Patient Care Coordinator

Change Healthcare-posted 26 days ago
$18 - $32/Yr
Full-time • Entry Level
Hybrid • Worcester, MA
5,001-10,000 employees
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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. Patient Care Coordinator performs a variety of duties for the registration of new and existing patients for both primary care and specialty care. Addresses all inquiries from potential new patients through various channels. Maintains the accuracy of patient demographics and specializes in insurance verification. Provides detailed communication to patients regarding the multiple benefits offered at Reliant Medical Group. Supports site staff with registration and insurance inquiries. Provides outstanding customer service Hours (38.75): 9:30am - 6pm EST If you reside near Worcester, MA , you will enjoy the flexibility of a hybrid-remote role as you take on some tough challenges. This position follows a hybrid schedule with three in-office days per week. Location: 100 Front Street, Worcester, MA Initial training will be ONSITE.

  • Answers incoming phone calls to patient registration and obtains demographic and insurance information needed for registration.
  • Enter information in computerized billing system
  • Provides education about the RMG practice to patients including services offered, locations and any other important information
  • Collects information from new patients for marketing data
  • Assist patients with selection of primary care physicians
  • Schedules appointments for patients within established guidelines and reviews insurance requirements and co-pay information with patients
  • Provides education to all patients about insurance plans including co-payment, coinsurance and deductibles.
  • Inform patients about necessary referrals and out-of-network benefits as needed
  • Research and resolve complex registration and eligibility issues
  • Research co-pay and deductible information for advanced imaging or other procedures and enters this information into appointment notes or other designated places in system
  • Initiates MyHealth/MyChart accounts for patients
  • Using a computerized database queries for upcoming appointments within various RMG locations
  • Initiates outgoing calls to patients for pre-registration information prior to appointments to obtain correct demographic and insurance information.
  • Enter information in computerized billing system
  • Contacts existing patients if there are changes or inaccuracies in insurance information. Enters correct information into the system
  • Using information provided by the insurance carriers verifies eligibility of health insurance for all pre-scheduled appointments.
  • Understands the various insurance plans and referral requirements
  • Works with patients, sites and insurance carriers to resolve any issues in coverage.
  • Resolves range of routine and complex issues independently
  • Collects pre-payments for Self-Pay services
  • Works with patient billing representatives, insurance carriers and/or patients to resolve billing issues that are a result of registration errors.
  • Reviews and corrects errors on claim rejection reports and correspondence for all payors
  • Corrects registration errors via the claim edit work queue submission
  • Performs other duties as assigned
  • High School Diploma/GED (or higher)
  • 1+ years of customer service or previous experience working within a medical office/healthcare setting
  • Intermediate level of proficiency with MS Office and data entry
  • Must live within commutable distance to office in Worcester, MA
  • Insurance registration experience and knowledge of medical terminology
  • Call center experience
  • Excellent interpersonal, communication and organizational skills
  • Excellent customer service and data entry skills
  • Excellent phone etiquette
  • Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
  • Medical Plan options along with participation in a Health Spending Account or a Health Saving account
  • Dental, Vision, Life& AD&D Insurance along with 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.)
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