Patient Care Coordinator

UnitedHealth Group•Hillsborough, NC

18d•$18 - $32•Onsite

About The Position

The Patient Care Coordinator works in a variable customer service environment, handling member interactions by phone and supporting clinical staff face to face and over Teams. The role coordinates member intake and admission or discharge information, manages service requests and referrals, and responds to member and provider inquiries. It also includes general office administrative tasks and other duties. The position is based at the NC Center for Resiliency in Hillsborough, North Carolina, and is scheduled Monday through Friday, 8:30 a.m. to 5 p.m. EST.

Requirements

High school diploma or GED.
At least 1 year of customer service experience.
Ability to create, edit, save, and send documents using Microsoft Word and Excel.
Ability to type and talk simultaneously while navigating multiple screens.
Ability to accurately sort and file materials using alphabetic or numeric systems.
Effective communication and customer service skills.

Nice To Haves

Experience in the health care industry and with health care insurance.
Clerical or administrative support background.
Familiarity with Athena.
Knowledge of ICD-9 and CPT codes.
Experience working with Medicare and/or Medicaid services.
Call center experience.
Experience working in a metric-driven environment.

Responsibilities

Manage member intake or admission and discharge information after notification.
Work with hospitals, clinics, facilities, and the clinical team to manage member and provider requests for services.
Manage the referral process, including processing incoming and outgoing referrals and prior authorizations, and performing intake, notification, and census roles.
Provide appropriate triage and care coordination notifications for cases requiring non-clinical assessment or intervention.
Handle and resolve inquiries from members and providers.
Perform general office administrative tasks and other duties.