Clinical Administrative Coordinator

UnitedHealth Group•Overland Park, KS

5h•$18 - $32•Remote

About The Position

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. Job Summary Making phone calls to schedule and reschedule patients. Verifies patient demographic and insurance information. Prepares patient chart for visit with practitioners. Performs general clerical duties. Meets the communication needs of the patient/family, practice providers and practice staff. Participates in performance improvement activities. Responsible for supporting providers and other team members in loading documents into Epic EMR. Responsible for daily office tasks. Schedule: FT, 40 hours. Monday – Friday, 8am – 5pm CST or 9am – 6pm EST Location: This is a remote role; candidates must reside in Kansas, Missouri, Indiana or Ohio. You’ll enjoy the flexibility to telecommute if you reside in Kansas, Missouri, Indiana or Ohio as you take on some tough challenges.

Requirements

High school diploma/GED
1+ year of healthcare experience using Epic or similar EMR
Must reside in Kansas, Ohio, Missouri or Indiana
Demonstrate understanding of relevant health plan guidelines and benefits (e.g., Medicare, Medicaid/Medical, commercial benefit plans, Federal/local government regulations)
Demonstrate understanding of Federal privacy regulations (e.g., HIPAA)
Demonstrate knowledge of safety guidelines/practices (e.g., OSHA)
Demonstrate knowledge of basic medical terminology and human anatomy to document patient information using standard language/medical terminology

Nice To Haves

Work from home experience

Responsibilities

Respond to patient questions in person or over the phone
Greet patients and build rapport to provide a positive patient experience
Input/update patient demographic data into computer system
Make patient follow up calls to identify/close gaps in care
Ensure provider templates/procedures are built correctly to schedule appointments in appropriate time slots
Appointment reminder calls and reschedules
Ask patient questions to verify patient data or needs for scheduling
Coordinate/confirm scheduling of doctor visits/services with patients
Make calls to doctor's office on patient's behalf to schedule, check progress, and facilitate the care process
Ask patients for and/or assist patients with completing required paperwork (e.g., health history, insurance documentation, etc.)
Connect patients with outside resources (e.g., community resources, social services) to promote self-care
Work directly with patients to identify specific needs and/or request adjustments to plan of care
Manage/respond constructively to challenging patient interactions (e.g., address lack of understanding, socioeconomic challenges, frustrated patients, language barriers)
Explain and talk to patients or caregivers about sensitive health care decisions
Explain and ensure understanding of details related to patient care (e.g. outside referrals, medications, etc.)
Explain medical benefits/coverage specifics (e.g., procedures/amounts covered, denials of coverage, appeal rights)
Access insurance plan systems to verify insurance eligibility/benefits for patients and seek additional information as necessary
Update/upload patient care data (e.g., care plan data, inpatient data, patient program data) in computer systems
Enter/process patient referral data (e.g., medical services, radiology, durable medical equipment)
Verify referral approval prior to scheduling appointments
Manage patient referral process (e.g., review for duplicates, ensure referral is sent to appropriate provider, follow-up with requesting provider to recommend changes)
Ensures patient scheduling/follow up activities are completed according to federal, state, or organizational guidelines (e.g., referral guidelines, follow up notifications, PCP follow up)
Draft/provide written communications to patients (e.g., standard letters, welcome letters, educational materials) in compliance with company and health plan guidelines
Make calls to doctor's office on patient's behalf to schedule, check progress, and facilitate the care process
Identify resources available to support patient care (e.g., housing, social services, meals)
Maintain open communication and rapport with physicians to promote patient services/care
Screens/forwards incoming calls from patients, physicians, and health plans
Monitors, the no-show and other work queues
Accurately enter patient demographics, guarantor, and coverage information into Epic EMR.
Accurately change filing order, ensure necessary adjustments are listed on account, distribute payments to correct service dates and request changes if needed.
Attend meetings regarding team/department updates, etc.
Assist insurance companies/guarantors with questions regarding charges and balances.
Work with other departments to resolve issues affecting reimbursement.
Going through faxes
Scanning all documents in Epic
Creating and/or Responding to Letters and Forms
Other assigned duties