Patient Care Coordinator - Fort Pierce, FL

Greet patients and build rapport to provide a positive patient experience
Collect patient payments
Make patients follow up calls (e.g., after procedures, admissions, or ER visits) to identify/close gaps in care
Ask patients for and/or assist patients with completing required paperwork (e.g., health history, insurance documentation, etc.)
Connect patients with outside resources (e.g., community resources, social services) to promote self-care
Review and support implementation of patient plan of care
Work directly with patients to identify specific needs and/or request adjustments to plan of care
Coordinate services/case management for non-episodic and non-catastrophic cases
Manage/respond constructively to challenging patient interactions (e.g., address lack of understanding, socioeconomic challenges, frustrated patients, language barriers)
Explain and talk to patients or caregivers about sensitive health care decisions such as advanced directives, physician's order for life sustaining treatment and palliative care/hospice referrals
Explain and ensure understanding of details related to patient care (e.g. home health care transition procedures)
Explain medical benefits/coverage specifics (e.g., procedures/amounts covered, denials of coverage, appeal rights)
Access insurance plan systems to verify insurance eligibility/benefits for patients and seek additional information as necessary
Input/update patient demographic data into computer system
Update/upload patient care data (e.g., care plan data, inpatient data, patient program flags) in computer systems
Document patient interactions in appropriate systems/logs (e.g., medication changes)
Enter/process patient referral data (e.g., medical services, radiology, durable medical equipment)
Generate reports on patient data through relevant computer systems/applications
Review/analyze patient data reports (e.g., discharges, hospital admissions/readmissions, skilled nursing facilities) and follow up as necessary
Identify inconsistencies in diagnosis/procedure codes and update codes in the system
Enter patient payments, prepare deposits and balance daily deposit log/ledger
Draft/provide written communications to patients (e.g., standard letters, welcome letters, educational materials) in compliance with company and health plan guidelines
Maintains patient/staff data and generates aggregate data reports
Schedule patients for walk-in or future appointments
Ensure provider templates/procedures are built correctly to schedule appointments in appropriate time slots
Ask patient questions to verify patient data or needs for scheduling
Coordinate/confirm scheduling of doctor visits/services with patients
Make calls to the doctor's office on patient's behalf to schedule, check progress, and facilitate the care process
Identify resources available to support patient care (e.g., housing, social services, meals)
Work with durable medical equipment providers/obtain durable medical equipment for patients
Manage patient referral process (e.g., review for duplicates, ensure referral is sent to appropriate provider, follow-up with requesting provider to recommend changes)
Engage physicians to obtain or provide information related to patient care (e.g., modifying authorizations, redirecting care, clarifying orders/notes)
Maintain open communication and rapport with physicians to promote patient services/care
Ensures patient scheduling/follow up activities are completed according to federal, state, or organizational guidelines (e.g., referral guidelines, follow up notifications, PCP follow up)
Screens/forwards incoming calls from patients, physicians, and health plans
Other duties as assigned

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 related work experience including data entry
1+ years of experience with medical office procedures and medical terminology
1+ years of experience with communication and customer service, both in person and via phone
Ability to accurately sort and file materials by alphabetic or numeric systems

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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

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