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