15 days old

Senior Patient Care Coordinator - Irving, TX

Irving, TX 75060
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  • Job Code
    857924
Energize your career with one of Healthcare's fastest growing companies.  
 
You dream of a great career with a great company - where you can make an impact and help people.  We dream of giving you the opportunity to do just this.  And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives.  We live for the opportunity to make a difference and right now, we are living it up.
 
This opportunity is with one of our most exciting business areas: Optum - a growing part of our family of companies that make UnitedHealth Group a Fortune 6 leader.
 
Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.
 
Talk about meaningful work. Talk about an important role. Let's talk about your next career move. Due to our expanding business, UnitedHealth Group is seeking Senior Patient Care Coordinator who share our passion for helping others live healthier lives. As one of the world's leading health care companies, UnitedHealth Group is pursuing innovative new ways to operate our service centers and improve on our ability to deliver high - quality care. As part of our clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive and positive for our members and providers. You'll have the opportunity to do live outreach, educating members about program benefits and services while also helping to manage member cases. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. Take this opportunity and begin doing your life's best work. (sm)

What makes your clinical career greater with UnitedHealth Group? You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.
   
The Senior Patient Care Coordinator is an unlicensed individual who assumes day - to - day responsibility for coordinating patient referrals with referral sources, Clinical Liaisons and Sales staff.
 
Primary Responsibilities:
  • Gather patient information accurately and completely by utilizing appropriate templates in CPR+
  • Verify insurance eligibility prior to processing order
  • Assemble patient's electronic medical record accurately and completely and manage documents appropriately in CPR+
  • Process orders in a timely manner
  • Obtain necessary information according to Joint Commission (JCAHO) guidelines
  • Obtain authorization for services
  • Inform Clinical and Sales Teams of referrals and updates them on the status of the case
  • Prepare pending files by utilizing appropriate templates in CPR+
  • Communicate / Coordinate referrals with outside pharmacies and referral sources
  • Understand diversity of contracts to handle referrals accordingly
  • Coordinate the start of care with the patient / caregiver, referral source, and other providers of care
  • Coordinate time and initial delivery
  • Cancels pending / no - go referrals when appropriate
  • Direct patient contact involving: schedule and verify infusion appointments / drug shipments (if applicable), respond to nursing and / or customer service issues, patient financial hardships.  Maintain current and accurate documentation in CPR+ / Ask AxelaCare
  • Document patient related activities / information in the patient's electronic medical record
  • Consult with direct Manager on difficult or unusual referrals, as appropriate
  • Maintain confidentiality of patient and company information
  • Comply with all company policies and procedures
  • Gather and ensure all necessary documentation for chart is obtained
  • Communicate effectively with Clinical Team members to assure a smooth transition from intake to start of care
  • Check electronic discharge websites for new referrals and updated information, as required (and where applicable)
  • Send the initial referral email to sales / onsite to confirm receipt of the referral
  • Formulate and negotiate private pay pricing as per limitations set by company
  • Scan and appropriately label patient documents in CPR+
  • Perform other duties as required

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.

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Posted: 2020-03-18 Expires: 2020-04-27

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Senior Patient Care Coordinator - Irving, TX

UnitedHealth Group
Irving, TX 75060

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