Senior Patient Care Coordinator

UnitedHealth Group; Westborough (MA); On-site; USD 28,000 - 50,000; Full time

Benefits offered by this job

Paid Time Off

Medical Plan options

Dental, Vision, Life & AD&D Insurance

Short-term disability

Long-Term Disability

401(k) Savings Plan

Education Reimbursement

Employee Discounts

Employee Assistance Program

Employee Referral Bonus Program

Voluntary Benefits (pet insurance, etc

Job summary

UnitedHealth Group’s Optum Pediatrics team seeks an Associate Patient Care Coordinator in Westborough, MA. You will verify patient data, schedule visits, and support the care team in delivering excellent customer service while adhering to Lean processes.

In this role, you will document in Epic, handle insurance referrals, and educate patients on insurance concepts, timelines, and pre-appointment requirements. Strong communication and organization are essential.

Qualifications

• High School Diploma or GED required.
• 1+ year of customer service experience.
• Basic level of computer proficiency preferred.

Responsibilities

• Verifies and updates demographics and other patient information including consent documents.
• Schedules patients according to department protocols and provider preference.
• Completes patient check-out and coordinates scheduling; manages the Department Appointment Report.
• Provides education, estimate preparation, and pre-appointment instructions as needed.
• Resolves questions regarding schedules and billing; handles prescription refills and reschedules appointments.

Skills

Communication skills

Education

High School Diploma or GED

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come makes an impact on the communities we serve as you help us advance health equity on a global scale. Join us to startCaring. Connecting. Growing together.

Optumhas an immediate opening for a friendly, patient focused and detailed orientedAssociate Patient Care Coordinatorto join our Pediatrics team. The Associate Patient Care Coordinatoris responsible for the completion of set processes and protocols. Works cooperatively with all members of the care team to support the vision and mission of the organization, deliver excellent customer service and adhere to Lean processes. Supports the teams in meeting financial, clinical and service goals.

Dept: Pediatrics

Schedule: 40 hours a week, Monday - Friday, 8am - 5pm (1 hour lunch)

Location: 900 Union Street, Westborough, MA

Primary Responsibilities:

• Verifies and updates demographics and other patient information including necessary consent and other documents
• 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
• Resolves patients' 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. Complete follow-up and documentation as needed
• Understands basic insurance concepts such as capitated patients, co-payment, co-insurance, and identifying scheduling procedures impacted by insurance like prior authorization and referral coordination. Able to educate patients on these concepts and set appropriate timeline expectations
• Processes personal in-basket and department pool encounters in Epic in a timely and appropriate manner
• Processes department and provider mail and faxes in a timely and appropriate manner
• Able to identify when patient-related issues need urgent attention and elevate 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
• Ability to be cross trained to be able to work in the team room, check out, and check in
• Collects co-pays or outstanding balances on the date of service
• Performs other similar and related duties as required or directed

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 direction 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+ yearsof experience in customer service

Preferred Qualifications:

• Basic level of computer proficiency

Soft Skills:

• Ability to work independently and maintain good judgment and accountability
• Demonstrated ability to work well with health care providers
• Strong organizational and time management skills
• Ability to multi-task and prioritize tasks to meet all deadlines
• Ability to work well under pressure in a fast-paced environment
• Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others

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 $20.00 to $36.00 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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