UnitedHealth Group Patient Care Coordinator – Remote in AZ or TX in Dallas, Texas

If you are located within the state of AZ or TX, you will have the flexibility to telecommute * (work from home) as you take on some tough challenges.

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.

The primary function of the Patient Care Coordinator is to ensure scheduled accounts/encounters are financially cleared prior to the date of service.

This position is full-time Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours (Contractor will keep their current shifts). It may be necessary, given the business need, to work occasional overtime.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Primary Responsibilities:

• Verifies insurance eligibility and obtains benefits on all scheduled patient accounts by using electronic verification systems or by contacting payers directly to determine the level of insurance coverage.

• Document insurance benefit information such as, deductibles, co-payments, coinsurance, and policy limitations.

• Secures or verifies authorization and pre-certification.

• Completes medical necessity check for outpatient services when Medicare is the payer using the diagnosis and procedure codes provided on the physicians’ order.

• Completes the Advanced Beneficiary Notification (ABN) process if/when the code does not pass medical necessity.

• Calculates patient’s financial responsibility.

• Review assigned accounts to ensure accuracy and required documentation is obtained and complete.

• Follows appropriate processes and procedures to ensure accurate billing and timely processes.

• Collects and enters required data into the system with emphasis on accuracy of demographic and financial information to ensure appropriate reimbursement.

• Other duties as needed and assigned by their Manager, Director and or Senior Director.

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:

• Must be 18 years of age or older.

• 1+ years of electronic health record experience

• 1+ years of Customer Service experience such as hospital, office setting, customer service setting, or phone support

• Ability to work full-time Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours (Contractor will keep their current shifts). It may be necessary, given the business need, to work occasional overtime.

Preferred Qualifications:

• Experience in a Hospital Patient Registration Department, Physician office or any medical setting

• Working knowledge of medical terminology

• Understanding of insurance policies and procedures

• Experience in insurance reimbursement and financial verification

• Ability to perform basic mathematics for financial payments

• Experience in requesting and processing financial payments

Soft Skills:

• Strong interpersonal, communication and customer service skills

Telecommuting Requirements:

• Reside within the state of Arizona or Texas

• Ability to keep all company sensitive documents secure (if applicable)

• Required to have a dedicated work area established that is separated from other living areas and provides information privacy.

• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.

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.

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.

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