Patient Care Coordinator

UnitedHealth Group•Walnut Creek, CA

37d•$18 - $32

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. The Patient Access Specialist functions as an integral member of the team and is the first point of contact for all people inquiring about the provider's practice. The primary role is to organize the practice's daily activities and paperwork. This position is 32 hours a week. Employees are required to work any shift during our hours of 7:30am to 8:15pm Monday to Sunday including the flexibility to work occasional overtime based on business need. Required weekend and holiday work. We offer job training. This position requires coverage at all three facilities - 1450 Treat Blvd - Walnut Creek, CA, 5860 Owens Dr - Pleasanton, CA, and 2400 Balfour Rd - Brentwood, CA.

Requirements

High School Diploma/GED (or higher)
1+ years of experience in a hospital, office setting, customer service setting, or phone support role
Ability to work 32 hours per week in any of our shifts from Monday to Sunday 7:30am to 8:15pm including the flexibility to work occasional overtime based on business need
Ability to work required weekends and holidays
Ability to work at any of our local sites as needed (Walnut Creek, Pleasanton, and Brentwood, CA)

Nice To Haves

1+ years of experience with prior authorizations
1+ years of experience working with electronic health records
Experience with using Microsoft Office products
Experience in a Hospital Patient Registration Department, Physician's office, OR any medical setting
Experience in insurance reimbursement and financial verification
Experience in requesting and processing financial payments
Working knowledge of medical terminology
Understanding of insurance policies and procedures
Ability to perform basic mathematics for financial payments
Strong interpersonal, communication, and customer service skills

Responsibilities

Verifies insurance eligibility and benefits on all assigned accounts using electronic verification systems or by contacting payers directly to determine level of insurance coverage
When contacting payers directly, utilizes approved scripting
Obtains referral, authorization and pre - certification information and documents this information in system
Identifies outstanding balances from patient's previous visits and attempts to collect any amount due
Trains staff on computer systems, new processes, payer updates and assigned reporting
Functions as a Superuser for primary computer systems
Proactively identifies and leads department improvement opportunities
Works on Special Projects as needed
Performs the duties of a Patient Access Representative
Maintains up-to-date knowledge of specific admission, registration, and pre-registration requirements for all areas