Healthcare Services Coordinator

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

The Healthcare Services Coordinator will work as an extension of the local Market Consultation and provider teams by aligning to geographical regions, medical centers and/or physician practices that manage a high volume of membership.

If you reside near Cypress, CA, you will enjoy the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

• Assisting in the review of medical records to highlight opportunities for the medical staff
• Locate medical screening results/documentation to ensure the closure of gaps in care/suspect medical conditions. Will not conduct any evaluation or interpretation of Clinical data and will be supervised by licensed and/or certified staff
• Activities may include data collection, data entry, quality monitoring, In-Office Assessment submission and chart collection activities
• Partner with your leadership team, the practice administrative or clinical staff to determine best strategies to support the practice and our members
• Interaction with members via telephone to assist and support an appropriate level of care. This may include making outbound calls to members and/or providers to assist in scheduling appointments, closing gaps in care or chart collection activities
• Answer inbound calls from patients and/or providers regarding appointments
• Assist members in navigating their network of providers by assisting with follow-up and specialist appointments as needed
• Communicate scheduling challenges or trends that may negatively impact outcomes
• Optimize customer satisfaction, positively impact the closing of gaps in care and productivity
• Manage time effectively to ensure productivity goals are met
• Ability to work independently in virtual setting
• Ability to solve problems, use best professional judgment and apply critical thinking techniques to resolve issues as they arise
• Adhere to corporate requirements related to industry regulations/responsibilities
• Maintain confidentiality and adhere to HIPAA requirements
• Generate and analyze weekly/monthly report data to support provider group success & engagement
• Regularly review rejected submissions and proactively assist in their resolution
• Assist with large group presentations and training provider office staff on Optum portals
• Establish and build strong relationships with both internal team members and provider office staff to foster a collaborative environment
• Other duties, as assigned

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 (or higher)
• 1+ years of healthcare background with medical terminology and familiarity with clinical issues
• 1+ years of experience working with ICD10 and CPT Code
• 1+ years of experience working with Microsoft Tools: Word, Excel and Outlook
• 1+ years of experience working with and knowledge of HIPAA compliance requirements
• Willingness and ability to work in the field at least 75% of the time
• Must reside in CA
• Access to reliable transportation and valid US driver's license

Preferred Qualifications:

• Experience working in a physician, provider, and/or medical office
• EMR and HEDIS knowledge and experience
• Experience working in a collaborative team environment
• Demonstrated ability to identify with a consumer in order to understand and align with their needs and realities
• Demonstrated ability to perform effective active listening skills to empathize with the customer in order to develop trust and respect
• Demonstrated ability to take responsibility and internally driven to accomplish goals and recognize what needs to be done to achieve a goal(s)
• Demonstrated ability to turn situations around and go above and beyond to meet the needs of the customer
• Exceptional written and verbal communication skills
• Ability to multi-task and prioritize duties based on customer and business needs
• Above average problem-solving skills

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

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 $23.89 to $42.69 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.

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