Patient Care Coordinator

UnitedHealth Group • San Antonio, TX

1d • $18 - $32 • Onsite

About The Position

The Patient Care Coordinator is an entry level position primarily responsible for verification of eligibility/benefits, submission of authorization, and data entry into Home Medical Equipment (HME)/Home Health systems. Serves as the initial client contact to obtain patient demographics, type of referral, and type of insurance and ensures information is communicated to pharmacy, clinical team managers (CTM), respiratory, and home medical equipment personnel (HME). Enters and assure all date entry of patient information in detail is entered accurately into the HME/Home Health systems. Performs all functions in a professional and ethical manner and collaborates with other members of the health care team to ensure quality patient care.

Requirements

• High School Diploma/GED (or higher) OR 2+ years of medical office experience
• 1+ years of experience with home health services
• 1+ years of experience in customer service while providing empathy and the ability to resolve the needs of the caller
• 6+ months of experience and the ability to multitask and handle high volume of incoming referrals/calls

Nice To Haves

• Background as a medical assistant, intake specialist, customer service rep in a medical/clinic setting
• Efficiencies in 10 key and data entry
• Knowledge in Excel/Word
• Understands and communicate effectively through physician written orders
• Have clear understanding of medical terminology and ICD10 coding
• Bilingual (English/Spanish)

Responsibilities

• Collects and records initial client information to include type of referral, type of insurance, and patient demographics
• Requests the referral source fax orders on all patients. Verifies client benefits
• Notifies pharmacy, nursing, RT, and HME when verification is complete
• Coordinates with HME to ensure availability of requested supplies or equipment
• Obtains authorization for skilled nursing visits, DME, medications, and shift care If authorization is denied, communicates with clinicians to obtain additional information so authorization will be approved
• Notifies nursing, CTM, pharmacy, RT and HME when authorization is approved
• Processes Tl 9's for Medicaid patients by obtaining Tl 9 from physicians, faxing Tl 9 to Medicaid within 72 hours, and tracking Tl 9 to ensure authorization is complete
• If care is not authorized upon initial submission of T19, contact Medicaid to clarify information necessary for authorization
• Completes assignment of benefits
• Authorizes all new orders as soon as they are received
• Notifies clinician if initial justification is necessary for reauthorization
• Expresses verbal and written communication in a clear, positive, and cooperative manner
• Attends all required in-service programs to maintain comprehensive home care knowledge base
• Demonstrates effective time management skills by completing assignments within projected time frames
• Expresses verbal and written communication in a clear, positive, and cooperative manner
• Demonstrates personal responsibility regarding attendance and punctuality
• Promotes Agency philosophy, mission statement, and administrative policies
• Maintains privacy and confidentiality regarding all patients, staff and Agency information
• Promotes the Agency image by adhering to the Dress Code
• Follows the appropriate chain of command in all forms of communication
• Demonstrates flexibility, enthusiasm, and willingness to cooperate while working with others or in place of others as necessary

Benefits

• 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.)

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED