Senior Patient Care Coordinator/Medical Assistant

UnitedHealth Group • Seattle, WA

215d • $19 - $38 • Onsite

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The Senior Patient Care Coordinator is responsible for the completion of set processes and protocols. Works cooperatively with all members of the care team to support the vision and mission of the organization, deliver excellent customer service, and adhere to Lean processes. Supports the teams in meeting financial, clinical, and service goals. Provides float support for 6 surgeons, including front and back-office duties, as needed.

Requirements

• High School Diploma/GED (or higher)
• 3+ years of customer service experience
• 1+ years of medical front office or surgery scheduling experience
• 1+ years of basic computer software experience
• 1+ years experience as an MA-R or an MA-C

Nice To Haves

• Surgery scheduling experience
• EPIC experience
• Prior authorization experience

Responsibilities

• Provide front and back-office support in a float Patient Care Coordinator/Scheduler role
• Answers all phone calls from 3 phone queues (scheduling, high priority, and overflow)
• Provide high level of customer service while communicating with internal departments and external provider office staff as pertains to performance of job duties
• Review and process prior authorization requests to meet departmental key indicator productivity
• Verifies patient insurance eligibility & benefits to include applicable co-pays, co-insurances, deductibles, Out of Pocket Maximum, appropriate service facilities, services covered and which services if any require prior authorization
• Intakes all demographic information for new patients
• Updates demographic information for existing patients
• Collects insurance information
• Requests medical records from the PCP/hospitals/referring physician for new patients
• Schedules/Reschedules/Cancels patient's appointments for multi-location multi-providers for an Internal Medicine practice
• Routes calls throughout the office to the appropriate department
• Submit Specialists Referrals with appropriate clinical information using established protocols & procedures
• Resolve customer service inquiries which could include Benefit and Eligibility information, Authorization for treatment, Specialists Orders/Referrals
• Relays messages from patients/specialist/pharmacies to the appropriate individual
• Willing to work with others as well as an individual to meet company goals
• Handle 90+ incoming calls daily
• Accepting all incoming HMO and FFS referrals 100+ daily via portals, faxes, messages
• Handle all hospital face sheets/service messages/voicemails/faxes/direct messages and add-ons
• Exceed attendance standards set by company policy
• Ability to provide direct patient care as a medical assistant
• Prepares exam rooms for patients and documents patient encounters in Epic
• Any other duties that may arise

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
• Industry: Insurance Carriers and Related Activities
• Education Level: High school or GED