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UnitedHealth Group Senior Patient Care Coordinator - Chandler, AZ in Chandler, Arizona

Combine two of the fastest - growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making Healthcare data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life’s best work.SM

Healthcare isn’t just changing. It’s growing more complex every day. ICD-10 Coding replaces ICD-9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and Healthcare organizations continue to adapt, and we are vital part of their evolution. And that’s what fueled these exciting new opportunities.

Who are we? Optum360 . We’re a dynamic new partnership preformed by Dignity Health and Optum to combine our unique expertise. As part of the growing family of UnitedHealth Group , we’ll leverage our compassion, our talent, our resources and experience to bring financial clarity and a full suite of Revenue Management services to Healthcare Providers, nationwide.

If you’re looking for a better place to use your passion, your ideas and your desire to drive change, this is the place to be. It’s an opportunity to do your life’s best work.

We are seeking an energetic candidate for our Admitting Department. The perfect candidate will facilitate the patient admission flow, including patient identification, accurate demographics, obtain all required signatures and documents. Candidate will be responsible for insurance authorization, notification, and verification of benefits in order to obtain accurate and prompt reimbursement. Additional duties include providing information and answering questions about payment assistance, point of service collections, and compliance with HIPAA and EMTALA.

Primary Responsibilities:

  • Updates IP hospital accounts ensuring that information is accurate and complete, i.e., spelling, demographics, correct abbreviations and punctuation. If needs, contacts patients or family members to obtain correct information. Forwards errors to Admitting Educator

  • Maintains a program in which insurance eligibility and benefits are secured at point of service and prior to discharge. Contacts the insurance company to determine eligibility/benefits and copay/deductibles, LTM

  • Collects on deductibles, co-insurance, co-pays and out-of pocket portions owed

  • Ensures correct forms are completed and signed for each registration

  • Ensures insurance eligibilities, notifications, authorizations and other forms are scanned into EDM for ancillary departments, Patient Financial Services, Medical Records, etc

  • Provides adequate notes in PAI & MS4 system by documenting insurance information and patient issues

  • Lists and verifies primary and secondary insurance, including claims address

Required Qualifications:

  • High School Diploma / GED (or higher)

  • 1+ years of experience in Hospital registration, medical office, insurance company-prior authorization, pre-certification, insurance benefits and how it relates to registration

Preferred Qualifications:

  • Experience utilizing a computer and Microsoft Office (Microsoft Word, Microsoft Excel, and Microsoft Outlook) to create, copy, edit, send, and save documents

  • 2+ years - Insurance verification experience in a healthcare setting with previous experience in insurance eligibility, Medicare, AHCCCS/Medicaid, Management Care and Private Pay sources

  • Knowledge of Medical Terminology

Careers with OptumInsight. Information and technology have amazing power to transform the Healthcare industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to do your life’s best work.SM

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.

Keywords: Gilbert, Emergency Room, Medical, Customer Service, Insurance Authorization, Benefits, Co-Payments

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