integral member of the team and is the first point of contact for all people inquiring about the provider's practice. The primary role is to organize the practice's daily activities and paperwork.

This position is full time. Employees are required to work Monday - Friday 7:30am to 4:00pm including weekends/holidays and OT as needed based on business need. We offer job training. This position is based at Pleasanton Outpatient Center- 5860 Owens Drive, Pleasanton, CA 94588 and is an on-site role.

Primary Responsibilities

• Verifies insurance eligibility and benefits on all assigned accounts using electronic verification systems or by contacting payers directly to determine level of insurance coverage
• When contacting payers directly, utilizes approved scripting
• Identifies outstanding balances from patient's previous visits and attempts to collect any amount due
• Trains staff on computer systems, new processes, payer updates and assigned reporting
• Functions as a Superuser for primary computer systems
• Proactively identifies and lead department process improvement opportunities
• Works on Special Projects as needed
• Performs the duties of a Patient Access Representative
• Maintains up-to-date knowledge of specific admission, registration, and pre-registration requirements for all areas

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 experience working in a customer service environment OR working in a professional/military setting using a computer and telephone
• Ability to work Monday-Friday 7:30am to 4:00pm including weekends/holidays and OT as needed based on business need
• Ability to work on-site role at Pleasanton Outpatient Center- 5860 Owens Drive, Pleasanton, CA 94588

Preferred Qualifications

• 1+ years of experience with prior authorizations
• 1+ years of professional experience using electronic charting or electronic medical record (EMR/EHR) systems
• Experience with using Microsoft Office products
• Experience in a Hospital Patient Registration Department, Physician's office, OR any medical setting
• Working knowledge of medical terminology
• Understanding of insurance policies and procedures
• Experience in insurance reimbursement and financial verification
• Ability to perform basic mathematics for financial payments
• Experience in requesting and processing financial payments

Soft Skills

• Strong interpersonal, communication, and customer service skills

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 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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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

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