Senior Patient Care Coordinator - Elkridge, MD - Full-time / Part-time

Positions in this function are responsible for checking in, scheduling appointments, answering billing questions and managing patient medical records for a clinic. Roles may vary based on the size of the clinic(s).

Primary Responsibilities:

• Timely input of skilled authorizations that will support claims payment to contracted SNF, coordinating with key contacts within UHC to coordinate hospital and SNF benefits for Optum CarePlus Program


• Monitors clinical EMR frequently and assigns patients to clinicians timely and accurately


• Develops program reports for internal and external customers


• Accurate and timely response to customer questions & issues


• Access insurance plan systems to verify insurance eligibility/benefits for patients and seek additional information as necessary


• Input/update patient demographic data into computer system


• Update/upload patient care data (e.g., care plan data, inpatient data, patient program flags) in computer systems


• Manage hospital utilization reports, assignment of new members to NP, retrospective review of hospitalization tracking, management of databases


• Acts as a Backup Business Segment Liaison (BSL)


• Applies knowledge/skills to a range of moderately complex activities


• Demonstrates great depth of knowledge/skills in own function


• Sometimes acts as a technical resource to others in own function


• Proactively identifies solutions to non-standard requests


• Solves moderately complex problems on own


• Works with team to solve complex problems


• Plans, prioritizes, organizes and completes work to meet established objectives


• May coordinate work of other team members


• Must be skilled in computer systems and data entry


• Self starter, initiative and demonstrated problem solving skills

Required Qualifications:

• HS Diploma/GED


• 1+ year of customer service experience


• 1+ year of experience utilizing the telephone and computer simultaneously to perform the job duties


• Basic computer skills

Preferred Qualifications:

• Advanced MS Excel skills (able to create spreadsheets and add formulas to those spreadsheets)


• Familiarity with medical terminology


• Previous experience in patient care coordination

UnitedHealth Group is working to create the health care system of tomorrow. Already Fortune 14, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good. Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant and built for speed. Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.

Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job Keywords: Patient Care Coordinator, Care Coordinator, Clinical Admin Coordinator, Elkridge, MD, Maryland