Patient Care Coordinator

Optum; San Antonio (TX); On-site; USD 25,000 - 44,000; Full time

Benefits offered by this job

Paid Time Off

Medical Plan

Dental Insurance

Vision Insurance

401(k) Savings Plan

Education Reimbursement

Job summary

Optum is hiring an entry-level Patient Care Coordinator in San Antonio, TX. The role focuses on verifying patient eligibility/benefits, submitting authorizations, and detailed data entry into HME/Home Health systems.

As the initial client contact, you will gather patient demographics and insurance details, coordinating with pharmacy, clinical teams, and HME staff to ensure timely care and accurate record-keeping. Strong data entry and communication skills are essential.

Qualifications

• High School Diploma or GED.
• 1+ year of experience with home health services or medical office settings.
• 1+ year of experience in customer service.
• 6+ months of multitasking and handling high-volume referrals/calls.

Responsibilities

• Verify eligibility and benefits for patients.
• Enter patient demographics and referral data into HME/Home Health systems accurately.
• Coordinate with pharmacy, CTM, RT and HME when verifications are complete.
• Obtain authorizations for skilled nursing visits, DME and medications; resubmit if denied.
• Notify relevant teams when approvals are obtained or additional information is needed.

Skills

Customer service

Data entry

Excel

Word

Bilingual English/Spanish

Education

High School Diploma/GED

Tools

Home Health 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 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 Care Coordinator is an entry level position primarily responsible for verification of eligibility/benefits, submission of authorization, and data entry into Home Medical Equipment (HME)/Home Health systems. Serves as the initial client contact to obtain patient demographics, type of referral, and type of insurance and ensures information is communicated to pharmacy, clinical team managers (CTM), respiratory, and home medical equipment personnel (HME). Enters and assures all date entry of patient information in detail is entered accurately into the HME/Home Health systems. Performs all functions in a professional and ethical manner and collaborates with other members of the health care team to ensure quality patient care.

Work Schedule: Ability to work assigned work shift 8:00AM-5:00pm CST

Location: 19500 IH10 West San Antonio, TX

Primary Responsibilities

• Collects and records initial client information to include type of referral, type of insurance, and patient demographics
• Requests the referral source fax orders on all patients. Verifies client benefits
• Notifies pharmacy, nursing, RT, and HME when verification is complete
• Coordinates with HME to ensure availability of requested supplies or equipment
• Obtains authorization for skilled nursing visits, DME, medications, and shift care If authorization is denied, communicates with clinicians to obtain additional information so authorization will be approved
• Notifies nursing, CTM, pharmacy, RT and HME when authorization is approved
• Processes Tl 9's for Medicaid patients by obtaining Tl 9 from physicians, faxing Tl 9 to Medicaid within 72 hours, and tracking Tl 9 to ensure authorization is complete
• If care is not authorized upon initial submission of T19, contact Medicaid to clarify information necessary for authorization
• Completes assignment of benefits
• Authorizes all new orders as soon as they are received
• Notifies clinician if initial justification is necessary for reauthorization
• Expresses verbal and written communication in a clear, positive, and cooperative manner
• Attends all required in-service programs to maintain comprehensive home care knowledge base
• Demonstrates effective time management skills by completing assignments within projected time frames
• Expresses verbal and written communication in a clear, positive, and cooperative manner
• Demonstrates personal responsibility regarding attendance and punctuality
• Promotes Agency philosophy, mission statement, and administrative policies
• Maintains privacy and confidentiality regarding all patients, staff and Agency information
• Promotes the Agency image by adhering to the Dress Code
• Follows the appropriate chain of command in all forms of communication
• Demonstrates flexibility, enthusiasm, and willingness to cooperate while working with others or in place of others as necessary

What Are The Reasons To Consider Working For UnitedHealth Group? Put It All Together - Competitive Base Pay, a Full And Comprehensive Benefit Program, Performance Rewards, And a Management Team Who Demonstrates Their Commitment To Your Success.

Some Of Our Offerings Include

• 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 with home health services or medical office experience
• 1+ years of experience in customer service
• 6+ months of experience and the ability to multitask and handle high volume of incoming referrals/calls

Preferred Qualifications

• Background as a medical assistant, intake specialist, customer service rep in a medical/clinic setting
• Efficiencies in 10 key and data entry
• Knowledge in Excel/Word
• Understands and communicate effectively through physician written orders
• Have clear understanding of medical terminology and ICD10 coding
• Bilingual (English/Spanish)

Physical Demands

• Ability to remain seated for prolonged periods and maintain concentration to tasks. This position requires the ability to distinguish impressions of shape, size, distance, motion, color, and other characteristics of objects, through the eyes. Major visual functions must include a far-sight acuity and near acuity. Must have sufficient dexterity and visual acuity to operate office machines
• Ability to work in a stressful fast-paced environment. Positive work environment is promoted for all Agency employees

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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