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Senior Patient Care Coordinator - Seattle, WA

12/22/2017Call Center
Job Location:
Seattle, WA
Metro Area:
WA - Seattle
Company Name: UnitedHealth Group
Website:  Click to Visit
UnitedHealth Group
Position Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. Positions in this function are responsible for checking in, scheduling appointments, answering billing questions and managing patient medical records for a clinic. Roles may vary based on the size of the clinic(s).Primary Responsibilities:Benefit determination for all our facilities, and covering the entire state.Benefit Determination involves receiving electronic information from the field Nurse Practitioners (DSTs - Decision Support Tool) containing clinical issues a patient is having and treatments for the issues.Complete the information in a software program, decides if the patient qualifies for and is eligible for skilled care, then notifies appropriate Long Term Care Facility staff that the patient was placed on skilled benefit.Keep track of review dates and makes sure the field NPs review the patients as indicated.Notify the facility when the patient is being discharged from skilled care, ensuring timely notification of non-coverage in compliance with CMS regulations.Data entry and monitoring of clinical databases/SharePoint sitesAssisting Business Segment Liaison with on-boarding new employees and troubleshooting system/technology issues.Actively promotes the Evercare program in relationships with facilities by partnering with key stakeholders (ie: internal and external)Establish regular and effective communication with internal and external parties including members, keydecision-makers, and facility staff.Use communication skills to address organizational issues.Exhibit original thinking and creativity in the development of new and improved methods and approaches to issues.Function independently and responsibly, follow up with minimal need for supervision.Demonstrate initiative in achieving individual, team, and organizational goals and objectives.


Requirements:High School Diploma / GED or higher 6+ months of Administrative Role experience6+months of intake call center experienceAbility to create, copy, edit, send, and save within Microsoft Word, Excel and Outlook Assets:Experience / exposure to geriatrics and long - term care preferredMedicaid / Medicare experience is preferred Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity 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: Senior Patient Care Coordinator , Seattle, WA, Administrative, intake, Word, Excel, Outlook
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