Patient Care Coordinator

Join Our Team at OptumOptum 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.Location: 24 Newton St. Southborough MASchedule: Monday - Friday 7:15am - 4pmPrimary Responsibilities:Verifies and authorizes patient insurance coverage and eligibility. Updates demographics and other patient information including necessary consents and other documentsMaintains collection records and makes daily cash deposits as assignedSchedules patients accurately, according to department protocols and provider preferenceCompletes patient check-out, coordinates scheduling, and other services as directed. Manages and updates the department appointment reportProvides education, estimate preparation, and other pre-appointment instruction as neededReceives and addresses patient-care-related telephone calls. Provides routine information on procedures and standard policies, and refers matters to the appropriate person within the department/siteResolves patient's questions regarding clinic schedules and billing concerns; handles requests for prescription refills, reschedules appointments, etc.Accurately and appropriately documents information in the electronic medical record systemReceives and processes incoming and outgoing insurance referral requests based on department protocol. Collaborates with staff, patients, and providers as needed to complete requests. Completes follow-up and documentation as neededObtains prior authorizations for various orders (such as sleep studies, cardiac imaging, outside imaging) according to established proceduresPerforms appropriate action regarding, No Show, Cancellations, Recall, Waitlist and Reschedule lists, per established guidelines. Follows up with the patient, provider, etc. as neededProcesses personal in-basket and department pool encounter in Epic in a timely and appropriate mannerIn conjunction with department leadership and training acts as an educator to new PSS staffProcesses department and provider mail and faxes in a timely and appropriate mannerPerforms chart review in order to satisfy patient requests for form completion, resolve patient complaints or inquiries, or coordinate care related to appointment schedulingAble to identify when patient-related issues need urgent attention and escalate to nursing or provider and/or leadership as neededComplies with health and safety requirements and with regulatory agencies such as DPH, etc.Complies with established departmental policies, procedures, and objectivesParticipates in learning opportunities provided through the learning management systemParticipates in departmental meetings and huddles as directed by department leadershipRegular, reliable, and predictable attendance is requiredPerforms other similar and related duties as required or directedYou'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:1+ years of customer service experiencePreferred Qualifications:1+ years of experience providing administrative support in a healthcare, medical office and/or health insurance environmentSkills:Ability to think critically and exercise sound judgment and manage multiple priorities and deadlinesExcellent communication, customer service, interpersonal and organizational skillsPay 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). 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 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 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.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.