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 Patient Care Coordinator performs a wide variety of duties associated with patient services. This position is responsible for all components of the patient experience ranging from patient in-take, office visit, patient close-out, and appointment scheduling. The position also oversees the reporting function for the clinic including compliance specific reports as well as corporate statistics.Schedule: Monday – Friday, 8:00AM – 5:00PMLocated: 2010 Goldring, Las Vegas, NV and expected to float to nearby offices 10% of the time, including 58 North Pecos Road, Henderson, NV, 8410 W. Warm Springs, Las Vegas, NV, and 4750 W. Oakey, Las Vegas, NV.Primary Responsibilities:
Answers all phone calls from 3 phone ques (scheduling, high priority, and overflow)
Provide high level of customer service while communicating with internal departments and external provider office staff as pertains to performance of job duties
Review and process prior authorization requests to meet departmental key indicator productivity
Verifies patient insurance eligibility & benefits to include applicable co-pays, co-insurances, deductibles, Out of Pocket Maximum, appropriate service facilities, services covered and which services if any require prior authorization
Intakes all demographic information for new patients
Updates demographic information for existing patients
Collects insurance information
Requests medical records from the pcp/hospitals/referring physician for new patients
Schedules/Reschedules/Cancels patient's appointments for multi-location multi-providers for an Internal Medicine practice
Routes calls throughout the office to the appropriate department
Submit Specialists Referrals with appropriate clinical information using established protocols & procedures
Resolve customer service inquiries which could include:
Benefit and Eligibility information
Authorization for treatment
Specialists Orders/Referrals
Relays messages from patients/specialist/pharmacies to the appropriate individual
Willing to work with others as well as an individual to meet company goals
Handle 90+ incoming calls daily
Accepting all incoming HMO and FFS referrals 100+ daily via portals, faxes, messages
Handle all hospital facesheets/service messages/voicemails/faxes/direct messages and add on's
Exceed attendance standards set by company policy
Any other duties that may arise
Expectation to travel 10% of the time to nearby offices
What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:
Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
Medical Plan options along with participation in a Health Spending Account or a Health Saving account
Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
401(k) Savings Plan, Employee Stock Purchase Plan
Education Reimbursement
Employee Discounts
Employee Assistance Program
Employee Referral Bonus Program
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
More information can be downloaded at: http://uhg.hr/uhgbenefits
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+ year of medical call center experience or medical experience
1+ years of Microsoft Office experience
Ability to travel 10% of the time to nearby offices
Preferred Qualifications:
Previous local insurance experience
Bilingual (English/Spanish)
Nevada Residents Only: The hourly range for Nevada residents is $16.54 to $32.55 per hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.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.#RPO, #RED