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in Staten Island, NY
Senior Clinical Administrative Coordinator - Staten Island, NY
Hours | Full-time, Part-time |
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Location | Staten Island, NY Staten Island, New York |
About this job
- 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 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.
This is a Telecommute role within Staten Island, NY.
Requirements
- High School Diploma/GED.
- Ability to travel approximately 25-75% of the time, depending on business needs, within approximately 1-hour radius of the job site to Provider offices, Member homes, or other locations within the service delivery area.
- 2+ years of Telephonic Customer Service experience.
- 1+ year of a Healthcare background with Medical Terminology familiarity of Clinical issues.
- 1+ year of working experience with Microsoft Word and Excel.
- 1+ year of knowledge of HIPAA Compliance requirements.
- Reliable transportation, valid Insurance, and a valid & unrestricted Driver's License within the State of NY.
- Data Entry skills, with a Typing speed of at least 45-50 WPM.
- Experience working in a Physician, Provider, and/or Medical Office.
- EMR (Electronic Medical Records) knowledge and experience.
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.SM
Diversity creates a healthier atmosphere: 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: customer service, call center, intake, prior authorization, medical assistant, administrative, clerical, coordinator, claims.