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Patient Care Coordinator SR

Company: UnitedHealth Group
Location: Oceanside
Posted on: September 21, 2022

Job Description:

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration, and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)Optum Oceanside OBGYN, part of Optum Care -has an immediate opening for a friendly, patient focused and detailed oriented Patient Care Coordinator -Senior to join our team. The hours Monday through Friday are 8:00 am to 5:00pm Pacific Standard Time. No nights or Weekends.Patient Care Coordinator -Senior 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.Primary Responsibilities:

  • Responsible for authorizations and referrals
  • Scheduling surgeries for patients
  • Respond to patient questions in person or over the phone
  • Collect patient surgery payments if needed
  • Ask patients for and/or assist patients with completing required paperwork (e.g., health history, insurance documentation, etc.)
  • Connect patients with outside resources (e.g., community resources, social services) to promote self-care
  • Review and support implementation of patient plan of care
  • Work directly with patients to identify specific needs and/or request adjustments to plan of care
  • Coordinate services/case management for non-episodic and non-catastrophic cases
  • Manage/respond constructively to challenging patient interactions (e.g., address lack of understanding, socioeconomic challenges, frustrated patients, language barriers)
  • Explain and talk to patients or caregivers about sensitive health care decisions such as advanced directives, physician's order for life sustaining treatment, and palliative care/hospice referrals
  • Access insurance plan systems to verify insurance eligibility/benefits for patients and seek additional information as necessary
  • Explain and ensure understanding of details related to patient care (e.g., , home health care transition procedures)
  • Explain medical benefits/coverage specifics (e.g., procedures/amounts covered, denials of coverage, appeal rights)
  • Input/update patient demographic data into computer system
  • Update/upload patient care data (e.g., care plan data, inpatient data, patient program flags) in computer systems
  • Document patient interactions in appropriate systems/logs (e.g., medication changes)
  • Enter/process patient referral data (e.g., medical services, radiology, durable medical equipment)
  • Generate reports on patient data through relevant computer systems/applications
  • Review/analyze patient data reports (e.g., discharges, hospital admissions/readmissions, skilled nursing facilities) and follow up as necessary
  • Explain and ensure understanding of details related to patient care (e.g., home health care transition procedures)
  • Explain medical benefits/coverage specifics (e.g., procedures/amounts covered, denials of coverage, appeal rights)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: -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 -4+ years of -OBGYN experience
      • 2+ years of OBGYN experience
      • Intermediate level of computer proficiency (including Microsoft Outlook)
      • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state, and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodationPreferred Qualifications:
        • Ability to multi-task -
        • Experience working with an electronic health record -
        • Knowledge of medical terminology
        • Excellent communication skills and phone etiquette -
        • Billing Experience
        • CPR certified or able to obtain certification within 90 days of hireTo protect the health and safety of our workforce, patients, and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state, and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So, when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.UnitedHealth Group -is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.Job Keywords: Patient care, coordinator, medical clinic, medical billing, Patient Care Coordinator Senior, -Oceanside, CA, California, Optum, #hiringimmediately, #RPO, #Red

Keywords: UnitedHealth Group, Oceanside , Patient Care Coordinator SR, Other , Oceanside, California

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