Patient Care Coordinator

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.   

Performs a full range of administrative support services for clinic/site including, scheduling of patients for appointments, making outgoing calls to patients, greeting patients at the Pedi check-in desk, works to resolve patient complaints, provides education on processes and department scheduling procedures to ensure the highest level of patient/customer satisfaction.

Primary Responsibilities:

• Verifies and updates demographics and other patient information including necessary consent and other documents
• Schedules patients accurately, according to department protocols and provider preference
• Completes patient check-out, coordinates scheduling, and other services as directed. Manages and updates the Department Appointment Report
• Provides education and other pre-appointment instruction as needed
• Receives and addresses patient-care-related telephone calls. Provides routine information on procedures and standard policies, and refers matters to the appropriate person within the department/site
• Resolves patients' questions regarding clinic schedules and billing concerns; handles requests for prescription refills, reschedules appointments, etc.
• Accurately and appropriately documents information in the electronic medical record system
• Receives and processes incoming and outgoing insurance referral requests based on department protocol. Collaborates with staff, patients, and providers as needed to complete requests. Completes follow-up and documentation as needed
• Understands basic insurance concepts such as capitated patients, co-payment, co-insurance, and identifying scheduling procedures impacted by insurance like prior authorization and referral coordination. Able to educate patients on these concepts and set appropriate timeline expectations
• Processes personal in-basket and department pool encounters in Epic in a timely and appropriate manner
• Processes department and provider mail and faxes in a timely and appropriate manner
• Able to identify when patient-related issues need urgent attention and escalate to nursing or provider and/or leadership as needed
• Complies with health and safety requirements and with regulatory agencies such as DPH, etc.
• Complies with established departmental policies, procedures, and objectives
• Participates in learning opportunities provided through the learning management system
• Participates in departmental meetings and huddles as directed by department leadership
• Regular, reliable, and predictable attendance is required
• Performs other similar and related duties as required or directed

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
• Basic level of computer literacy and minimal typing experience
• Ability to work onsite at 101 Cedar Street, Milford, Massachusetts

Preferred Qualifications:

• Knowledge of medical terminology
• EPIC experience
• 1+ years of customer service experience