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 diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start
Caring. Connecting. Growing together.
Working Hours: Monday through Friday from 8:00 AM to 5:00 PM
Location: Hybrid
- 909 Hidden Ridge Irving, TX
Patient Care Coordinator will work directly with our Quality and Risk Adjustment market based teams and providers with both our employed and contracted providers in the respective market position are assigned. The
PSU PCC is responsible for setting up and organizing events for members to be seen by PSU Clinical staff. The
PSU PCC is responsible for collecting data and capturing the Quality measures. Delivers quality customer service and maintains established quality control standards.
This position will be held accountable for the following metrics % of appointments schedule, # of Gaps Closed, Post Audit/Reporting accuracy/audits complete, overall 5 Star rating for HMO products, and to achieve other assigned POD goals/metric objectives as assigned.
If you reside near Irving, Texas, you’ll enjoy the flexibility of a hybrid-remote position* as you take on some tough challenges.
Primary Responsibilities
- Answers phones and schedules screening appointments for patients and providers using the scheduling system
- Assists providers with distribution of medical results from patient’s visits
- Interacts with patients and providers via phone and provides accurate, timely and responsive information about the mobile team processes
- Ensures efficient telephone communication with patients and providers
- Recognizes and responds appropriately to priority situations by transferring calls to provider, supervisor, or mobile team staff
- Establishes and maintains effective working relationships with providers, staff and other departments
- Prepares intake forms for patient visits to ensure providers and staff have the most up to date forms available for patient visit
- Requests medical records for appropriate use by providers to assess healthcare diagnosis code assessment
- Follows written protocols and procedures of the CareCoach Connect team
- Documents work processes effectively as required by procedure
- Demonstrates courtesy and willingness to assist patients and their families
- Manages medical records including maintaining, filing, scanning, and preparing for scheduled visits
- Ensures all correspondence is scanned and/or filed in timely manner
- Coordinates with external and internal teams in following protocol for patients unable to reach
- Audits completed screenings to ensure all information is completed and faxes all quality forms to DataRAP for processing
- Reviews charts for outstanding referral services needed to make sure patient has appointment within required timeframe
- Assists the provider to ensure schedules are mapped appropriately to arrive on time for appointments
- Responsible for keeping the overall calendar of clinical staff assignments
- Responsible for end-to-end process flow and accountable for achieving targets established for their team
- Ensure direct manager has accurate knowledge of progress, risks, and barriers proactively
- Identify training opportunities for staff based on post audits and report findings to their direct manager
- Performs all other related duties as assigned
What Are The Reasons To Consider Working For UnitedHealth Group? Put It All Together - Competitive Base Pay, a Full And Comprehensive Benefit Program, Performance Rewards, And a Management Team Who Demonstrates Their Commitment To Your Success. Some Of Our Offerings Include
- Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
- Medical Plan options along with participation in a Health Spending Account or a Health Saving account
- Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
- 401(k) Savings Plan, Employee Stock Purchase Plan
- Education Reimbursement
- Employee Discounts
- Employee Assistance Program
- Employee Referral Bonus Program
- Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
- More information can be downloaded at: http://uhg.hr/uhgbenefits
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications
- High School Diploma / GED (or higher)
- 2+ years of experience working with Microsoft Office - Excel, word, etc.
- 1+ years of data entry experience
- 1+ years of experience scheduling appointments
- 1+ years of customer service experience
- High speed internet capability
Soft Skills
- Ability to work independently and maintain good judgment and accountability
- Demonstrated ability to work well with health care providers
- Strong organizational and time management skills
- Ability to multi-task and prioritize tasks to meet all deadlines
- Ability to work well under pressure in a fast-paced environment
- Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others
- All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.
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.
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