Patient Care Coordinator - Walnut Creek / Brentwood / Pleasanton, CA
Company: UnitedHealth Group
Location: Walnut Creek
Posted on: June 25, 2022
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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.SM
Positions 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 service
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)
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.
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Soft Skills:
Excellent interpersonal, communication and customer service
skills
UnitedHealth 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-military
Learn how Teresa, a Senior Quality Analyst, -works with -military
veterans and ensures they receive the best benefits and experience
possible. -https://uhg.hr/vet
Careers 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.SM
Diversity 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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