Job Code: HCD120
Job Title: Associate Patient Care Coordinator
Business Title: Centralized Services Float
FLSA: Non Exempt
Business Segment: Centralized Services
Revision Date: January 2020
Works in collaboration and in continuous partnership with OCMG to support and monitor the ongoing efforts to provide high quality care for patients. Serves as a representative to patients, utilizing professional customer service skills. Works closely with physicians, managers and office staff in coordinating patient care. Maintains the strictest confidentiality and adheres to all HIPAA guidelines and regulations.
The float position is required to work different roles within Centralized Services as needed.
Other duties and responsibilities, not specifically described, maybe defined or assigned consistent with knowledge, skills and abilities of the incumbent by management.
Conducts a detailed eligibility verification of insurance benefits.
Determine coverage, service level co-pays, deductibles and outstanding balances.
Identify potential insurance issues and resolve issues as necessary.
Accurately document and maintain insurance and patient demographic information in practice management system.
Answers, screen, processes, and documents incoming calls efficiently and professionally.
Assists patients by determining needs, scheduling and/or canceling appointments, or referring them to the correct staff.
Verifies insurance eligibility updating information as needed.
Appropriately facilitates and communicates, written or verbal messages.
High school diploma or GED equivalent
Must hold and maintain a current/valid California driver's license
1 year experience in Customer Service setting
Knowledge of navigating Health Plan Websites
We measure our success through the satisfaction of those who expect and deserve our best every day, in every interaction.
Keeping the people that we serve at center of everything we do is foundational to our Optum Enterprise Strategy.
Reports to: Manager/Supervisor
Direct Reports: No