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About UHG

Careers at UnitedHealth Group

 

We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM

 

Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com

 

Job Category:

Medical and Clinical Operations

Country:

United States

Postal Code:

45241

Approximate Salary:

Not Specified

Position Type:

Full Time

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Healthcare Services Coordinator – Sharonville, OH (Telecommute)

UHG - SHARONVILLE, Ohio

Posted: 09/7/2018

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making Healthcare data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life’s best work.(sm)

 

The Healthcare Services Coordinator – Sharonville, OH (Telecommute) 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.

 

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, HQPAF 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 problem solve, 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
  • Ability to travel daily in the Ohio market 
  • Other duties, as assigned

Required Qualifications:

  • High School Diploma / GED or higher
  • 1+ years of healthcare background with medical terminology & a familiarity with clinical issues
  • 1+ years of EMR (electronic medical records) system experience 
  • Proficient with Microsoft Word (creating and editing documents) and Excel (general spreadsheet navigation and data entry)
  • 1+ years of working experience with and knowledge of HIPAA compliance requirements 
  • Ability to travel daily in the OH market up to 75% of the time

Preferred Qualifications: 

  • Associates degree or higher
  • 1+ years of working experience with ICD-9 / 10 and CPT Codes
  • Experience working in a Physician, Provider, and/or medical office
  • HEDIS knowledge and experience
  • Field-based experience

Careers with OptumInsight. Information and technology have amazing power to transform the Healthcare industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to do your life’s best work.(sm)


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.


Keywords: UHG, Optum, Healthcare, Sharonville, OH, field-based, HIPAA, travel,

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