UHG

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:

06101

Approximate Salary:

Not Specified

Position Type:

Full Time

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LHI Certification Specialist - La Crosse, WI or US Telecommute

UHG - Hartford, Connecticut

Posted: 09/22/2018

Let's talk about meaningful work. UnitedHealth Group is always looking for new ways to improve our ability to deliver high-quality care. As part of our clinical support team, you'll help make every contact informative, productive and positive for our members and providers. You'll have a chance to do live outreach, educating members about program benefits and services while also helping to manage member cases. It's truly an opportunity to make an impact on a huge scale.

Collaborates with the Certification Specialist, RN to complete medical summaries for specific health conditions.  Reviews medical records and cohesively constructs record reviews with Certification Specialist, RN.  Assures all components pertinent to the member needs are addressed in the documentation.

Primary Responsibilities
  • Communicates with a variety of internal and external individuals for the purpose of acquiring accurate and up-to-date information concerning WTCHP NPN certifications

  • Compiles data from a variety of sources for the purpose of preparing WTC NPN Certifications

  • Receives, reviews, and evaluates various documents for health related certifications

  • Review records for qualifying information

  • Contact members to obtain information pertinent to certification

  • Navigate codebook to identify qualifying coverage

  • Understand program coverage guidelines


Requirements:
  • High School Diploma / GED or higher 
  • 2+ years of customer service experience
  • 1+ years experience in a medical setting
  • Medical terminology knowledge
  • Ability to work 8am-5pm Monday-Friday

Assets:

  • Previous call center experience
  • Medical certification / license (CNA, MA, EMT, LPN, etc.)

Soft Skills:

  • Excellent verbal and written communication skills including strong telephone etiquette and interpersonal skills with individuals at all levels of an organization
  • Excellent grammar and spelling
  • Must have the ability to take initiative and be detail-orientated in a goal-orientated environment
  • Demonstrated ability to adapt to performing a variety of duties, changing from one task to another of a different nature, without a loss of efficiency or composure

Careers with LHI. Our focus is simple. We're innovators in cost-effective health care management. And when you join our team, you'll be a partner in impacting the lives of our customers, and employees. We've joined OptumHealth, part of the UnitedHealth Group family of companies, and our mission is to help the health system work better for everyone. We're located on the banks of the beautiful Mississippi River in La Crosse, Wis., with a satellite office in Chicago and remote employees throughout the United States. We're supported by a national network of more than 25,000 medical and dental providers. Simply put, together we work toward a healthier tomorrow for everyone. Our team members are selected for their dedication and mission-driven focus. For you, that means one incredible team and a singular opportunity 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: CNA, LPN, EMT, MA, customer service, medical, WTC, call center, medical records, diagnosis, member

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