Opportunities with Optum in the Tri-State region (formerly CareMount Medical, ProHEALTH New York and Riverside Medical Group). Come make a difference in the lives of people who turn to us for care at one of our hundreds of locations across New York, New Jersey and Connecticut. Work with state-of-the-art technology and brilliant co-workers who share your passion for helping people feel their best. Join a dynamic health care organization and discover the meaning behind Caring. Connecting. Growing togetherOptum is the premier medical practice in New Jersey serving patients in Hudson, Bergen, Passaic, Essex, Middlesex, Burlington, Cumberland, Ocean, Morris, and Camden counties. We have over 60 locations and 180 board certified medical providers specializing in Adult Medicine, Pediatrics, ENT, Foot & Ankle, Gastroenterology, Rheumatology, Cardiology, Behavioral Health, Physical Therapy, Allergy & Immunology, Developmental Health, Pain Management, Endocrinology, Chiropractic and Optometry.As a National Committee for Quality Assurance "Level III- Patient Centered Medical Home," Optum is able to provide patient-focused precision medical care to the entire family and is committed to providing patients with the highest quality medical care.In addition to providing the highest quality of care, Optum offers its patients the best hours of operation of any private practice in the country. Patients have around-the-clock access to a health-care team and have the benefit of same day and walk in appointments. As an advocate for prenatal health and education, Optum offers prenatal classes every weekend free of charge. We believe in giving back to their community and the patients they serve through health fairs, charitable giving/foundation, and free medical education.Optum is seeking a Patient Care Coordinator to join our growing team. At Optum, we are transforming healthcare nationally while providing physician-led care locally. Work with the largest care delivery organization in the world and start doing your life's best work.Location: 1919 NJ-35, Wall NJ 07719Primary Responsibilities:
Obtain accurate and updated patient information, such as name, address, insurance information
Perform insurance verification on the date of service
Obtain patient signatures for required documents
Upload a valid Government issued state ID of patient and patient insurance cards
Accurate and complete occupational medicine registration workflow
File and maintain medical records
Consistently correct registration work queue errors
Confirms and schedule appointments
Answer telephone calls promptly and courteously
Collects co-pays or outstanding balances on the date of service
Perform referral documentation promptly
Working daily in the claims edit workque to correct registration errors for submission to insurance companies
Performs certain follow-up services for patients in a prompt and courteous manner, such as scheduling specialist appointments, scheduling follow-up appointments and obtaining copies lab results or specialist reports
Adhere to the standards identified via Sparq regarding Optum Employee Policies
Work cohesively with fellow employees to achieve specific team goals
Keep abreast on current medical requirements relevant to their position, which includes maintaining patient confidentiality and abiding by all HIPAA and OSHA requirements
Comfortable working in high pace environment
Participate in planning, coordinating, and implementing care in conjunction with the multidisciplinary team in accordance with the Plan of Care
Assure the continuity of care through scheduling and tracking systems
Provide effective communication to patient / family team members and other health care professionals as evidenced by documentation, case conferences, communication notes, and evaluations
Notify clinical staff of schedule changes as they occur
Monitor cases to ensure compliance with requirements of third-party payors
Provide accurate data in compliance with Performance Improvement tracking
Comply with administrative policies to ensure quality of care
Track and confirm the clinical staff’s receipt of verbal orders as requested
Demonstrate precision and efficiency in scanning documents and monitoring the fax server, retrieving and / or scanning documents and assigning to the appropriate electronic chart
Participate in orientation (scheduling segment) of new field employees and distribute updates and changes as needed
Perform other related duties and assignments as required
Prepare the patient for the Medical Provider’s examination by obtaining vital signs and patient history
Prepare and maintains the examination and treatment areas
Prepare the patient for and assisting with the examination
Prepare the patient for and assisting with procedures and treatments
Maintain medication and immunization records
Perform sterilization techniques, EKG, Nebulizer, Splinting, and other support tasks requested by Provider
Performing all Occupational services to all patients and ensuring follow-up to clients providing all necessary documentation
Perform an inventory of supplies and equipment
Accurate completion of daily, weekly, and monthly checklist
Accurate completion and documentation of all quality control testing
Understand proper function and care of special equipment
Perform routine maintenance and calibration of administrative and clinical equipment
Organize and maintains medical records to the extent requested by the Medical Provider, Patient Care Coordinator Sr.’s are also responsible for certain follow-up with patients, such as ensuring specialist appointments are scheduled and referrals are prepared
All employees are expected to keep abreast on current medical requirements relevant to their position, which includes maintaining patient confidentiality and abiding by all HIPPA and OSHA requirements
Complete new clinical competencies rolled out by the Educational Committee
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)
6+ months of healthcare or customer service-related experience
Ability to work 3 12-hour shifts from 7:45am until last patient leaves (business hours are from 8am-8pm), Monday-Sunday at 1919 NJ-35, Wall NJ 07719
Ability to travel 25% of the time within territory assigned, and have reliable transportation
Preferred Qualifications:
Experience working in a medical front office position performing duties such as scheduling appointments, checking patients in/out, insurance verification, collecting co-pays, and maintaining medical records
Knowledge of Epic EMR software
Insurance experience
New Jersey Residents Only: The hourly range for this role is $16.54 to $32.55 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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
