Associate Patient Care Coordinator - Latrobe, PA

Company: UnitedHealth Group
Location: Latrobe
Posted on: May 27, 2023

Job Description:

$2,000 Sign On Bonus For External Candidates

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 Associate Patient Care Coordinator is responsible for coordinating and maintaining a positive customer experience while performing pre - registration, registration, scheduling, and business office functions. Must possess excellent customer service skills. Be able to interact in a friendly, professional manner with a wide range of patients, operations staff, physicians, and other departments within the Excela Health system. Attention to detail and the ability to work well under pressure is essential. Also, must be able to function effectively in an environment where it is necessary to perform several tasks simultaneously, and where interruptions are frequent.

This position is full-time (40 hours/week) Sunday to Saturday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 08:00am - 05:00pm. It may be necessary, given the business need, to work occasional weekends and overtime. Our office is located at Excela Square Latrobe 100 Excela Health Dr, Latrobe, PA 15650 or Excela Health Latrobe Hospital: Emergency Room1 Mellon Way, Latrobe, PA 15650.

Primary Responsibilities:

• Regular, consistent, on - site, and timely attendance
• Schedules patient appointments for designated departments
• Schedules appointments utilizing scheduling software tools
• Provides testing instructions to assure smooth services
• Secures authorization and referral if applicable
• Customer Focus. Assesses customers' needs and considers customer in all decision - making processes to ensure a positive customer experience
• Greets the customer in a polite and professional manner whether face - to - face or on the phone, determines needs and responds appropriately and courteously
• Responds to customer issues (intra - departmental, inter - departmental, and public) timely and to the satisfaction of the customer
• Identifies and performs appropriate action in situations where it is necessary to obtain appropriate documentation for proper advancement through the revenue cycle
• Communication. Provides constructive feedback and clearly expresses ideas
• Interviews patients and / or their representatives in order to obtain accurate demographic, insurance, and claim adjudication information in a timely, courteous, professional manner
• Updates system appropriately and accurately, ensuring appropriate signatures are obtained and required authorizations / certifications / medical necessity guidelines are met
• Communicates with management all issues that impact the accurate, timely and complete accomplishment of all assigned tasks
• Identifies and communicates to management recommendations for process improvement
• Displays dignity and respect in all interactions
• Initiative. Readily accepts and incorporates changes into daily activities
• Conforms consistently to all system changes; including insurance payer regulations
• Possess functional knowledge of systems and the revenue cycle in order to adequately assist customers and reduce the unnecessary transfer of workflows
• Follows all department processes and policies as required and updated
• Motivation and Influencing. Influences and persuades others to build commitment to quality and a positive hospital experience
• Acts as a role model for peers by striving for excellence, displaying a positive attitude, and actively supporting the team concept
• Monitors and reports on individual productivity to assist in the evaluation of one's ability to organize and plan daily work in order to meet outcome - based criteria set by management
• Volunteers to work additional hours or offers to contribute to on - going projects / assignments outside the scope of their own specific function
• Fiscal Accountability. Holds self - accountable for departmental processes in order to obtain maximum reimbursement for services and the successful flow of the revenue cycle
• Assures proper identification of patients presenting for services following the proper departmental procedures
• Maintains accuracy of insurance coverage and guidelines including not but limited to verifying coverage through online eligibility software / insurance web - sites / customer service phone lines; completing Medicare Secondary Questionnaire when required; verifying medical necessity and ABN processes; determining if necessary authorizations or referrals have been obtained; ensuring each order meets current published standards; etc.
• Investigates and identifies patient - responsibility dollar amounts in order to successfully collect point - of - service payments when appropriate
• Charges posting where applicable when staff is not available timely
  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)
  • 1+ years of customer service experience
  • Department is open 24/7. Variety of shifts and hours between Sunday to Saturday. Weekends subject to change due to business demand
  • Must be able to work on a holiday rotation
  • Full COVID-19 and Flu vaccination are 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.
    Preferred Qualifications:
    • 1+ years of admissions, scheduling, or business office experience
    • Experience with Medical Terminology
    • Proficient keyboard skills measured at 30 wpm
    • Basic working knowledge of computers and office equipment
    • Basic Math and Keyboard Proficiency
    • Knowledge of Payor / Insurance Benefits
      To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies required all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.
      
      Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.
      
      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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