UnitedHealth Group
Care 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 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 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 Youll 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, youll 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. UnitedHealth Group is an Equal Employment Opportunity employer 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.
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 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 Youll 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, youll 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. UnitedHealth Group is an Equal Employment Opportunity employer 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.