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UnitedHealth Group

Healthcare Services Coordinator - Cook County, IL

UnitedHealth Group - Chicago, IL

Position Description: 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.SM

Primary Responsibilities: Assisting in the review of medical records to highlight Star opportunities for the medical staff.

Partner with your leadership team, the practice administrative or clinical staff to determine best strategies to support the practice and our members.

Assist members in navigating their network of providers by assisting with follow-up and specialist appointments as needed. 

Assist with program eligibility and appropriate referrals to remove barriers in care. This may include referrals to case management and / or social worker services. 

Interaction with UHC 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.

Communicate scheduling challenges or trends that may negatively impact quality outcomes.

Activities may include data collection, data entry, quality monitoring, HQPAF submission and chart collection activities.

Track appointments and document information completely and accurately in all currently supported systems in a timely manner.

Demonstrate sensitivity to issues and show proactive behavior in addressing customer needs.

Provide ongoing support and education to team members and assist in removing barriers in care.

Optimize customer satisfaction, positively impact the closing of gaps in care and productivity.

Locate medical screening results / documentation to ensure quality measures are followed in the closure of gaps.

Will not conduct any evaluation or interpretation of clinical data and will be supervised by licensed and / or certified staff.

Manage time effectively to ensure productivity goals are met.

Ability to work independently in virtual setting.

Ability to problem solve.

Professional judgment and apply critical thinking techniques to resolve issues as they arise.

Identify and seek out opportunities within one’s own work flow to improve call efficiency.

Adhere to corporate requirements related to industry regulations / responsibilities.

Maintain confidentiality and adhere to HIPAA requirements.

Required Qualifications: High School Diploma / GED or higher

1 years of customer service experience

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

Candidates must be able to create, edit, copy, send and save documents and correspondence in Microsoft Word and Microsoft Outlook 

Experience with navigating, filtering and analyzing reports in Microsoft Excel

Strong data entry skills, with a typing speed of at least 45 wpm

Availability to travel up to 75% of the time

Preferred Qualifications: Bilingual preferred

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

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

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

EMR knowledge and / or experience

HEDIS knowledge and / or experience

STARS knowledge and / or experience

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.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: Optum, UHG, STARS, EMR, HEDIS, provider, member, community, Chicago, IL

Job Requirements

2 days 17 hours ago

UnitedHealth Group


Healthcare Services Coordinator - Cook County, IL UnitedHealth Group - Chicago, IL, United States


Location: Chicago, IL

Company Profile:
About UnitedHealth Group UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone. We are committed to introducing innovative approaches, products and services that can improve personal health and promote healthier populations in local communities. Our core capabilities in clinical care resources, information and technology uniquely enable us to meet the evolving needs of a changing health care environment as millions more Americans enter a structured system of health benefits and we help build a stronger, higher quality health system that is sustainable for the long term