Associate Patient Care Coordinator

About the Role

Optum is a global organization dedicated to improving health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need.

Key Responsibilities

• Communicate directly with patients and/or families in person or by phone to complete the registration process, collecting patient demographics, health information, and verifying insurance eligibility/benefits.
• Utilize computer systems to enter or verify patient data in real-time, ensuring accuracy and completeness.
• Gather necessary clinical information and process referrals, pre-certification, pre-determinations, and pre-authorizations according to insurance plan requirements.
• Verify insurance coverage, benefits, and create price estimates; perform re-verifications as needed.
• Collect patient co-pays and discuss out-of-pocket financial obligations with patients.
• Identify outstanding balances from previous visits and attempt to collect any amounts due.
• Collect data directly from patients and refer to provider offices to confirm and schedule patient services before hospital discharge.
• Respond to patient and caregiver inquiries on routine and sensitive topics with compassion and respect.
• Generate, review, and analyze patient data reports, and follow up on issues and inconsistencies.
• Perform a variety of clerical and administrative duties related to patient care delivery, including greeting and checking in patients, answering phones, collecting co-pays and payments, processing paperwork, and other front office duties in a fast-paced, customer-oriented clinical environment.

Requirements & Tech Stack

• High School Diploma/GED
• 1+ years of customer service experience in a hospital, office, customer service, or phone support setting.
• Ability to work Monday, Tuesday & Wednesday from 6:00 am - 6:00 pm, and Thursday from 6:00 am - 12:00 pm.
• Must be 18 years of age or older.
• Ability to perform standing for long periods of time (10 to 12 hours) while using a workstation on wheels and phone/headset.

Preferred Qualifications

• Experience with Microsoft Office products.
• Experience in a Hospital Patient Registration Department, Physician office, or any medical setting.
• Experience in insurance reimbursement and financial verification.
• Experience in requesting and processing financial payments.
• Working knowledge of medical terminology.
• Understanding of insurance policies and procedures.
• Ability to perform basic mathematics for financial payments.

Soft Skills

• Strong interpersonal, communication, and customer service skills.