Senior 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  Senior Patient Care Coordinator  is responsible for the completion of set processes and protocols. Works cooperatively with all members of the care team to support the vision and mission of the organization, deliver excellent customer service, and adhere to Lean processes. Supports the teams in meeting financial, clinical, and service goals. Provides float support for 6 surgeons, including front and back-office duties, as needed.

Schedule :   Monday through Friday, 8 : 30am-5pm or 8am-4 : 30pm PST

Location :   1229 Madison Street, Suite 1600, Seattle, WA 98104

Primary Responsibilities :

• Provide front and back-office support in a float Patient Care Coordinator / Scheduler role
• Answers all phone calls from 3 phone queues (scheduling, high priority, and overflow)
• 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
• Intakes all demographic information for new patients
• Updates demographic information for existing patients
• Collects insurance information
• Requests medical records from the PCP / hospitals / referring physician for new patients
• Schedules / Reschedules / Cancels patient's appointments for multi-location multi-providers for an Internal Medicine practice
• Routes calls throughout the office to the appropriate department
• Submit Specialists Referrals with appropriate clinical information using established protocols & procedures
• Resolve customer service inquiries which could include Benefit and Eligibility information, Authorization for treatment, Specialists Orders / Referrals
• Relays messages from patients / specialist / pharmacies to the appropriate individual
• Willing to work with others as well as an individual to meet company goals
• Handle 90+ incoming calls daily
• Accepting all incoming HMO and FFS referrals 100+ daily via portals, faxes, messages
• Handle all hospital face sheets / service messages / voicemails / faxes / direct messages and add-ons
• Exceed attendance standards set by company policy
• Responsible for contacting patient leads for cosmetic consultations
• Monitoring workflow
• Training new hires
• Creating and managing team schedules
• Assist with onboarding new employees
• Ability to support all staff and leadership in their roles
• Ability to de-escalate and resolve patient complaints
• 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 :

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)

3+ years of customer service experience

1+ years of experience working in a medical office position performing duties such as scheduling appointments, checking patients in / out, insurance verification, collecting co-pays, and maintaining medical records

Basic level of computer proficiency and be able to work on multiple websites

Preferred Qualifications :

1+ years of direct-to-consumer sales experience

EPIC experience

Prior authorization experience

Surgery scheduling experience

Soft Skills :

Ability to work independently and maintain good judgment and accountability

Demonstrated ability to work well with health care providers

Strong organizational and time management skills

Ability to multi-task and prioritize tasks to meet all deadlines

Ability to work well under pressure in a fast-paced environment

Excellent 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 others

Pay 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 $20.00 to $35.72 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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law 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, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO #RED