Patient Care Coordinator - Leominster, MA
Company: Optum
Location: Leominster
Posted on: May 12, 2025
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Job Description:
$1,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS
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 -is responsible for the completion of
set processes and protocols. Works cooperatively with all members
of the care team to support the vision and mission of the
organization, deliver excellent customer service, and adhere to
Lean processes. Supports the teams in meeting financial, clinical,
and service goals. This role will require a high volume of incoming
calls (-700 per day).
Hours: Monday through Friday, rotating schedule of 8am-4:30pm or
8:30am-5:00pm EST
Location: -275 New Lancaster Road, Leominster, MA
Primary Responsibilities:
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-payments 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 billing 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 within department/site
Identifies problem related priorities, and responds to emergency
needs by contacting/interrupting physician/provider within
guidelines
Resolves patients' questions regarding clinic schedules and billing
concerns; handles requests for prescription refills, reschedules
appointments, etc
Documents appropriate information in computer system. Prepares
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
Enters new referrals or ensures 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 patients' referral questions, concerns,
etc. Provides patient 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 denied
referrals. Documents information and assists with alternate plan of
care, if needed
Completes and maintains patient schedules. Schedules and
coordinates patient visits, medical procedures for both inpatients
and outpatients. Communicates 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 communicates with patients as
appropriate
May inform nursing staff or others of laboratory and diagnostic
study results; collects and mails test results
May escort patient to examination rooms and chaperones patients as
required. May process standard and non-standard business office
administrative paperwork, such as purchase requisitions, employee
time sheets, 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 medical office on
administrative policies and procedures
Complies with health and safety requirements and with regulatory
agencies such as DPH, etc
Complies with established departmental policies, procedures, and
objectives
Enhances 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 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+ years of customer service and/or administrative experience
Preferred Qualifications:
Medical office experience
Call center experience
Familiarity with various software applications, such as Microsoft
Word, Outlook, Excel, etc
Soft Skills:
Ability to multi-task and resolve patient concerns in a timely
manner
Ability to think critically and exercise sound judgment
Excellent communication, interpersonal, and organizational
skills
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**PLEASE NOTE** The sign-on bonus is only available to external
candidates. - Candidates who are currently working for UnitedHealth
Group, UnitedHealthcare or a related entity in a full time, part
time or per diem basis ("Internal Candidates") are not eligible to
receive a sign on bonus. -
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The salary range for this role is $16.88 -to $33.22 -per hour based
on full-time employment. 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. -
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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.
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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.
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UnitedHealth Group -is a drug - free workplace. Candidates are
required to pass a drug test before beginning employment.
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#RPO, #RED
Keywords: Optum, Plymouth , Patient Care Coordinator - Leominster, MA, Other , Leominster, Massachusetts
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