Patient Care Coordinator

Explore opportunities with WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will be part of a team who shares your passion for helping people achieve improved health outcomes. Explore rewarding opportunities for physicians, clinical staff and non-patient-facing roles. Join us and discover the meaning behind Caring. Connecting. Growing together. 

The Patient Care Coordinator is an entry level position primarily responsible for verification of eligibility/benefits, submission of authorization, and data entry into Home Medical Equipment (HME)/Home Health systems. Serves as the initial client contact to obtain patient demographics, type of referral, and type of insurance and ensures information is communicated to pharmacy, clinical team managers (CTM), respiratory, and home medical equipment personnel (HME). Enters and assure all date entry of patient information in detail is entered accurately into the HME/Home Health systems. Performs all functions in a professional and ethical manner and collaborates with other members of the health care team to ensure quality patient care.

Work Schedule: Ability to work assigned work shift 9:00AM-6:00pm CST

Location: 19500 Network Boulevard San Antonio, TX

Primary Responsibilities: 

• Collects and records initial client information to include type of referral, type of insurance, and patient demographics
• Requests the referral source fax orders on all patients. Verifies client benefits
• Notifies pharmacy, nursing, RT, and HME when verification complete
• Coordinates with HME to insure availability of requested supplies or equipment
• Obtains authorization for skilled nursing visits, DME, medications, and shift care If authorization is denied, communicates with clinician to obtain additional information so authorization will be approved
• Notifies nursing, CTM, pharmacy, RT and HME when authorization is approved
• Processes Tl 9’s for Medicaid patients by obtaining Tl 9 from physicians, faxing Tl 9 to Medicaid within 72 hours, and tracking Tl 9 to ensure authorization is   complete
• If care is not authorized upon initial submission of T19, contacts Medicaid to clarify information necessary for authorization
• Completes assignment of benefits
• Authorizes all new orders as soon as they are received
• Notifies clinician if initial justification is necessary for reauthorization
• Expresses verbal and written communication in a clear, positive, and cooperative manner

Primary Responsibilities: 

• Attends all required in-service programs to maintain comprehensive of home care knowledge base
• Demonstrates effective time management skills by completing assignments within projected time frames
• Expresses verbal and written communication in a clear, positive, and cooperative manner
• Demonstrates personal responsibility regarding attendance and punctuality
• Promotes Agency philosophy, mission statement, and administrative policies
• Maintains privacy and confidentiality regarding all patient, staff and Agency information
• Promotes the Agency image by adhering to the Dress Code
• Follows the appropriate chain of command in all forms of communication

• Demonstrates flexibility, enthusiasm, and willingness to cooperate while working with others or in place of others as necessary

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: http://uhg.hr/uhgbenefits

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 higher) or 2+ years of medical office experience
• 1+ years of experience with home health services
• 1+ years of experience in customer service while providing empathy and the ability to resolve the needs of the caller
• 6+ months of experience in the ability to multitask and handle high volume of incoming referrals/calls

Preferred Qualifications:

• Background as a medical assistant, intake specialist, customer service rep in a medical/clinic setting
• Efficiencies in 10 key and data entry
• Knowledge in Excel/Word
• Understands and communicate effectively through physician written orders
• Have clear understanding of medical terminology and ICD10 coding
• Bilingual (English/Spanish)

Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Ability to remain seated for prolonged periods and maintain concentration to task.  This position requires the ability to distinguish impressions of shape, size, distance, motion, color, and other characteristics of objects, through the eyes. Major visual functions must include far sight acuity and near acuity. Must have sufficient dexterity and visual acuity to operate office machines
• Ability to work in a stressful fast paced environment.  Positive work environment is promoted for all Agency employees

    

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 $17.98 to $32.12 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.

    

    

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