Associate Patient Care Coordinator (Medical Secretary)

UnitedHealth Group•Westborough, MA

3d•$20 - $36•Onsite

About The Position

Optum is seeking a friendly, patient-focused, and detail-oriented Associate Patient Care Coordinator to join their Pediatrics team. This role is responsible for completing set processes and protocols, working cooperatively with the care team to support the organization's vision and mission, deliver excellent customer service, and adhere to Lean processes. The coordinator will support the team in meeting financial, clinical, and service goals. The work contributes to improving health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need. The company culture is guided by inclusion, with opportunities for talented peers, comprehensive benefits, and career development.

Requirements

High School Diploma/GED
6+ months of customer service-related or healthcare experience
Ability to work onsite at 900 Union Street, Westborough, MA Monday through Friday

Nice To Haves

1+ years of experience working in a front office medical position performing duties such as scheduling appointments, checking patients in/out, insurance verification, collecting co-pays and maintaining medical records
Basic level of computer proficiency
Knowledge of Epic EMR software
Understands basic insurance concepts
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

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. Completes 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.
Identifies when patient-related issues need urgent attention and escalates 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.
Maintains regular, reliable, and predictable attendance.
Ability to be cross-trained 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.