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Hours Full-time, Part-time
Location Charlotte, NC
Charlotte, North Carolina

About this job

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 17 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.
 
Our Customer Service teams have a serious responsibility to make every contact informative, productive, positive, and memorable for what it says about how much we care.
 
Employees in this position will work as an extension of the local Provider Care teams by aligning to geographical regions and clinics that care for a high volume of Medical & Retirement membership, as well as coordinating all facets of patients' needs.

Primary Responsibilities:
  • 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 virtual position within Charlotte, NC. 

Requirements

Required Qualifications:
  • 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 North Carolina with the ability to travel to Provider offices, Member homes, or other locations within service delivery area.
  • Strong Data Entry skills, with a Typing speed of at least 45-50 WPM.
Preferred Qualifications:
  • Experience working in a Physician, Provider, and/or Medical Office.
  • 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.