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Care Coordinator
4 months ago
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/Referral Coordinator is responsible to the Center Administrator and assists with medical management data entry and referral functions.
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 EST. It may be necessary, given the business need, to work occasional overtime. Our office is located at 7139 Red Bug Lake Road Orlando, FL.
We offer weeks of on-the-job training. The hours of the training will be aligned with your schedule.
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.
Performs other duties as assigned.
Must have consistent, punctual and reliable attendance.
Assist with inbound/Outbound calls for referral consultations
Ability to travel to local corporate office/local clinic for training may be required.
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 equivalent experience
1+ years of experience working in healthcare facility, physician's/medical clinic setting and/or medical insurance company
Experience with windows based programs including Microsoft Word
Experience with windows based programs including Microsoft Excel
Experience with windows based programs including Microsoft Outlook
Must be 18 years of age OR older
Ability to work 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 EST. It may be necessary, given the business need, to work occasional overtime.
Preferred Qualifications
Previous medical office experience with referral processing for HMO plans
Bilingual fluency in English and Spanish
Knowledge of ICD-10 and CPT codes
Experience working in a call center
Previous experience with EMR system
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.
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