Patient Care Coordinator

Job TitleOptum 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.If you reside in the state of Worcester, MA, you'll enjoy the flexibility of a hybrid-remote position as you take on some tough challenges.Primary ResponsibilitiesSupports a high volume of calls typically for a defined region/dept with back up support to a sister region/dept adhering to department productivity standards set forth by service lineScreens all incoming patient inquires (through phone, or potentially mychart) to determine whether those inquiries can be appropriately handled by the Patient Service Representative or if they need to be directed to other team members. This includes chart review to identify previous activity that may have occurred related to the callAdheres to service line booking guidelines to ensure that clinic utilization is optimized safely and effectively as well as supporting the needs of our patientsInitiates requests for forms, letters, medication renewals, referrals, prior authorizations, and any other administrative needs submitted by patients following standard work determined by service line and answers any corresponding questions. Understands all documents and processesDocuments detail each call in the patients' electronic medical record using both service line documentation tools as well in addition to free text when appropriate to ensure coordination of careReviews and facilitates the updating of missing /outdated information in the patient record with each call including demographics, primary care physician selection, and insuranceEffectively deescalates issues with upset patients and practices. Use advanced listening techniques to understand the issue and give patients options as they are available to help resolve and ensure satisfaction. May refer difficult or highly complex phone calls and issues to a supervisorParticipates in resolving operational difficulties and communicate with supervisor regarding department issues/ problems and opportunities for improvementDevelops and maintains effective and efficient communication with the patient, interdisciplinary team, department staff, providers, and other agenciesParticipates in problem solving activities, focusing on productivity and qualityWorks with supervisors to ensure continuous improvement of the departmentAttends required team and/or regional meetings to learn new workflows and stay connected with teams working in a remote environmentCustomer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situationsDecision Making: Ability to make decisions that are guided by general instructions and practices requiring some interpretation. May make recommendations for solving problems of moderate complexity and importanceProblem Solving: Ability to address problems that are varied, requiring analysis or interpretation of the situation using direct observation, knowledge and skills based on general precedentsWritten Communications: Ability to summarize and communicate moderately complex information in varied written formats to internal and external customersOral Communications: Ability to comprehend and communicate complex verbal information to medical center staff, patients, families, and external customersKnowledge: Ability to demonstrate full working knowledge of standard work, practices, procedures, and policies with the ability to use them in varied situationsTeamwork: Ability to work collaboratively with interdisciplinary teams consisting of remote and onsite staff to improve the operations of immediate work groups by offering ideas, identifying issues, and respecting team membersComplies with health and safety requirements and with regulatory agenciesComplies with established departmental policies, procedures, and objectivesEnhance professional growth and development through educational programs, seminars, etc.Attends a variety of meetings, conferences, and seminars as required or directedRegular, reliable and predictable attendance is requiredPerforms other similar and related duties as required or directedRequired QualificationsHigh School Diploma/GED1+ years of healthcare or customer service-related experienceIntermediate level of proficiency with Computer-Based Navigation (ability to navigate multiple screens, document electronically, typing while speaking on the phone & familiarity with technology)Ability to work onsite as needed and work remotely from homeAbility to work full time (40 hours / week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pmMust be 18 years of age or olderPreferred Qualifications1+ years of experience working in a medical front office position performing duties such as scheduling appointments, checking patients in/out, insurance verification, collecting co-pays and maintaining medical recordsProficiency in Microsoft Office (Microsoft Word, Microsoft Excel and Microsoft Outlook)Knowledge of Epic EMR softwareAbility to learn new software (EPIC/EMR) and flexibility to attend new hire trainingTelecommuting RequirementsReside within commutable distance to the office at 5 Neponset Street, Worcester, MAAbility to keep all company sensitive documents secure (if applicable)Required to have a dedicated work area established that is separated from other living areas and provides information privacy.Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet serviceSoft SkillsAbility to work independently and maintain good judgment and accountabilityAbility to prioritize tasks to meet all deadlinesAbility to work well under pressure in a fast-paced environmentDemonstrated ability to work well with health care providersStrong organizational and time management skillsExcellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from othersPay 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 $18.00 to $32.00 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.Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.