UnitedHealth Group
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 diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start
Caring. Connecting. Growing together.
The
Care Coordinator
(also referred to as a Referral Coordinator) is responsible to the Center Administrator and assists with medical management data entry and referral functions
Schedule
: Monday to Friday, 8 AM- 5 PM
Location
: Onsite - 4759 US Highway 19, New Port Richey, FL 34652
Primary Responsibilities:
Consistently exhibits behavior and communication skills that demonstrate commitment to superior customer service, including quality and care and concern with each and every internal and external customer
Represents the Company in a professional manner, following all Company policies and procedures
Uses, protects, and discloses patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Responsible for total coordination and processing of all patient referrals for specialty services
Follows protocols for proper authorization and processing of all referrals
Communicates with the patient on a timely basis for all scheduling requirements
Coordinates pre-admission testing requirements with clinic personnel and patient
Completes all administrative functions associated with referral activities in a timely manner
Enters all referral, hospital, outpatient, DME and other patient specialty health service authorizations into the computer system according to Company policy and procedure
Receives consultant reports, maintains documentation, and routes to the appropriate physician promptly
Responsible for monitoring all referral reports not received and timely follow-up in accordance with Company policy and procedure
Must have consistent, punctual and reliable attendance
Performs other duties as assigned
Knowledge, Skills, Abilities:
Ability to interact and verbally communicate effectively with patients and all levels of personnel in a professional, courteous and effective manner with excellent customer service skills
Possess excellent communication and organizational skills with the ability to multi task, set priorities, and meet deadlines
Results and goal-oriented with a philosophy for quality improvement
Must be computer literate and have exceptional telephone skills
Possess high job accuracy, efficiency, and dependability
Knowledge of HIPAA regulations
Ability to read, speak, write, and understand the English language fluently
Ability to multi- task in a high paced environment with good organizational skills
Ability to follow written and oral instructions and to work with general guidance
Previous experience with EMR systems is a plus
Knowledge of medical coding is a plus
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction 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)
2+ years of customer service experience in the healthcare field
Intermediate level of proficiency with MS Word, Excel and Outlook
Preferred Qualifications:
Knowledgeable with diagnosis and CPT codes
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 $17.74 to $31.63 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.
#RPO #RED
Caring. Connecting. Growing together.
The
Care Coordinator
(also referred to as a Referral Coordinator) is responsible to the Center Administrator and assists with medical management data entry and referral functions
Schedule
: Monday to Friday, 8 AM- 5 PM
Location
: Onsite - 4759 US Highway 19, New Port Richey, FL 34652
Primary Responsibilities:
Consistently exhibits behavior and communication skills that demonstrate commitment to superior customer service, including quality and care and concern with each and every internal and external customer
Represents the Company in a professional manner, following all Company policies and procedures
Uses, protects, and discloses patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Responsible for total coordination and processing of all patient referrals for specialty services
Follows protocols for proper authorization and processing of all referrals
Communicates with the patient on a timely basis for all scheduling requirements
Coordinates pre-admission testing requirements with clinic personnel and patient
Completes all administrative functions associated with referral activities in a timely manner
Enters all referral, hospital, outpatient, DME and other patient specialty health service authorizations into the computer system according to Company policy and procedure
Receives consultant reports, maintains documentation, and routes to the appropriate physician promptly
Responsible for monitoring all referral reports not received and timely follow-up in accordance with Company policy and procedure
Must have consistent, punctual and reliable attendance
Performs other duties as assigned
Knowledge, Skills, Abilities:
Ability to interact and verbally communicate effectively with patients and all levels of personnel in a professional, courteous and effective manner with excellent customer service skills
Possess excellent communication and organizational skills with the ability to multi task, set priorities, and meet deadlines
Results and goal-oriented with a philosophy for quality improvement
Must be computer literate and have exceptional telephone skills
Possess high job accuracy, efficiency, and dependability
Knowledge of HIPAA regulations
Ability to read, speak, write, and understand the English language fluently
Ability to multi- task in a high paced environment with good organizational skills
Ability to follow written and oral instructions and to work with general guidance
Previous experience with EMR systems is a plus
Knowledge of medical coding is a plus
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction 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)
2+ years of customer service experience in the healthcare field
Intermediate level of proficiency with MS Word, Excel and Outlook
Preferred Qualifications:
Knowledgeable with diagnosis and CPT codes
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 $17.74 to $31.63 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.
#RPO #RED