Patient Care Coordinator
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. This is high volume, customer service environment. You'll need to be efficient, productive and thoroughly dealing with our members over the phone. You also must be able to work on a flexible schedule that includes evening hours. Schedule: Monday – Friday, 8 AM – 5 PM CST Location: WellMed at South Stuart - 2155 SE Federal Highway, Stuart, FL 34994 You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Requirements
- High School Diploma/GED (or higher) OR 4+ years of customer service experience
- 1+ years of customer service experience
- Ability to create, edit, save and send documents utilizing Microsoft Word and Excel
- Ability to type and talk at the same time and navigate through multiple screens
- Ability to accurately sort and file materials by alphabetic or numeric systems
- Effective communication and customer service skills
Nice To Haves
- Experience working within the health care Industry and with health care insurance
- A clerical or administrative support background
- Knowledge of ICD-9 and CPT codes
- Experience working with Medicare and/or Medicaid Services
- Call center experience
- Experience working in a metric-driven work environment
Responsibilities
- Manage the intake of members or the admission/discharge information post notification
- Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers
- Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles
- Provide appropriate triage and care coordination notification cases for non-clinical assessment/intervention
- Handle resolution/inquiries from members and/or providers
Benefits
- a comprehensive benefits package
- incentive and recognition programs
- equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements)
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
