UnitedHealth Group Senior Patient Care Coordinator - Pine Brook, NJ in PINE BROOK-New Jersey, New Jersey

Let's talk about meaningful work. UnitedHealth Group is always looking for new ways to improve our ability to deliver high-quality care. As part of our clinical support team, you'll help make every contact informative, productive and positive for our members and providers. You'll have a chance to do live outreach, educating members about program benefits and services while also helping to manage member cases. It's truly an opportunity to make an impact on a huge scale.

Positions in this function are responsible for checking in, scheduling appointments, answering billing questions and managing patient medical records for a clinic. Roles may vary based on the size of the clinic(s).

PrimaryResponsibilities:

  • Respond to patient questions in person or over thephone

  • Greet patients and build rapport to provide a positivepatient experience

  • Collect patient payments

  • Make patient 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 completingrequired 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 ofcare

  • Work directly with patients to identify specific needsand/or request adjustments to plan of care

  • Coordinate services/case management for non-episodicand non-catastrophic cases

  • Manage/respond constructively to challenging patientinteractions (e.g., address lack of understanding, socioeconomicchallenges, frustrated patients, language barriers)

  • Explain and talk to patients or caregivers aboutsensitive health care decisions such as advanced directives, physician'sorder for life sustaining treatment, and palliative care/hospicereferrals

  • Explain and ensure understanding of details related topatient care (e.g., , home health care transition procedures)

  • Explain medical benefits/coverage specifics(e.g., procedures/amounts covered, denials of coverage, appeal rights)

Required Qualifications:

  • High School Diploma / GED orhigher

  • 2+ years scheduling experience

  • 1+ years of a Healthcarebackground with Medical Terminology familiarity of Clinical issues

  • 1+ years of working experience with Microsoft Word creatingdocuments and Excel to create / edit spreadsheets and use formulas

Preferred Qualifications:

  • 2+ years experience scheduling Home Healthcare (HHC) and / orDurable Medical Equipment (DME) with a 3rd party

  • CPR+ Software knowledge and experience

Soft Skills:

  • Ability to work under pressure to meet patient needs and deadlines

  • Ability to function in ever changing, fast paced environment

  • Exhibit flexibility to coordinate other activities within andoutside of job function

OptumRx is an empowering place for people with the flexibility to help create change. Innovation is part of the job description. And passion for improving the lives of our customers is a motivating factor in everything we do.

If you're ready to talk about groundbreaking interactions, let's talk about what happens when a firm that touches millions of lives decides to gather results from millions of prescriptions every month and analyze their impact. Let's talk about smart, motivated teams. Let's talk about more effective and affordable healthcare solutions. This is caring. This is great chemistry. This is the way to make a difference. We're doing all this, and more, through a greater dedication to our shared values of integrity, compassion, relationships, innovation and performance. Join us and start doing 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.

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