Associate Patient Care Coordinator at Optum

Job Description$2,000 SIGN ON BONUS FOR EXTERNAL APPLICANTSOptum 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 makes 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.As Associate Patient Care Coordinator, we are often the first point of contact for our patients and their families. As such we value representing an important first impression. Our professionalism, expertise and dedication help ensure that our patients receive the quality of care they need. We are diligent in obtaining complete and accurate insurance and demographic information in a timely manner, this enables us to provide high quality, compassionate health care service to all who need them, regardless of their ability to pay.Location: 350 W Thomas Rd., Phoenix, AZ 85013Primary Responsibilities:Maintains up-to-date knowledge of specific registration requirements for all areas, including but not limited to: Main Admitting, OP Registration, ED Registration, Maternity, and Rehabilitation unitsEnsures complete, accurate and timely entry of demographic information into the ADT system at the time of registrationProperly identifies the patient to ensure medical record numbers are not duplicatedResponsible for reviewing assigned accounts to ensure accuracy and required documentation is obtained and completeMeet CMS billing requirements for the completion of the MSP, issuance of the Important Message from Medicare, issuance of the Observation Notice, and other requirements, as applicable and documenting completion within the hospital's information system for regulatory compliance and audit purposesCollects and enters required data into the ADT system with emphasis on accuracy of demographic and financial information to ensure appropriate reimbursementCarefully reviews all information entered in ADT on pre-registered accountsVerifies all information with patient at time of registration; corrects any errors identifiedIdentify all forms requiring patient/guarantor signature and obtain signaturesEnsures all required documents are scanned into the appropriate system(s)Identifies all appropriate printed material hand-outs for the patient and provides them to the patient/guarantor (Patient Rights and Responsibilities, HIPAA Privacy Act notification, Advance Directive, etc.)Follows "downtime" procedures by manually entering patient information; identifying patient's MRN in the MPI database, assigning a financial number; and, accurately entering all information when the ADT system is liveAssesses self-pay patients for presumptive eligibility and when appropriate initiates the processMonitors and addresses tasks associated with the Mede/Analytics PAI toolFollows approved scripting, verify insurance benefits on all patients registered daily by using electronic verification systems or by contacting payers directly to determine the level of insurance coverageThoroughly and accurately documents insurance verification information in the ADT system, identifying deductibles, copayments, coinsurance, and policy limitationsObtains referral, authorization and pre-certification information; documents this information in the ADT system and submits notices of admission when necessaryVerifies medical necessity checks have been completed for outpatient services.  If not completed and only when appropriate, uses technology tool to complete medical necessity check and/or notifies patient that an ABN will need to be signedIdentifies payer requirements for medical necessityVerifies patient liabilities with payers, calculates patient's payment, and requests payment at the time of registrationIdentifies any outstanding balance due from previous visits, notifies patient and requests patient paymentSets up payment plans for patients who cannot pay their entire current co-payment and/or past balance in one paymentThoroughly and accurately documents the conversation with the patient regarding financial liabilities and agreement to payWhen collecting patient payments, follow department policy and procedure regarding applying payment to the patient's account and providing receipt for paymentClarifies division of financial responsibility if payment for services is split between a medical group and an insurance company.  Ensure this information is clearly documented in the ADT systemWhen necessary, escalate accounts to appropriate Patient Registration leadership staff, based on outcomes of the verification process and patient's ability to payWhat 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 HolidaysMedical Plan options along with participation in a Health Spending Account or a Health Saving accountDental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage401(k) Savings Plan, Employee Stock Purchase PlanEducation ReimbursementEmployee DiscountsEmployee Assistance ProgramEmployee Referral Bonus ProgramVoluntary 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 directions 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)1+ years of customer service experience1+ years of experience in requesting and processing financial paymentsBeginner level of proficiency working with computers/data entry Ability to work from 6:00pm - 4:30am, Thursday - SundayPreferred Qualifications:1+ years of experience working in a hospital Patient Registration department, physician office setting, healthcare insurance company, revenue cycle vendor, and/or other revenue cycle related roleGeneral understanding of insurance policies and proceduresWorking knowledge of medical terminologyAbility to perform basic mathematics for payment calculationSoft Skills:Excellent interpersonal, communication and customer service skills **PLEASE NOTE** The sign-on bonus is only available to external candidates.  Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.  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 $16.00 to $27.69 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