Healthcare isn’t just changing. It’s growing more complex every day. ICD - 10 Coding replaces ICD - 9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and Healthcare organizations continue to adapt, and we are vital part of their evolution. And that’s what fueled these exciting new opportunities.
Who are we? Optum360. We’re a dynamic new partnership formed by Dignity Health and Optum to combine our unique expertise. As part of the growing family of UnitedHealth Group, we’ll leverage our compassion, our talent, our resources and experience to bring financial clarity and a full suite of Revenue Management services to Healthcare Providers, nationwide. If you’re looking for a better place to use your passion, your ideas and your desire to drive change, this is the place to be. It’s an opportunity to do your life’s best work.SM
Your work will not only impact the bottom line, but it will also make a difference in the lives of our patients who receive services in the communities in which we serve, greatly reducing their wait times to receive services upon arrival and reduce their financial burden concerns when they should be focusing on receiving a positive experience upon arrival. At the end of the day, you'll know you are doing your life's best work.SM
The Associate Patient Care Coordinator is directly responsible for managing a workload of moderate to medium complexity, responsible for contacting patient / guarantor to validate and / or obtain patient / guarantor information. The Associate Patient Care Coordinator will also inform and educate the patient of their “estimated out of pocket” Perform patient pre - financial counseling by reviewing patient benefits and collecting patient liability from Optum360’s Patient Contact Center (OPCC).
This position is full - time (40 hours / week) Monday – Friday position. Employees are required to have flexibility to work any of our 8 - hour shift schedules during our normal business hours of (7am - 7pm). Our office is located at 4129 East Van Buren Street, Ste. 150 Phoenix, AZ, 85008.
The Associate Patient Care Coordinator is responsible for ensuring a positive patient experience throughout the registration process while employing excellent customer service skills.
Calls patients in advance of upcoming scheduled services to verify and explain patient insurance.
Obtains required patient identification in compliance with Patient Heath Information (PHI).
Collects accurate and thorough patient demographic data, including insurance coverage.
Informs and educates the patient of their “estimated out of pocket” costs.
Complete the Medicare Secondary Payer (MSP) for those patients that have Medicare coverage.
In the event the services do not meet medical necessity, explains the Advanced Beneficiary Notice (ABN) and notifies patient that the ABN will need to be signed at the time of arrival for services.
Collects patient “estimated out of pocket” by phone or establish a payment arrangement.
Understands and follows the “Delay / Defer” procedure and escalates accounts that do not meet financial clearance standards to Patient Registration leadership immediately.
Follows standardized call scripts and procedures.
Explains the Payment and Billing Assistance Program to all patients regardless of financial concerns or limitations.
Adheres to the organization’s policies and procedures for resolution of patient financial liability.
Be an information source for patients by explaining hospital policies, patient financial responsibilities and Patient Rights and Responsibilities.
Other duties as needed and assigned by their Manager, Director and or Senior Director
High School Diploma / GED (or higher)
1+ year experience in Customer Service or related call center environment
Proficient computer skills
Proficient data entry and typing skills
Able to perform basic mathematics for payment calculation
All new hires will be required to successfully complete the Patient Access training classes and demonstrate proficiency of the material
1+ year administrative experience in medical facility, health insurance, or related area
Thorough understanding of insurance policies and procedures
Working knowledge of medical terminology
Experience in requesting and processing financial payments
Knowledge of charity care programs as well as the various government and non - government programs
Excellent communication capability; persuasive, inclusive, and encouraging; the ability to listen and understand; Ability to elicit cooperation from patients
Basic verbal skills required to take direction from leadership and collaborate with co - workers to perform job function
High sense of responsibility and accountability; Takes ownership and initiative
Results - oriented with an eye toward the end - goal and business results as the objective
Ability to think and act; decisiveness, assertiveness, with ability to achieve results quickly
Adaptable and flexible, with the ability to handle ambiguity and sometimes changing priorities
Professional demeanor and positive attitude; customer service orientation
Ability to learn, understands, and applies new technologies, methods, and processes
Ability to be a self - starter and work independently and as a team to achieve a common goal
Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Optum360 and our client organization(s).
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: customer service, registration, admissions, health insurance, Optum360, Phoenix, AZ