Associate Patient Care Coordinator

UnitedHealth Group • Westborough, MA

11d • $16 - $29 • 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, and delivering excellent customer service while adhering to Lean processes. The coordinator will support the team in meeting financial, clinical, and service goals.

Requirements

• High School Diploma/GED
• 1+ years of experience in customer service
• Basic level of computer proficiency
• 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 instructions 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.

Benefits

• Paid Time Off which you start to accrue with your first pay period
• 8 Paid Holidays
• Medical Plan options
• Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance
• 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.)

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED