Patient Care Coordinator

Optum
US - New Jersey - Maywood
January 20, 2025

Optum in the tri-state region (formerly CareMount Medical, ProHEALTH New York and Riverside Medical Group) offers an interconnected network that enables us to work collaboratively to better coordinate care among our doctors and care teams.
Together, we offer you and your family access to more than 2,100 providers, representing 70 specialties, working in 360 medical practices and more than 55 urgent care locations across New York, New Jersey, and Southern Connecticut.
For more information, visit ***/tri.

ProHealth is one of the largest private multi-specialty medical practices in the Northeast and has been serving the health needs of Long Island and the Greater New York Metropolitan area since 1997.
With over 900 providers in 300 locations, our goal is to provide quality health care to ensure that our patients get the right care at the right time.

At Optum, we are transforming healthcare nationally while providing physician-led care locally.
Join us to start Caring.
Connecting.
Growing together.

Maywood Pediatrics has an immediate opening for a friendly, patient focused and detailed oriented Patient Care Coordinator to join our team.
The 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.

Working Hours:
Monday through Friday between the hours of 8:
00 am to 8:
00 pm and rotating Saturdays 8:
00 am to 2:
00 pm.
This is a 40 hour a week schedule to be determined by the supervisor upon hire.
May be asked to float to other clinics as needed.

Location:
1 Maywood Avenue, Maywood, NJ 07607

Primary Responsibilities:

Obtain accurate and updated patient information, such as name, address, insurance information
Perform insurance verification on the date of service
Obtain patient signatures for required documents
Upload a valid Government issued state ID of patient and patient insurance cards
Accurate and complete occupational medicine registration workflow
File and maintain medical records
Consistently correct registration work queue errors
Confirms and schedule appointments
Answer telephone calls promptly and courteously
Perform referral documentation promptly
Working daily in the claims edit work queue and referrals work queue to correct registration errors for submission to insurance companies
Performs certain follow-up services for patients in a prompt and courteous manner, such as scheduling specialist appointments, scheduling follow-up appointments and obtaining copies lab results or specialist reports
Adhere to the standards identified via Sparq regarding Optum Employee Policies
Work cohesively with fellow employees to achieve specific team goals
Keep abreast on current medical requirements relevant to their position, which includes maintaining patient confidentiality and abiding by all HIPAA and OSHA requirements
Comfortable working in high pace environment
Participate in planning, coordinating, and implementing care in conjunction with the multidisciplinary team in accordance with the Plan of Care
Assure the continuity of care through scheduling and tracking systems
Provide effective communication to patient / family team members and other health care professionals as evidenced by documentation, case conferences, communication notes, and evaluations
Notify clinical staff of schedule changes as they occur
Comply with administrative policies to ensure quality of care
Demonstrate precision and efficiency in scanning documents and monitoring the fax server, retrieving and / or scanning documents and assigning to the appropriate electronic chart
Participate in orientation (scheduling segment) of new field employees and distribute updates and changes as needed
Perform other related duties and assignments as required
Organize and maintains medical records
All employees are expected to keep abreast on current medical requirements relevant to their position, which includes maintaining patient confidentiality and abiding by all HIPAA and OSHA requirements
Complete new clinical competencies rolled out by the Educational Committee
Work Independently, and Assist with Clinical duties on a limited basis
Performs other duties as assigned

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success.
Some of our offerings include:

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

Read the full job description and apply online on the recuiter's web-site

Patient Care Coordinator

Patient Care Coordinator

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