Health Services Coordinator - Portland, ME

Company: UnitedHealth Group ( Learn More )

General Information
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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 6 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.

The Healthcare Services Coordinator 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

  • Other duties, as assigned

  • Required Qualifications:

  • High School Diploma / GED (or higher)

  • 1+ years of healthcare background with medical terminology and a familiarity with clinical issues

  • 1+ years of working experience with ICD-9 / 10 and CPT Codes

  • 1+ years of experience with Microsoft Tools including Microsoft Word (create, edit, save), Microsoft Excel (create, edit, save, plug in data), and Microsoft Outlook (send, receive, set appointments)

  • 1+ years of working experience with and knowledge of HIPAA compliance requirements

  • Ability to travel up to 75% of the time within the local area (Portland, ME)
  • Preferred Qualifications:

  • Experience working in a physician, provider, and / or medical office

  • EMR and HEDIS knowledge and experience

  • Field-based experience
  • Soft Skills:

  • Demonstrated ability to identify with a consumer in order to understand and align with their needs and realities

  • Demonstrated ability to perform effective listening skills to empathize with the customer in order to develop a trust and respect

  • Demonstrated ability to take responsibility and internally driven to accomplish goals and recognize what needs to be done in order to achieve a goal(s)

  • Demonstrated ability to turn situations around and go above and beyond to meet the needs of the customer
  • 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: UHG, Optum, Healthcare, Portland, ME, field-based, HIPAA
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