UnitedHealth Group Hiring for Patient Care Coordinator (SSM) – National Remote at Dallas, TX Full Time

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

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 Patient Services Coordinator functions as an integral member of the team and is the first point of contact for all people inquiring about the provider’s practice. The primary role is to organize the practice’s daily activities and paperwork.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Primary Responsibilities:

• Verifies insurance eligibility and benefits on all assigned accounts using electronic verification systems or by contacting payers directly to determine level of insurance coverage. When contacting payers directly, utilizes approved scripting.
• Obtains referral, authorization and pre-certification information and documents this information in system.
• Identifies outstanding balances from patient’s previous visits and attempts to collect any amount due.
• Trains staff on computer systems, new processes, payer updates and assigned reporting
• Functions as a Superuser for primary computer systems
• Proactively identifies and leads department process improvement opportunities
• Works on Special Projects as needed
• Performs the duties of a Patient Access Representative
• Maintains up-to-date knowledge of specific admission, registration, and pre-registration requirements for all areas
• Within a call center setting, coordinates scheduling and referrals to other healthcare providers and services. Obtains approval for schedule changes or cancelations as appropriate.

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School Diploma / GED (or higher) or equivalent experience
• 1+ years of electronic health record experience
• 2+ years of Customer Service experience such as hospital, office setting, customer service setting, or phone support
• Ability to work 09:30AM – 06:00PM CST Mon-Fri

Preferred Qualifications:

• 1+ year of experience with prior authorizations
• Experience with Microsoft Office products
• Experience in a Hospital Patient Registration Department, Physician Office, or any medical setting
• Working knowledge of medical terminology
• Understanding of insurance policies and procedures
• Experience in insurance reimbursement and financial verification
• Ability to perform basic mathematics for financial payments
• Experience in requesting and processing financial payments
• Live in the St Louis, MO area

• Strong interpersonal, communication and customer service skills

Physical and Work Environment:

• Standing for long periods of time (10 to 12 hours) while using a workstation on wheels and phone/headset.

Careers with OptumInsight . Information and technology have amazing power to transform the Healthcare industry and improve people’s lives. This is where it’s happening. This is where you’ll help solve the problems that have never been solved. We’re freeing information so it can be used safely and securely wherever it’s needed. We’re creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to do your life’s best work. SM

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.

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