Care Coordinator

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Summary
The Care Coordinator plays a key role in managing the follow-up and scheduling services at United Medical. This position serves as an essential link between patients and their healthcare providers, ensuring seamless communication and continuity of care. The Care Coordinator will work independently and in collaboration with their supervisor and team members, contributing to a high-performing and productivity-driven environment. This role is critical in delivering quality care and improving patient satisfaction.

• Manage hospital admissions and discharges census for several Delaware hospitals
• Schedule patients for follow-up appointments with primary care physicians and specialists after hospital discharge and for routine care, as required
• Frequent clinical patient phone contact (inbound/outbound) to aid providers in efficient and quality patient care
• Document patient contact results in electronic health record
• Utilize internal database system to track and organize workflow for patient contact and record results
• Utilize electronic health records to evaluate services provided and track information in database
• Manage monthly insurance rosters to schedule new patient appointments or current patients for preventative services
• Generate and send population management letters to patients to follow up regarding phone contact results

• Bachelor’s degree preferred
• Data Entry
• Phone etiquette

This full-time position is performed in our Central Business Office located in Downtown Wilmington, Delaware. This is not a remote position.

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Payment Posting Client Manager

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Working from our central business office located in Downtown Wilmington, the Payment Posting Client Manager is responsible for the overall morale and motivation of a team of Payment Posting Specialists. The Payment Posting Client Managers will oversee and support their team to ensure efficient, timely and accurate posting of payments received from medical insurance companies and patients. They possess the ability to manage and work with a portfolio of diverse clients to facilitate the success of company goals.

Essential Functions
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Perform accurate monetary data entry in a dead-line driven environment
• Provide excellent customer service to new and existing clients
• Aid in the on-boarding of new United Medical clients
• Monitor and drive improvements in the Payment Posting department
• Coach, mentor, and train new and existing employees
• Promote effective team dynamics and provide performance feedback
• Build and maintain professional working relationships with clients
• Monitor accuracy and productivity of departmental transactions
• Generate, analyze and present monthly reports for your portfolio of clients
• Use, protect, and disclose patients’ protected health information (PHI) in accordance with Health Portability and Accountability Act (HIPAA) standards
• Follow all United Medical policies, uphold professional standards, and perform work responsibilities in a manner that is respectful to others

Competencies

• Computer literacy
• Time Management
• Critical thinking
• Goal oriented
• Communication literacy
• Mathematical abilities
• Leadership

Competencies
This full-time position is performed in our Central Business Office located in Downtown Wilmington, Delaware. This is not a remote position.

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Revenue Cycle Specialist

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Job Summary
United Medical’s Revenue Cycle Specialist will be responsible for the accurate, timely review, and follow up of all outstanding or denied medical insurance claims for your health professional client portfolio.

• Analyze explanation of benefits, and work all denied claims related to that account
• Track productivity by using denial codes, which will be logged at the end of each work day
• Communicate with insurance companies, patients and your supervisor regarding unpaid claims
• Analyze Medicare and Medicaid health polices and advise patients and providers based on what is covered and not-covered by these insurance plans
• Multi-task through several different healthcare databases with ease
• Take inbound calls and assist customers with requests and billing questions
• Process payments when requested by patients
• Share knowledge and communicate effectively with on-site and off-site team members in order to achieve shared goals
• Troubleshoot claims that are outstanding or have not been paid for more than 60 days
• Use, protect, and disclose patient’s protected health information (PHI) in accordance with Health Portability and Accountability Act (HIPAA) standards
• Follow all United Medical policies, uphold professional standards, and perform work responsibilities in a manner that is respectful to others
• Perform other duties or projects as assigned by supervisor based upon business needs

• At least a Bachelor’s Degree in Business, Healthcare Management, or related field
• Experience in medical billing, denial resolutions, appeals process and medical coding is a plus, however applicant does not need to be a Certified Coder
• Knowledge of Medicare, Medicaid, and Commercial Insurances

• This is a full-time, in-office position working 40 hours per week
• Shifts vary
• Our central business office is located in downtown Wilmington, Delaware

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