Associate 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 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

Associate Patient Care Coordinator

is responsible for the completion of set processes and protocols, working cooperatively with all members of the care team to support the vision and mission of the organization, delivering excellent customer service and adhering to Lean processes, and supporting the teams in meeting financial, clinical and service goals.

Schedule : Monday - Friday, 8 : 00AM - 5 : 00PM

Location : 2010 Goldring Ave, Las Vegas, NV 89106

Primary Responsibilities :

Provide high level of customer service while communicating with internal departments and external provider office staff as pertains to performance of job duties

Review and process prior authorization requests to meet departmental key indicator productivity

Verifies patient insurance eligibility & benefits to include applicable co-pays, co-insurances, deductibles, Out of Pocket Maximum, appropriate service facilities, services covered and which services if any require prior authorization

Demonstrate knowledge of insurances including navigating websites for online benefit reviews

Answer incoming calls regarding benefits, eligibility, authorizations & referrals as well as other inquiries as it relates to health insurance and acts as Patient Advocate

Process adverse determinations; timely notification and thorough documentation

Respond to complex customer calls

Resolve customer service inquiries which could include :

Benefit and Eligibility information

Authorization for treatment

Specialists Orders / Referrals

Must be able to work independently

Submit Specialists Referrals with appropriate clinical information using established protocols & procedures

Exceed attendance standards set by company policy

Take responsibility of problem solving

Any other duties that may arise

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 :

Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays

Medical Plan options along with participation in a Health Spending Account or a Health Saving account

Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage

401(k) Savings Plan, Employee Stock Purchase Plan

Education Reimbursement

Employee Discounts

Employee Assistance Program

Employee Referral Bonus Program

Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

More information can be downloaded at :

http : / / uhg.hr / uhgbenefits

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.