Patient Care Coordinator – Las Vegas, NV
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 diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make 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.
Southwest Medical, part of Optum, has an immediate opening for a friendly, patient focused and detailed oriented Patient Care Coordinator to join our team. The Patient Care Coordinator 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.
Schedule: Monday through Friday from 8:00 am to 5:00 pm This is a 40-hour work week to be determined by the supervisor.
Location: 4475 S EASTERN Ave, Las Vegas, Second Floor, NV 89119
Primary Responsibilities:
- Provide high level of customer service while communicating with internal departments and external provider office staff as pertains to performance of job duties
- Review and process prior authorization requests to meet departmental key indicator productivity
- Verifies patient insurance eligibility & benefits to include applicable co-pays, co-insurances, deductibles, Out of Pocket Maximum, appropriate service facilities, services covered and which services if any require prior authorization
- Intakes all demographic information for new patients
- Updates demographic information for existing patients
- Collects insurance information
- Requests medical records from the pcp/hospitals/referring physician for new patients
- Schedules/Reschedules/Cancels patient’s appointments for multi-location multi-providers for an Internal Medicine practice
- Routes calls throughout the office to the appropriate department
- Submit Specialists Referrals with appropriate clinical information using established protocols & procedures
- Resolve customer service inquiries which could include:
- Benefit and Eligibility information
- Authorization for treatment
- Specialists Orders/Referrals
- Benefit and Eligibility information
- Relays messages from patients/specialist/pharmacies to the appropriate individual
- Willing to work with others as well as an individual to meet company goals
- Accepting all incoming HMO and FFS referrals 100+ daily via portals, faxes, messages
- Handle all hospital facesheets/service messages/voicemails/faxes/direct messages and add ons
- Exceed attendance standards set by company policy
- Expectation to travel 10% of the time to the office of 75 South Valle Verde, Henderson, NV 89012 (approximately one time per week)
- Performs other duties as assigned
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)
- 1+ years of experience working in medical office\ urgent care position performing duties such as scheduling appointments, checking patients in/out, insurance verification, collecting co-pays, and maintaining medical records
- Beginner level of proficiency with Microsoft Excel, Word, Outlook, and PowerPoint
- Ability to travel 10% of the time to the office of 75 South Valle Verde, Henderson, NV 89012 (approximately one time per week)
- Independent means of transportation during work hours for job related tasks
Preferred Qualifications:
- 1+ years of related work experience including data entry
- Prior experience with EMR computer applications
- Bilingual (English / Spanish)
Soft Skills:
- Ability to work independently and maintain good judgment and accountability
- Demonstrated ability to work well with health care providers
- Strong organizational and time management skills
- Ability to multi-task and prioritize tasks to meet all deadlines
- Ability to work well under pressure in a fast-paced environment
- Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others
The salary range for this role is $16.88 to $33.22 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
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.
#RED, #RPO
Additional Job Detail Information
Requisition Number 2285084
Business Segment Optum
Employee Status Regular
Job Level Individual Contributor
Travel Yes, 10 % of the Time
Country: US
Overtime Status Non-exempt
Schedule Full-time
Shift Day Job
Telecommuter Position No
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