Healthcare Services Coordinator

UnitedHealth Group•Cypress, CA

7h•$24 - $43•Remote

About The Position

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. 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. If you reside near Cypress, CA, you will enjoy the flexibility to telecommute as you take on some tough challenges. 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, In-Office Assessment 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 solve problems, 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 Generate and analyze weekly/monthly report data to support provider group success & engagement Regularly review rejected submissions and proactively assist in their resolution Assist with large group presentations and training provider office staff on Optum portals Establish and build strong relationships with both internal team members and provider office staff to foster a collaborative environment Other duties, as assigned You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Requirements

High School Diploma/GED (or higher)
1+ years of healthcare background with medical terminology and familiarity with clinical issues
1+ years of experience working with ICD10 and CPT Code
1+ years of experience working with Microsoft Tools: Word, Excel and Outlook
1+ years of experience working with and knowledge of HIPAA compliance requirements
Willingness and ability to work in the field at least 75%25 of the time
Must reside in CA
Access to reliable transportation and valid US driver’s license

Nice To Haves

Experience working in a physician, provider, and/or medical office
EMR and HEDIS knowledge and experience
Experience working in a collaborative team environment
Demonstrated ability to identify with a consumer in order to understand and align with their needs and realities
Demonstrated ability to perform effective active listening skills to empathize with the customer in order to develop trust and respect
Demonstrated ability to take responsibility and internally driven to accomplish goals and recognize what needs to be done to achieve a goal(s)
Demonstrated ability to turn situations around and go above and beyond to meet the needs of the customer
Exceptional written and verbal communication skills
Ability to multi-task and prioritize duties based on customer and business needs
Above average problem-solving skills

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.
Activities may include data collection, data entry, quality monitoring, In-Office Assessment 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.
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 solve problems, 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
Generate and analyze weekly/monthly report data to support provider group success & engagement
Regularly review rejected submissions and proactively assist in their resolution
Assist with large group presentations and training provider office staff on Optum portals
Establish and build strong relationships with both internal team members and provider office staff to foster a collaborative environment
Other duties, as assigned