Patient Care Coordinator - Walnut Creek / Brentwood / Pleasanton, CA
Company: UnitedHealth Group
Location: Walnut Creek
Posted on: June 21, 2022
Job Description:
Combine two of the fastest - growing fields on the planet with a
culture of performance, collaboration, and opportunity and this is
what you get. Leading edge technology in an industry that's
improving the lives of millions. Here, innovation isn't about
another gadget, it's about making Healthcare data available
wherever and whenever people need it, safely and reliably. There's
no room for error. 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 (32hours/week)
Sunday - Saturday, working between 3 locations - (Brentwood, Walnut
Creek and Pleasanton). Employees are required to have flexibility
to work any schedule during hours of (7:30am - 9:15pm). 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)
- 2+ 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 role
- 1+ years of experience in customer service, preferably in a
healthcare environment
- Understanding of insurance policies and procedures
- Knowledge of charity care programs as well as various
government and non-government payment assistance programs
- Working knowledge of facility pricing structure and cost
estimates
- Basic knowledge of ICD - 9 (10) and CPT terminology
- Working knowledge of medical terminology
- Ability to perform basic mathematics for payment
calculation
- Experience in requesting and processing financial payments
- Full COVID-19 vaccination is an essential job function of this
role. Candidates located in states that mandate COVID-19 booster
doses must also comply with those state requirements. UnitedHealth
Group will adhere to all federal, state and local regulations as
well as all client requirements and will obtain necessary proof of
vaccination, and boosters when applicable, prior to employment to
ensure compliance. Candidates must be able to perform all essential
job functions with or without reasonable accommodation. Soft
Skills:
- Excellent interpersonal, communication and 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 https://uhg.hr/transitioning-militaryLearn
how Teresa, a Senior Quality Analyst, works with military veterans
and ensures they receive the best benefits and experience possible.
https://uhg.hr/vetCareers with OptumInsight. Information and
technology have amazing power to transform the Healthcare industry
and improve people's lives. This is where it's happening. This is
where you'll help solve the problems that have never been solved.
We're freeing information so it can be used safely and securely
wherever it's needed. We're creating the very best ideas that can
most easily be put into action to help our clients improve the
quality of care and lower costs for millions. This is where the
best and the brightest work together to make positive change a
reality. This is the place 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: #RPO, #RED
Keywords: UnitedHealth Group, Walnut Creek , Patient Care Coordinator - Walnut Creek / Brentwood / Pleasanton, CA, Other , Walnut Creek, California
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