Hospital Admissions Coordinator

UnitedHealth Group•Brookline, MA

13h•$18 - $32•Hybrid

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. Schedule: Monday-Friday, 8-hour shifts between the business hours of 7am-6pm. Schedule to be determined upon hire. Location: This role is Office-Based in MA. If you live in MA, you will enjoy the flexibility of a remote/office-based role as you take on some tough challenges. Office-based schedule to be determined by manager upon hire. Will be required to work onsite 5 days/week for approximately first 60 days for training; training likely to be onsite in Chestnut Hill but will be determined upon hire.

Requirements

High School Diploma/GED
2+ years of administrative experience in a medical or healthcare setting
Must be professional with good communication and interpersonal skills
Must be detail oriented and a self-starter
Strong task coordination skills with proven ability to multi-task needed
Ability to handle unexpected situations calmly and effectively
Must be able to deal effectively with high levels of anxiety and patient emotion surrounding surgical procedures and hospital admissions
Strong organizational skills and attention to detail needed to avoid issues with scheduling both routine and emergency procedures

Nice To Haves

Previous EPIC experience
Previous surgical scheduling experience
Knowledge of various types of insurance coverage is desirable

Responsibilities

Coordinates surgical bookings and hospital admissions for multiple clinicians either within the same or across multiple specialties and/or departments.
Understands and effectively maneuvers the surgical booking process, understanding and following the requirements for each hospital, insurance provider and clinician as well as applicable Atrius Health booking guidelines Juggles and prioritize various scheduling needs effectively
Schedules patients for hospital admissions and surgical procedures.
Coordinates and books operating room time and surgeon's time.
Handles any needed rescheduling due to patient or facility conflicts.
May work with other HACS and/or Atrius Health departments to resolve scheduling or booking conflicts
Interacts with patients throughout the booking process, responding to requests and providing information in a timely and compassionate manner.
Ensures patients understand all their pre- and post-operative appointments as well as any necessary testing prior to surgery (e.g., lab or radiology work).
Ensures necessary written material accurately reflects these appointments and includes any directions or special instructions in correspondence.
Accurately relays information between patients and clinicians, often dealing with high levels of patient frustration or anxiety
Completes outside referral documents and obtains prior authorization for admission where applicable.
Maintains and utilizes a thorough understanding and knowledge base of the different payors and the coverage they provide for surgeries.
Ensures various requirements and procedures needed are met so that procedures can occur with minimal errors from an administrative standpoint.
Keeps current with the changes in insurance company policies and procedures
Ensures that all necessary documents and preparatory activities have been selected and forwards all pertinent information to the hospital prior to the patient's admission.
Works with clinicians and primary care physicians to ensure appropriate pre-operative testing is done and facilitates medical clearance for the needed procedure
Proactively ensures necessary information for admissions is available and processed correctly
Maintains data and creates documents in electronic tracking system.
May draft and type routine correspondence
Provides back-up coverage for other clinical support positions within the assigned department when appropriate
Sends electronic spreadsheets and updates to internal and external clients
Conducts written or verbal follow-up procedures
May send hospital booking information to the coding and compliance department to ensure that all relevant revenue is captured
May fax or batch materials for legal tracking purposes.
Performs other duties as assigned
Accesses only the minimum necessary protected health information (PHI) for the performance of job duties.
Actively protects the confidentiality and privacy of all protected health information they access in all its forms (written, verbal, and electronic, etc.) taking reasonable precautions to prohibit unauthorized access.
Complies with all Atrius Health and departmental privacy policies, procedures and protocols.
Follows HIPAA privacy guidelines without deviation when handling protected health information