Associate Patient Care Coordinator (WORCESTER)

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

Reliant Medical Group is seeking an Associate Patient Care Coordinator to join our growing geriatrics team. At Optum, we are transforming healthcare nationally while providing physician-led care locally. Work with the largest care delivery organization in the world and start doing your life's best work.

This position performs a full range of administrative support services for clinic / site including collection of co-payments, scheduling of patients for medical procedures, tests, associated ancillary services, and other related duties. Answers telephone calls for the department in the assigned department queue. Works with supervisor and other staff to meet metric expectations for phone service. Works to resolve patient complaints, provides education on processes and department scheduling procedures to ensure the highest level of patient / customer satisfaction.

Hours (38.75 / week) : Monday - Friday between 8am - 5pm EST

Location : 5 Neponset Street, Worcester, MA

Primary Responsibilities :

• Verifies and updates demographics and other patient information including necessary consent and other documents
• Collects, and posts patient co-payments and other outstanding balances. Maintains collection records and makes daily cash deposits as assigned
• Schedules patients accurately, according to department protocols and provider preference
• Completes patient check-out, coordinates scheduling, and other services as directed. Manages and updates the Department Appointment Report
• Provides education, estimate preparation, and other pre-appointment instruction as needed
• Receives and addresses patient-care-related telephone calls. Provides routine information on procedures and standard policies, and refers matters to the appropriate person within the department / site
• Resolves patients' questions regarding clinic schedules and billing concerns; handles requests for prescription refills, reschedules appointments, etc.
• Accurately and appropriately documents information in the electronic medical record system
• Receives and processes incoming and outgoing insurance referral requests based on department protocol
• Collaborates with staff, patients, andproviders as needed to complete requests. Complete follow-up and documentation as needed
• Understands basic insurance concepts such as capitated patients, co-payment, co-insurance, and identifying scheduling procedures impacted by insurance like prior authorization and referral coordination
• Able to educate patients on these concepts and set appropriate timeline expectations
• Processes personal in-basket and department pool encounters in Epic in a timely and appropriate manner