Patient Care Coordinator

Explore opportunities withWellMed,part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will be part of a team who shares your passion for helping people achieve improved health outcomes. Explore rewarding opportunities for physicians, clinical staff and non-patient-facing roles. Join us and discover the meaning behindCaring. Connecting. Growing together.ThePatient Care Coordinatoris an entry level position primarily responsible for verification of eligibility/benefits, submission of authorization, and data entry into Home Medical Equipment (HME)/Home Health systems. Serves as the initial client contact to obtain patient demographics, type of referral, and type of insurance and ensures information is communicated to pharmacy, clinical team managers (CTM), respiratory, and home medical equipment personnel (HME). Enters and assure all date entry of patient information in detail is entered accurately into the HME/Home Health systems. Performs all functions in a professional and ethical manner and collaborates with other members of the health care team to ensure quality patient care.Work Schedule:Ability to work assigned work shift 9:00AM-6:00pm CSTLocation:19500 IH10 West San Antonio, TXPrimaryResponsibilities:Collects and records initial client information to include type of referral, type of insurance, and patient demographicsRequests the referral source fax orders on all patients. Verifies client benefitsNotifies pharmacy, nursing, RT, and HME when verification is completeCoordinates with HME to ensure availability of requested supplies or equipmentObtains authorizationfor skilled nursing visits, DME,medications, and shift care If authorization is denied, communicates with clinicians to obtain additional information so authorization will be approvedNotifies nursing, CTM, pharmacy,RT and HME when authorization isapprovedProcesses Tl 9's for Medicaid patients by obtaining Tl 9 from physicians, faxing Tl 9 to Medicaid within 72 hours, and tracking Tl 9 to ensure authorization is completeIf care is not authorized upon initial submission of T19, contact Medicaid to clarify information necessary for authorizationCompletes assignment of benefitsAuthorizes all new orders as soon as they are receivedNotifies clinician if initial justification is necessary for reauthorizationExpresses verbal and written communication in a clear, positive, and cooperative mannerPrimaryResponsibilities:Attends all required in-service programs to maintain comprehensive home care knowledge baseDemonstrates effective time management skills by completing assignments within projected time framesExpresses verbal and written communication in a clear, positive, and cooperative mannerDemonstrates personal responsibility regarding attendance and punctualityPromotes Agency philosophy, mission statement, and administrative policiesMaintains privacy and confidentiality regarding all patients, staff and Agency informationPromotes the Agency image by adhering to the Dress CodeFollows the appropriate chain of command in all forms of communicationDemonstrates flexibility, enthusiasm, and willingness to cooperate while working with others or in place of others as necessaryWhat 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 HolidaysMedical Plan options along with participation in a Health Spending Account or a Health Saving accountDental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage401(k) Savings Plan, Employee Stock Purchase PlanEducation ReimbursementEmployee DiscountsEmployee Assistance ProgramEmployee Referral Bonus ProgramVoluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)More information can be downloaded at:uhgbenefitsYou'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) or2+ years of medical office experience1+ years of experience with home health services1+ years of experience in customer service while providing empathy and the ability to resolve the needs of the caller6+ months of experience in the ability to multitask and handle high volume of incoming referrals/callsPreferred Qualifications:Background as a medical assistant, intake specialist, customer service rep in a medical/clinic settingEfficiencies in 10 key and data entryKnowledge in Excel/WordUnderstands and communicate effectively through physician written ordersHave clear understanding of medical terminology and ICD10 codingBilingual (English/Spanish)Physical Demands:The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Ability to remain seated for prolonged periods and maintain concentration to task. This position requires the ability to distinguish impressions of shape, size, distance, motion, color, and other characteristics of objects, through the eyes. Major visual functions must include far sight acuity and near acuity. Must have sufficient dexterity and visual acuity to operate office machinesAbility to work in a stressful fast paced environment. Positive work environment is promoted for all Agency employeesPay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.98 to $32.12 per hour based on full-time employment. We comply with all minimum wage laws as applicable.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.UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.UnitedHealth Groupis a drug - free workplace. Candidates are required to pass a drug test before beginning employment.#RPO, #RED