Patient Care Coordinator - Irving, TX

Careers at UnitedHealth Group

We're creating opportunities in every corner of the health care marketplace to improve lives while we're building careers. At UnitedHealth Group, we support you with the latest tools, advanced training and the combined strength of high caliber co-workers who share your passion, your energy and your commitment to quality. Join us and start doing your life's best work. SM

Clinical

Compassion. It's the starting point for health care providers like you and it's what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you're also providing leadership and contributing in ways that can affect millions for years to come. Ready for a new path? Learn more, and start doing your life's best work. SM

Our teams are helping people from around the world. We can bring out your best as you put your listening, analytical and problem solving skills to work in a setting that is geared to helping improve lives and enhance health care for millions. Here, you'll discover a wealth of pathways for professional growth within Customer Service, Billing, Claims, Enrollment & Eligibility and across our global economy. Join us and find out why this is the place to do your life's best work. SM

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, and managing patient medical records for a clinic. Roles may vary based on the size of the clinic(s).

This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (9:30am - 6pmPST). It may be necessary, given the business need, to work occasional overtime. Our office is located at 909 Hidden ridge Irving, TX 75038.

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)
  • 1+ years of experience in customer service, preferably in a healthcare environment
  • Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained.

Preferred Qualifications:
  • 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
  • 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
  • Ability to work any of our 8-hour shift schedules during our normal business hours of (9:30am - 6pmPST). It may be necessary, given the business need, to work occasional overtime

Soft Skills:
  • Excellent interpersonal, communication and customer service skills

UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us. You can learn more about all we are doing to fight COVID-19 and support impacted communities at: https://www.unitedhealthgroup.com/newsroom/addressing-covid.html

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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

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: insurance, eligibility, customer service, patient registrar, UHG, United Health Group, hiring immediately, #rpo

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