Patient Care Coordinator

Patient Care Coordinator

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.

Primary Responsibilities :

• 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

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include :

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.

Required Qualifications :

Preferred Qualifications :

Soft Skills :

All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.74 to $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.