Associate Patient Care Coordinator
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Key skills for this role
About the Role
Optum is seeking a Patient Care Coordinator to provide patient-oriented service in a clinical front office setting. Responsibilities include patient registration, insurance verification, collecting co-pays, and processing referrals.
Key Skills for This Role
Responsibilities
- Communicate directly with patients and/or families to complete registration by collecting demographics, health information, and verifying insurance eligibility/benefits
- Utilize computer systems to enter, access, or verify patient data in real time ensuring accuracy and completeness
- Gather clinical information and process referrals, pre certification, pre determinations, and pre authorizations according to insurance plan requirements
- Verify insurance coverage, benefits, create price estimates, and perform reverifications as needed
- Collect patient co pays and conduct conversations on out of pocket financial obligations
- Identify outstanding balances from previous visits and attempt to collect amounts due
- Collect data from patients and refer to provider offices to confirm and create scheduled appointments prior to hospital discharge
- Respond to patient and caregiver inquiries related to routine and sensitive topics in a compassionate and respectful manner
- Generate, review, and analyze patient data reports and follow up on issues and inconsistencies
- Maintain up to date knowledge of specific registration requirements for all areas including Main Admitting, OP Registration, ED Registration, Maternity, and Rehabilitation units
Requirements
- High School Diploma/GED
- 1+ years of customer service experience in hospital, office, customer service, or phone support
- Ability to work 8:00am 4:30pm Monday through Friday
- Experience with Microsoft Office products
- Experience in a Hospital Patient Registration Department, Physician office or medical setting
- Experience in requesting and processing financial payments
- Experience in insurance reimbursement and financial verification
- Working knowledge of medical terminology
- Understanding of insurance policies and procedures
- Ability to perform basic mathematics for financial payments
Full Job Posting
Overview
- Optum is a global organization delivering care aided by technology to help people live healthier lives.
- Responsible for providing patient oriented service in a clinical or front office setting.
- Performs clerical and administrative duties related to patient care including greeting patients, answering phones, collecting payments, and processing paperwork.
Primary Responsibilities
- Communicates directly with patients and/or families to complete registration by collecting demographics, health information, and verifying insurance eligibility/benefits.
- Utilizes computer systems to enter, access, or verify patient data in real time ensuring accuracy and completeness.
- Gathers clinical information and processes referrals, pre certification, pre determinations, and pre authorizations according to insurance plan requirements.
- Verifies insurance coverage, benefits, creates price estimates, and performs reverifications as needed.
- Collects patient co pays and conducts conversations on out of pocket financial obligations.
- Identifies outstanding balances from previous visits and attempts to collect amounts due.
- Collects data from patients and refers to provider offices to confirm and create scheduled appointments prior to hospital discharge.
- Responds to patient and caregiver inquiries related to routine and sensitive topics in a compassionate and respectful manner.
- Generates, reviews, and analyzes patient data reports and follows up on issues and inconsistencies.
- Maintains up to date knowledge of specific registration requirements for all areas including Main Admitting, OP Registration, ED Registration, Maternity, and Rehabilitation units.
Required Qualifications
- High School Diploma/GED
- 1+ years of customer service experience such as hospital, office setting, customer service setting, or phone support
- Ability to work 8:00am 4:30pm Monday through Friday
Preferred Qualifications
- Experience with Microsoft Office products
- Experience in a Hospital Patient Registration Department, Physician office or any medical setting
- Experience in requesting and processing financial payments
- Experience in insurance reimbursement and financial verification
- Working knowledge of medical terminology
- Understanding of insurance policies and procedures
- Ability to perform basic mathematics for financial payments
Soft Skills
- Strong interpersonal, communication and customer service skills
Compensation and Benefits
- Hourly pay range from $16.00 to $29.00 per hour based on full time employment.
- Comprehensive benefits package including incentive and recognition programs, equity stock purchase, and 401k contribution.
- $2,000 sign on bonus for external applicants.
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