Senior Patient Care Coordinator (Seattle)

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 SeniorPatient 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 includeBenefit 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 perf