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Optum

Associate Patient Care Coordinator

Posted Yesterday
Be an Early Applicant
In-Office
Glendale, CA
18-32 Hourly
Junior
In-Office
Glendale, CA
18-32 Hourly
Junior
Register and verify patient demographics and insurance in the ADT system, prevent duplicate MRNs, collect signatures and documentation, scan records, meet CMS billing and EMTALA requirements, assess presumptive eligibility, handle ED-specific registration protocols, and follow downtime procedures.
The summary above was generated by AI
Requisition Number: 2363210
$2,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS
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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
Our office is located at 1420 S Central Ave., Glendale CA 91204.
Primary Responsibilities:
  • Maintains up-to-date knowledge of specific registration requirements for all areas, including but not limited to: Main Admitting, OP Registration, ED Registration, Maternity and Rehabilitation units
  • Ensures complete, accurate and timely entry of demographic information into the ADT system at the time of registration
  • Properly identifies the patient to ensure medical record numbers are not duplicated
  • Responsible for reviewing assigned accounts to ensure accuracy and required documentation is obtained and complete
  • Meet CMS billing requirements for the completion of the MSP, issuance of the Important Message from Medicare, issuance of the Observation Notice, and other requirements, as applicable and documenting completion within the hospital's information system for regulatory compliance and audit purposes
  • Collects and enters required data into the ADT system with emphasis on accuracy of demographic and financial information to ensure appropriate reimbursement
  • Carefully reviews all information entered in ADT on pre-registered accounts. Verifies all information with patient at time of registration; corrects any errors identified
  • Identify all forms requiring patient/guarantor signature and obtain signatures
  • Ensures all required documents are scanned into the appropriate system(s)
  • Identifies all appropriate printed material hand-outs for the patient and provides them to the patient/guarantor (Patient Rights and Responsibilities, HIPAA Privacy Act notification, Advance Directive, etc.)
  • Follows "downtime" procedures by manually entering patient information; identifying patient's MRN in the MPI database, assigning a financial number; and, accurately entering all information when the ADT system is live
  • Follows EMTALA-compliant registration steps for both Emergency Department and Labor and Delivery areas
  • Assesses self-pay patients for presumptive eligibility and when appropriate, initiates the process
  • In the Emergency Department follows protocol for special cases, including but not limited to 5150, Sexual Assault Response Team (SART), Domestic Violence patients, Child Protective Services, incarcerated patients, Worker Compensation patients, auto accidents, animal bite reporting, etc. as required

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
  • 2+ years of experience working in a hospital Patient Registration department, physician office setting, healthcare insurance company, revenue cycle vendor, and/or other revenue cycle related role
  • 2+ years of experience in understanding insurance policies and procedures, both commercial and government
  • 1+ years of experience in requesting and processing financial payments
  • 1+ years of experience working in medical terminology
  • Intermediate level of computer proficiency
  • Ability to work shift times of 4:00 PM - 2:30 AM, 6:00 PM - 4:30 AM, and 8:00 PM - 6:30 AM per business need
  • Ability to work on-site at our Emergency Department at 1420 S Central Ave., Glendale CA 91204

Preferred Qualifications:
  • Experience with MS4 and Cerner
  • Knowledge of charity care programs as well as the various government and non-government programs
  • Strong knowledge of both government and commercial insurances
  • Bilingual fluency

**PLEASE NOTE** The sign-on bonus is only available to external candidates. Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $18 to $32 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO, #RED

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