Energize your career with one of Healthcare's fastest growing companies.
You dream of a great career with a great company where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.
This opportunity is with one of our most exciting business areas: Optum a growing part of our family of companies that make UnitedHealth Group a Fortune 5 leader.
Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.
Greet patients and build rapport to provide a positive patient experience
Collect patient payments
Make patient follow up calls (e.g., after procedures, admissions, or ER visits) to identify/close gaps in care
Ask patients for and/or assist patients with completing required paperwork (e.g., health history, insurance documentation, etc.)
Connect patients with outside resources (e.g., community resources, social services) to promote self care
Review and support implementation of patient plan of care
Work directly with patients to identify specific needs and/or request adjustments to plan of care
Coordinate services/case management for non-episodic and non-catastrophic cases
Manage/respond constructively to challenging patient interactions (e.g., address lack of understanding, socioeconomic challenges,frustrated patients, language barriers)
Explain and talk to patients or caregivers about sensitive health care decisions such as advanced directives, physician's order for life sustaining treatment, and palliative care/hospice referrals
Explain and ensure understanding of details related to patient care (e.g., , home health care transition procedures)
Explain medical benefits/coverage specifics (e.g., procedures/amounts covered, denials of coverage, appeal rights)
Access insurance plan systems to verify insurance eligibility/benefits for patients and seek additional information as necessary
Input/update patient demographic data into computer system
Update/upload patient care data (e.g., care plan data, inpatient data, patient program flags) in computer systems
Document patient interactions in appropriate systems/logs (e.g., medication changes)
Enter/process patient referral data (e.g., medical services, radiology, durable medical equipment)
Generate reports on patient data through relevant computer systems/applications
Review/analyze patient data reports (e.g, discharges, hospital admissions/readmissions, skilled nursing facilities) and follow up as necessary
Identify inconsistencies in diagnosis/procedure codes and update codes in the system
Enter patient payments, prepare deposits, and balance daily deposit log/ledger
Draft/provide written communications to patients (e.g., standard letters, welcome letters, educational materials) in compliance with company and health plan guidelines
Maintains patient/staff data and generates aggregate data reports
Verify referral approval prior to scheduling appointments
Schedule patients for walk-in or future appointments
Ensure provider templates/procedures are built correctly to schedule appointments in appropriate time slots
Ask patient questions to verify patient data or needs for scheduling
Coordinate/confirm scheduling of doctor visits/services with patients
Make calls to doctor's office on patient's behalf to schedule, check progress, and facilitate the care process
Identify resources available to support patient care (e.g., housing, social services, meals)
Work with durable medical equipment providers/obtain durable medical equipment for patients
Manage patient referral process (e.g., review for duplicates, ensure referral is sent to appropriate provider, follow-up with requesting provider to recommend changes)
Engage physician to obtain or provide information related to patient care (e.g., modifying authorizations, redirecting care, clarifying orders/notes)
Maintain open communication and rapport with physicians to promote patient services/care
Ensures patient scheduling/follow up activities are completed according to federal, state, or organizational guidelines (e.g., referral guidelines, follow up notifications, PCP follow up)
Screens/forwards incoming calls from patients, physicians, and health plans
High School Diploma / GED (or higher)
1 years of customer Service OR in bound/ out bound call center experience
1 years of Experience in the Healthcare Insurance industry
Understanding of relevant health plan guidelines and benefits (e.g., Medicare, Medicaid/Medical, commercial benefit plans,
Knowledge of Federal privacy regulations (e.g., HIPAA)
Knowledge of basic medical terminology and human anatomy to document patient information using standard language/medical terminology
Understanding of managed care policies/procedures that apply to patient care
Ability to work Tuesday
8pm with flex
Pharmacy Technician or Nursing background
Careers with BriovaRx Infusion Services. If you choose a career with BriovaRx Infusion Services, you'll join a team that is dedicated not only to delivering the latest in home infusion therapy, but also providing that care in a patient - first approach that offers better outcomes. As part of the Optum and UnitedHealth Group family of businesses, we strive to help our patients feel comfortable in their regimen so they can receive the treatment they need while maintaining the lifestyle they prefer. At BriovaRx Infusion Services, you'll join a team that inspires you to do better every day, resulting in 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.
Key Words: Patient Care Coordinator; Pharmacy Tech; Nurse; customer Service; in bound/ out bound call center; Healthcare Insurance industry
Unitedhealth Group Inc.