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Patient Care Coordinator - Marietta, GA

Company: UnitedHealth Group
Location: Marietta
Posted on: January 8, 2022

Job Description:

OptumRx is an empowering place for people with the flexibility to help create change. Innovation is part of the job description. And passion for improving the lives of our customers is a motivating factor in everything we do.--If you're ready to talk about groundbreaking interactions, let's talk about what happens when a firm that touches millions of lives decides to gather results from millions of prescriptions every month and analyze their impact. Let's talk about smart, motivated teams. Let's talk about more effective and affordable healthcare solutions. This is caring. This is great chemistry. This is the way to make a difference. We're doing all this, and more, through a greater dedication to our shared values of integrity, compassion, relationships, innovation and performance. --Join us and start doing your life-'s best work.SMPositions in this function are responsible for checking in, scheduling appointments, answering billing questions and managing patient medical records for a clinic. Roles may vary based on the size of the clinic(s).This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 AM--- 5:00 PM. It may be necessary, given the business need, to work occasional overtime.--Primary Responsibilities:

  • Maintain up-to-date knowledge of specific admission, registration, and pre- registration requirements for all areas, including but not limited to: Main Admitting, OP Registration, Maternity, and Rehabilitation Units
  • Verify insurance eligibility and benefits on all assigned accounts using electronic verification systems or by contacting payers directly to determine level of insurance coverage
  • When contacting payers directly, utilizes approved scripting
  • Obtain referral, authorization and pre-certification information and documents this information in the ADT system
  • When appropriate, ensures the payer receives a Notice of Admission on all admissions, scheduled and non-scheduled, within 24 hours or the next business day
  • Meet CMS billing requirements for the completion of the MSP, issuance of the Important Message from Medicare, issuance of the Observation Notice, and other requirements applicable and documenting completion within the hospitals information system for regulatory compliance and audit purposes
  • Follow up on missing authorizations. If authorization is not obtained within 48 hours prior to service, contact patients to advise them of their financial responsibility
  • Thoroughly and accurately documents insurance verification and authorization information in the ADT system, identifying outstanding deductibles, copayments, coinsurance, and policy limitations, and advises patient and collects amount due at or before the time of serviceYou-'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 higher)
    • Knowledge of / experience with Microsoft office applications:--Microsoft Word, Microsoft Excel, Microsoft PowerPoint, and Microsoft Outlook (ability to create, edit, save, and send documents, spreadsheets, presentations and correspondence)
    • Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance--Soft Skills:
      • Excellent interpersonal, communication and organizational skills.
      • Able to work with a cross-functional team of professionals including dietitians, pharmacists and pharmacy technicians, nurses, case managers, discharge planners, physicians, outside nursing agencies, patients, families and caregivers
      • Excellent--customer service skillsUnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.Military & Veterans find your next mission: We know your background and experience is different and we like that. UnitedHealth Group values the skills, experience and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation and Performance. Whether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journey. Learn more at Learn how Teresa, a Senior Quality Analyst,--works with--military veterans and ensures they receive the best benefits and experience possible.--Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system 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.SMDiversity 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.Keywords: insurance, eligibility, customer service, patient registrar, UHG, United Health Group, hiring immediately, #RPO

Keywords: UnitedHealth Group, Marietta , Patient Care Coordinator - Marietta, GA, Other , Marietta, Georgia

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