Patient Care Coordinator

Explore opportunities with Well Med
, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will be part of a team who shares your passion for helping people achieve improved health outcomes. Explore rewarding opportunities for physicians, clinical staff and non-patient-facing roles. Join us and discover the meaning behind Caring. Connecting. Growing together.

The Patient Care Coordinator is an entry level position primarily responsible for verification of eligibility/benefits, submission of authorization, and data entry into Home Medical Equipment (HME)/Home Health systems. Serves as the initial client contact to obtain patient demographics, type of referral, and type of insurance and ensures information is communicated to pharmacy, clinical team managers (CTM), respiratory, and home medical equipment personnel (HME).

Enters and assures all date entry of patient information in detail is entered accurately into the HME/Home Health systems. Performs all functions in a professional and ethical manner and collaborates with other members of the health care team to ensure quality patient care.

Ability to work assigned work shift 9:00AM-6:00pm CST

19500 Network Boulevard San Antonio, TX

• Collects and records initial client information to include type of referral, type of insurance, and patient demographics
• Requests the referral source fax orders on all patients. Verifies client benefits
• Notifies pharmacy, nursing, RT, and HME when verification complete
• Coordinates with HME to insure availability of requested supplies or equipment
• Obtains authorization for skilled nursing visits, DME, medications, and shift care. If authorization is denied, communicates with clinician to obtain additional information so authorization will be approved
• Notifies nursing, CTM, pharmacy, RT and HME when authorization is approved
• Processes T1n's for Medicaid patients by obtaining T1n from physicians, faxing T1n to Medicaid within 72 hours, and tracking T1n to ensure authorization is complete
• If care is not authorized upon initial submission of T1n, contacts Medicaid to clarify information necessary for authorization
• Completes assignment of benefits
• Authorizes all new orders as soon as they are received
• Notifies clinician if initial justification is necessary for reauthorization
• Expresses verbal and written communication in a clear, positive, and cooperative manner
• Attends all required in-service programs to maintain comprehensive home care knowledge base
• Demonstrates effective time management skills by completing assignments within projected time frames
• Expresses verbal and written communication in a clear, positive, and cooperative manner
• Demonstrates personal responsibility regarding attendance and punctuality
• Promotes Agency philosophy, mission statement, and administrative policies
• Maintains privacy and confidentiality regarding all patient, staff and Agency information
• Promotes the Agency image by adhering to the Dress Code
• Follows the appropriate chain of command in all forms of communication
• Demonstrates flexibility, enthusiasm, and willingness to cooperate while working with others or in place of others as necessary

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
• 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: (Use the "Apply for this Job" box below)./uhgbenefits

• High School Diploma/GED (or higher) or 2+ years of medical office experience
• 1+ years of experience with home health services
• 1+ years of experience in customer service while providing empathy and the ability to resolve the needs of the caller
• 6+ months of experience in the ability to multitask and handle high volume of incoming referrals/calls

• Background as a medical assistant, intake specialist, customer service rep in a medical/clinic setting
• Efficiencies in 10 key and data entry
• Knowledge in Excel/Word
• Understands and communicate effectively through physician written orders
• Have clear understanding of medical terminology and ICD
  10 coding
• Bilingual (English/Spanish)

• Ability to remain seated for prolonged periods and maintain concentration to task. This position requires the ability to distinguish impressions of shape, size, distance, motion, color, and other characteristics of objects, through the eyes. Major…