Referral Coordinator

3 weeks ago

St Petersburg, United States Optum Full time

Optum FL is seeking a Clinical Administrative Coordinator to join our team in St Petersburg, FL. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better for everyone.

At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you’ll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

This position is full time Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8am - 5pm. It may be necessary, given the business need, to work occasional overtime. Our office is located at 7655 38Th Avenue North, Suite 101, Saint Petersburg, FL 33710.

We offer 4-6 weeks of on-the-job training. The hours of training will be aligned with your schedule.

 

Primary Responsibilities:

  • Manage administrative intake of members
  • Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers
  • Process incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles
  • Assist the clinical staff with setting up documents/triage cases for Clinical Coverage Review
  • Handle resolution/inquiries from members and/or providers
  • This is high volume, customer service environment. You‘ll need to be efficient, productive and thorough dealing with our members over the phone. You also must be able to work a flexible schedule that includes evening hours

 

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
  • Must be 18 years OR older
  • 2+ years of customer service experience
  • Experience working in a hospital, physician‘s office or medical clinic setting
  • Knowledge of ICD-10 and CPT codes
  • Experience with MS Word, Excel and Outlook
  • Ability to work Monday-Friday, 8am-5pm

 

Preferred Qualifications:

  • Experience working within the health care Industry and with health care insurance
  • A clerical or administrative support background
  • Experience working in a call center

 

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.
 
 
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and 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.

#RPO #RED

  • Referral Coordinator

    2 weeks ago

    St. Petersburg, United States Optum Full time

    Optum FL is seeking a Clinical Administrative Coordinator to join our team in St Petersburg, FL. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At Optum , you'll have the clinical...

  • Referral Specialist

    4 weeks ago

    St Louis, Missouri, United States ChenMed Full time

    About ChenMedChenMed is a family-owned and physician-led healthcare company that prioritizes the well-being of its patients and employees.Job OverviewWe're seeking an exceptional Referral Specialist to join our team. In this role, you will be responsible for coordinating patient referrals, ensuring seamless transitions between primary care and specialist...

  • Medical Referral Specialist

    3 days ago

    St Louis, Missouri, United States Affinia Healthcare Full time

    Job Summary:We are seeking a highly skilled Medical Referral Specialist to join our team at Affinia Healthcare. As a key member of our healthcare team, you will play a vital role in ensuring seamless referral coordination and processing for patients requiring specialty services.

  • Medical Office Coordinator

    6 days ago

    St Petersburg, United States Florida Orthopaedic Institute Full time

    About the PositionWe are seeking a highly motivated and organized individual to join our team as a Medical Office Coordinator. In this role, you will provide administrative support to our orthopaedic physicians and surgeons, ensuring seamless operations and exceptional patient care.Key ResponsibilitiesCoordinate scheduling, referrals, and communications with...

  • Refugee Program Coordinator

    3 weeks ago

    St. Petersburg, Florida, United States Lutheran Services Florida Full time

    Job OverviewLutheran Services Florida is seeking a skilled Refugee Program Coordinator to join our team. This role plays a vital part in helping refugees and immigrants integrate into their new communities. As a Refugee Program Coordinator, you will be responsible for conducting outreach activities, providing case management services, and connecting clients...

  • Administrative Operations Coordinator

    4 weeks ago

    St. Petersburg, United States Optum Full time

    About UsOptum is a clinician-led care organization that is transforming the way clinicians work and live. We are dedicated to making healthcare better for everyone.Salary InformationThe estimated annual salary for this position is $50,000 - $60,000, based on industry standards and location in St Petersburg, FL.Job SummaryWe are seeking a highly skilled...

  • Quality Management Coordinator

    4 weeks ago

    St. Petersburg, Florida, United States HCA Florida Northside Hospital Full time

    We are seeking an experienced and professional Registered Nurse to become our Coordinator of Quality Management at HCA Florida Northside Hospital. As a part of our team, you will help us reach the highest quality patient care.Responsibilities:You will coordinate the collection, evaluation, and dissemination of performance data related to specified quality...

  • Acute Care Nurse Coordinator

    4 weeks ago

    St. Petersburg, Florida, United States HCA Florida Northside Hospital Full time

    HCA Florida Northside Hospital offers a competitive salary range of $80,000 - $120,000 per year.Job OverviewWe are seeking an experienced and skilled Clinical Nurse Coordinator to join our team in Acute Care. As a key member of our nursing staff, you will be responsible for ensuring the delivery of high-quality patient-centered care and coordination of all...

  • RN Quality Coordinator

    1 month ago

    St Petersburg, United States HCA Florida Northside Hospital Full time

    Description IntroductionLast year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) RN Quality Coordinator with HCA Florida Northside Hospital you can be a part of an organization that is devoted to giving back!BenefitsHCA Florida Northside Hospital, offers a total rewards package that supports the health,...

  • RN Quality Coordinator

    2 months ago

    St Petersburg, United States HCA Florida Northside Hospital Full time

    Description IntroductionLast year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) RN Quality Coordinator with HCA Florida Northside Hospital you can be a part of an organization that is devoted to giving back!BenefitsHCA Florida Northside Hospital, offers a total rewards package that supports the health,...

  • RN Quality Coordinator

    3 months ago

    St Petersburg, United States HCA Florida Pasadena Hospital Full time

    Description IntroductionAre you looking for a work environment where diversity and inclusion thrive? Submit your application for our RN Quality Coordinator opening with HCA Florida Pasadena Hospital today and find out what it truly means to be a part of the HCA Healthcare team.BenefitsHCA Florida Pasadena Hospital, offers a total rewards package that...

  • Clinical Nurse Coordinator ICU

    4 weeks ago

    St Petersburg, United States HCA Florida St. Petersburg Hospital Full time

    Description Introduction Are you looking for a place to deliver excellent care patients deserve? At HCA Florida St. Petersburg Hospital we support our colleagues in their positions. Join our Team as a(an) Clinical Nurse Coordinator ICU and access programs to assist with every stage of your career. Benefits HCA Florida St. Petersburg Hospital, offers a total...

  • Clinical Nurse Coordinator ICU

    2 months ago

    St Petersburg, United States HCA Florida St. Petersburg Hospital Full time

    Description IntroductionAre you looking for a place to deliver excellent care patients deserve? At HCA Florida St. Petersburg Hospital we support our colleagues in their positions. Join our Team as a(an) Clinical Nurse Coordinator ICU and access programs to assist with every stage of your career.BenefitsHCA Florida St. Petersburg Hospital, offers a total...

  • Activity Coordinator

    4 weeks ago

    Petersburg, Indiana, United States Trilogy Health Services Full time

    About Trilogy Health ServicesWe're a Fortune Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work. Our mission is to provide meaningful work and stability for our team members, making long-term care better for our residents.Salary & BenefitsWe offer competitive salaries with increases...

  • Emergency Department Clinical Nurse Coordinator

    4 weeks ago

    St. Petersburg, Florida, United States HCA Florida St. Petersburg Hospital Full time

    HCA Florida St. Petersburg Hospital is committed to delivering high-quality patient-centered care and investing in the latest technology to enable nurses to work efficiently.Job SummaryThe Clinical Nurse Coordinator (CNC) plays a vital role in ensuring seamless patient care and coordination of all functions in the emergency department during their designated...

  • Medical Team Coordinator

    4 weeks ago

    St. Petersburg, Florida, United States HCA Florida St. Petersburg Hospital Full time

    At HCA Florida St. Petersburg Hospital, we are committed to delivering exceptional patient care and creating a positive work environment for our employees.Company OverviewWe are a 215-bed acute care hospital, providing emergency, diagnostic, medical, and surgical services, as well as women's services, including labor and delivery, post-partum, and nursery...

  • Intensive Care Unit Nursing Coordinator

    4 weeks ago

    St. Petersburg, Florida, United States HCA Florida St. Petersburg Hospital Full time

    HCA Florida St. Petersburg Hospital is a dynamic and patient-centered healthcare facility that seeks an experienced Clinical Nurse Coordinator (CNC) to join our Intensive Care Unit (ICU) team.About the RoleThe CNC will be responsible for ensuring high-quality patient care, coordinating unit functions during designated shifts, and collaborating with...

  • Sales and Events Coordinator

    2 days ago

    St. Petersburg, Florida, United States CW Business Development Full time

    About the RoleWe are seeking a highly organized and competitive Event Marketer who can bring unique value to our rapidly growing team.The successful candidate will be responsible for engaging in new business development through customer and community outreach, prospecting, networking, and referrals from customers directly.They will also compile lists of...

  • Clinical Nurse Coordinator ICU

    2 weeks ago

    St Petersburg, United States HCA Florida St. Petersburg Hospital Full time

    Description IntroductionDo you want to be appreciated daily? Our nurses are celebrated for being on the front line, empathetic for patients. At HCA Florida St. Petersburg Hospital our nurses set us apart from any other healthcare provider. We are seeking a(an) Clinical Nurse Coordinator ICU to join our healthcare family.BenefitsHCA Florida St. Petersburg...

  • Clinical Nurse Coordinator

    2 weeks ago

    St Petersburg, United States HCA Florida St. Petersburg Hospital Full time

    Description IntroductionHCA Florida St. Petersburg Hospital is committed to investing in the latest technology enabling nurses to work more efficiently. Are you passionate about delivering patient-centered care? Submit your application for Clinical Nurse Coordinator Emergency Department position and spend more time at the bedside with the...