Field Based Healthcare Services Coordinator - Mobile, AL

Company: UnitedHealth Group ( Learn More )

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Job Description Position Description:
Energize your career with one of Healthcare’s fastest growing companies.  
You dream of a great career with a great company - where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.
This opportunity is with one of our most exciting business areas: Optum - a growing part of our family of companies that make UnitedHealth Group a Fortune 17 leader.
Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.
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.
Primary Responsibilities:
  • Coordination of care between practice and other Optum programs
  • Review all member charts prior to a physician appointment and create alerts / triggers to highlight Star opportunities for the Provider
  • Partner with the Practice's Administrative and Clinical staff while managing patient appointments and data between visits
  • Assist members in navigating their network of Providers by assisting with follow - up and Specialist appointments as needed
  • Assist with Program Eligibility verifications
  • Appropriate Referrals to Case Management staff
  • Interact with patients and providers via telephone; scheduling appointments
  • Perform data collection, data entry and quality monitoring activities, as applicable
  • Document case information completely, accurately, and in a timely manner
  • Demonstrate sensitivity to issues and show proactive behavior in addressing customer needs
  • Provide ongoing support and education to team members
  • Optimize customer satisfaction, and positively impact productivity
  • Will not conduct any evaluation or interpretation of clinical data and will be supervised by Licensed and / or Certified staff
  • Adhere to corporate requirements related to industry regulations / responsibilities
  • Maintain confidentiality and adhere to HIPAA requirements
  • Other duties, as assigned

  • Required Qualifications:
  • High School Diploma / GED or higher
  • Customer service experience, telephonic and / or in person
  • Experience in data entry
  • Proficiency with a Windows PC and ability to learn new applications easily
  • Healthcare industry experience
  • Access to reliable transportation with the ability to travel to client sites within the designated territory
  • Up to 75% travel
  • Must live in Mobile or Baldwin Counties 
  • Preferred Qualifications:
  • HEDIS knowledge and / or experience
  • STARS knowledge and / or experience
  • EMR (Electronic Medical Records) knowledge and / or experience
  • Ability to type 50+ WPM
  • 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.
    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: Mobile, AL, Alabama, customer service, healthcare, medical records, phone support, UnitedHealth Group
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