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Job Details
Opportunities with Optum in the Tri-State region (formerly CareMount Medical, ProHEALTH New York, Crystal Run Healthcare and Riverside Medical Group). Come make a difference in the lives of people who turn to us for care at one of our hundreds of locations across New York, New Jersey, and Connecticut. Work with state-of-the-art technology and brilliant co-workers who share your passion for helping people feel their best. Join a dynamic health care organization and discover the meaning behind Caring. Connecting. Growing together. Crystal Run Health Care, part of Optum, has an immediate opening for a friendly, patient focused and detailed oriented Associate Patient Care Coordinator to join our team. A 40-hour work week Sunday through Saturday between the hours of 7:15 am to 8:00 pm. This is a 4 -10 hour shift to be determined by the supervisor upon hire. The Associate Patient Care Coordinator is responsible for the completion of set processes and protocols. Works cooperatively with all members of the care team to support the vision and mission of the organization, deliver excellent customer service, and adhere to Lean processes. Supports the teams in meeting financial, clinical, and service goals. Location: 2 Centerrock Road, West Nyack, NY 10994 Primary Responsibilities:
- Adheres to standards of professionalism set by the Practice
- Always maintains professional appearance by adhering to dress code and wearing identification badge
- Demonstrates and maintains professionalism in behavior and courtesy toward the patients and staff
- Respects confidentiality and is HIPAA compliant in all aspects of communication regarding patient, Practice, and staff members
- Functions as a member of a team committed to quality patient care
- Takes initiative to keep informed of new/revised Policy and Procedures, Standards of Care and incorporates these into practice
- Attends and participates in mandatory quarterly staff meetings or reads minutes
- Completes Mandatory Education annually
- Attends/participates in training/review classes and projects as assigned
- Handles difficult situations and people with tact, professionalism and H.E.A.R.T.
- Demonstrates good judgment in escalating difficult situations and people to Management personnel
- Demonstrates professionalism in attendance & punctuality. Consider number of unauthorized or unscheduled absences, a pattern of before and after weekend absences, tardiness and early departures, and long meal periods in accordance with CRHC policy
- Promotes a positive work attitude fostering teamwork and acceptance of management decisions
- Supports peer to peer training initiative for new Patient Services employees
- Assists co-workers whenever possible, to achieve office goals / patient satisfaction
- Works independently, takes initiative in completing assignments and does so without reminder
- Completes all miscellaneous work assigned by Director/Supervisor or Physician accurately and in a timely manner
- Opens office as needed; turns on copiers, terminals and printers, and updates computer for current day’s session
- Communicates with clinical staff to keep patient informed of appointment status
- Verifies insurance eligibility and coverage by phone, independent website, RTS, Phreesia, or Clearwave at time of service
- Verifies patient demographic and insurance information at time of visit. Assures all demographic and insurance information is accurate, complete, and up to date in the patient's chart. Scans current insurance card and photo identification into system
- Provides, explains and reviews for accurate completion, all Registration forms, i.e., Patient Representative, Patient Registration form, Family Information form, and Text Addendum where applicable and obtains signatures as required
- Provides and explains the Authorization to Release Health Information to patient at their request
- Determines balances due including past balance, co-payments, co-insurance, and deductibles, referring to Patient Accounts as necessary; takes responsibility for collecting and posting payments from patients at time of service via checks, cash or credit card in compliance with Cash Control Policies and Procedures
- Assigns NextMD tokens in compliance with Meaningful Use guidelines
- Provides After visit Summary in compliance with ACO guidelines
- Prepares Batch Report daily to total and balance collections
- Begins the check in process in EPM, Phreesia, Clearwave, and Siemens. Act on notations in all systems and completes the auto-flow process successfully
- Schedules/Cancels/Reschedules patient appointments as ordered by the physician adhering to scheduling policies and procedures
- Obtains or issues HMO insurance referrals as required for maximum reimbursement of services rendered
- Notifies management or other departments appropriately using Clerical Templates for various issues/requests/reasons
- Maintains supply inventories and equipment necessary for the effective performance of the job; communicates supply needs to the office supervisor in a timely manner
- Maintains a neat, organized, orderly environment in the reception and waiting room areas, i.e., magazines, physician business cards, brochures, signage, etc.
- Closes office as needed, ensuring that lights, terminals, and office machines have been turned off and all patients accounted for and discharged. May be required to set alarm.
- Actively demonstrates good oral and written communication skills with both internal and external customers
- Demonstrates flexibility in schedule to meet patient and office needs
- Works with a sense of urgency
- Performs other tasks as required for the effective and efficient functioning of the Practice when directed to do so by Supervisory and Managerial personnel
- Performs other duties as assigned
- Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
- Medical Plan options along with participation in a Health Spending Account or a Health Saving account
- Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
- 401(k) Savings Plan, Employee Stock Purchase Plan
- Education Reimbursement
- Employee Discounts
- Employee Assistance Program
- Employee Referral Bonus Program
- Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
- More information can be downloaded at: http://uhg.hr/uhgbenefits
- High School Diploma / GED (or higher)
- 1+ years of customer service or healthcare related experience
- Intermediate level of computer proficiency (multi-tasking through multiple applications including Microsoft Outlook, Excel, and Word)
- Experience working with an electronic health record (EPIC)
- Knowledge of Medical terms
- 1+ years of experience working in a medical front office position performing duties such as scheduling appointments, checking patients in/out, insurance verification, collecting co-pays, and maintaining medical records
- Ability to work independently and maintain good judgment and accountability
- Demonstrated ability to work well with health care providers
- Strong organizational and time management skills
- Ability to multi-task and prioritize tasks to meet all deadlines
- Ability to work well under pressure in a fast-paced environment
- Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others
About the Company
UnitedHealth Group
Minnetonka, MN, United States
UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions worldwide. We are... Read more