Patient Care Coordinator
About The Position
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. This is variable, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone and supporting our clinical staff face to face and over Teams.
Requirements
- High School Diploma/GED (or higher) OR 4+ years of customer service experience
- 1+ years of customer service experience
- Must be able to create, edit, save and send documents utilizing Microsoft Word and Excel
- Must be able to type and talk at the same time and navigate through multiple screens
- Ability to accurately sort and file materials by alphabetic or numeric systems
- Effective communication and customer service skills
Nice To Haves
- Experience working within the health care Industry and with health care insurance
- A clerical or administrative support background
- Familiarity with Athena
- Knowledge of ICD-9 and CPT codes
- Experience working with Medicare and/or Medicaid Services
- Call center experience
- Experience working in a metric-driven work environment
Responsibilities
- Manage the intake of members or the admission/discharge information post notification
- Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers
- Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles
- Provide appropriate triage and care coordination notification cases for non-clinical assessment/intervention
- Handle resolution/inquiries from members and/or providers
- General office administrative tasks and any other duties
Benefits
- a comprehensive benefits package
- incentive and recognition programs
- equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements)
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
