Patient Care Coordinator (LEOMINSTER)

$1,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS

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 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. This role will require a high volume of incoming calls (~700 per day).

Hours : Monday through Friday, rotating schedule of 8am-4 : 30pm or 8 : 30am-5 : 00pm EST

Location : 275 New Lancaster Road, Leominster, MA

Primary Responsibilities :

• Verifies, re-verifies and authorizes patient insurance coverage and eligibility utilizing computer-based patient registration / scheduling system. Verifies and updates demographic, insurance, and other patient information. Confirms, collects, and posts patient co-payments and other outstanding balances
• Generates and tracks patient encounter forms. Reviews patient encounter forms for completeness and resolves any discrepancies. Batches encounter forms and submit to appropriate billing area
• Maintains records and makes daily cash deposit as assigned
• Receives and addresses patient-care related telephone calls. Provides routine information on procedures and standard policies, refers matters to appropriate person within department / site
• Identifies problem related priorities, and responds to emergency needs by contacting / interrupting physician / provider within guidelines
• Resolves patients' questions regarding clinic schedules and billing concerns; handles requests for prescription refills, reschedules appointments, etc
• Documents appropriate information in computer system. Prepares patient charts. Ensures completeness by locating test results, reminding patients of appointments, including appropriate forms, etc., for patient appointments
• Updates and maintains Telephone Message System (TMS) in computer system. Follows through on requests. Distributes messages to appropriate provider or others for appropriate action
• Enters new referrals or ensures that existing referral numbers are linked in the system to ensure managed care requirements
• Provides patient education regarding managed care plans and referral process. Answers patients' referral questions, concerns, etc. Provides patient with available options

Works collaboratively with primary care practices, patients and specialty practices to process outgoing referrals prior to scheduled visits. Follows up with practices that do not issue a referral or obtain referral o