Associate Patient Care Coordinator - Worcester, MA

Verifies, re-verifies and authorizes patient insurance Coverage and eligibility utilizing computer-based patient registration/scheduling system
Verifies and updates demographic, insurance, and other patient information
Confirms, collects, and posts patient co-payment and other outstanding balances
Generates and tracks patient encounter forms; reviews patient encounter forms for completeness and resolves any discrepancies. Batches encounter forms and submit to appropriate building area
Maintains records and makes daily cash deposit as assigned
Receives and addresses patient care related telephone calls. Provides routine information on procedures and standard policies, refers matters to appropriate person with department/site
Identifies problem related priorities and responds to emergency needs by contacting/interpreting physician/provider within guidelines
Resolve patients' questions regarding clinic schedules and billing concerns; handles requests for prescription refills, reschedules appointments, etc.
Documents appropriate information in computer system
Prepare patient charts
Ensures completeness by locating test results, reminding patients of appointments, including appropriate forms, etc., for patient appointments
Updates and maintains Telephone Message System (TMS) in computer system. Follows through on requests. Distributes messages to appropriate provider or others for appropriate action
Enter new referrals or ensure that existing referral numbers are linked in the system to ensure managed care requirements
Provides patient education regarding managed care plans and referral process. Answers patient's referral questions, concerns, etc. Provide patients with available options
Works collaboratively with primary care practices, patients, and specialty practices to process outgoing referrals prior to scheduled visits. Follows up with practices that do not issue a referral or obtain referral on a timely basis
Interfaces with staff, providers, and patients regarding referrals denied. Documents information and assists with alternate plan of care, if needed
Completes and maintains patient schedules. Schedules and coordinates patient visits and medical procedures for both inpatients and outpatients. Communicate with patients regarding all information related to scheduled appointments
Notifies providers, patients and others of changes such as new scheduling, re-scheduling, no-show, emergency appointments and add-ons
Maintains recall lists and communicate with patients as appropriate. May inform nursing staff or others of laboratory and diagnostic study results; collects and mails test results
May escort patients to examination rooms and chaperones patents as required
May process standard and non-standard business office administrative paperwork, such as purchase requisitions, employee timesheets, expense vouchers, etc. Follows up with personnel outside the medical office to expedite timely action and alleviate, or report delays as appropriate
Provides guidance to departmental personnel in the medical office on administrative policies and procedures
Comply with health and safety requirements and with regulatory agencies such as DPH, etc.
Comply with established departmental policies, procedures, and objectives
Enhance professional growth and development through educational programs, seminars, etc.
Attends a variety of meetings, conferences, and seminars as required or directed
Regular, reliable, and predictable attendance is required
Performs other similar and related duties as required or directed

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: -

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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 customer service and/or call center experience

Preferred Qualifications:

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