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TRICARE Referral Specialist Coordinator - Honolulu, HI - Full-time / Part-time
| Hours | Full-time, Part-time |
|---|---|
| Location | Honolulu, HI Honolulu, Hawaii |
About this job
Position Description:
Talk about meaningful work. Talk about an important role. Let's talk about your next career move. Our UnitedHealthcare Military & Veterans organization has been selected to provide quality health care services for those who serve our nation. This is an opportunity to share in something special; an opportunity for all of us to serve those families who have made our nation stronger. It's an inspiring role and it can inspire your career. Find out more about these opportunities to do your life's best work.(SM)
When you are in the business of health care, you're in the business of people. At United Health Care Military and Veterans we want every customer experience to be distinctly personal. The challenge is complex. When providers and beneficiaries call us for help, their focus is on getting the best care possible. We help them understand the benefits and their options. For the beneficiaries this part of their lives matters a lot to them and it matters just as much to us. Our Referral Management teams have a serious responsibility to make every contact informative, productive, positive, and memorable for what it says about how much we care.
As
a potential government contractor, this position requires U.S.
citizenship and proof of favorable adjudication following submission of
Department of Defense form SF85P.
Primary Responsibilities:
- Individuals in this position will be responsible for the daily processing of TRICARE referrals for TRICARE beneficiaries and coordination with the MTF, Military Treatment Facilities.
- The special optimization of the MTF through routing referrals to them to provide services for the TRICARE beneficiaries is crucial to the success of the West Region and the beneficiaries healthcare
- Make outbound calls as needed to providers to gather required information for referrals
- Resolve customer service inquiries which could include:
- Enter notifications, Providers status of an existing notification and determining if notification is required.
- Complete notification wizard along with ICD-9 and CPT coding
- Constantly meet established productivity, schedule adherence, and quality standards while maintaining good attendance.
- Assist with faxes and emails, emails and letters to the beneficiaries, providers and the MTFs
Requirements
Required Qualifications:
- High School Diploma/GED.
- Ability to obtain favorable adjudication following submission of Department of Defense form SF86 .
- US Citizenship.
- 6+ months experience with Medical Terminology.
- 2+ years in an Office setting using telephone and computer as primary instruments to perform job duties.
- 3+ months Medical Coding ICD-9 and CPT experience.
- 2+ years Alpha Numeric Data Entry.
Preferred Qualifications:
- Bachelor's Degree.
- Experience in a Healthcare Administrative role
- Medical Front Office experience.
- Experience with Medicare and or Medicaid.
- Healthcare or other Insurance Benefits experience.
- TRICARE experience.
UnitedHealthcare
Military & Veterans is part of the family of companies that make
UnitedHealth Group one of the leaders across the US Healthcare system.
We serve those who serve our nation, providing quality Healthcare services to
millions of Military beneficiaries.
Our commitment to helping people live healthier lives, and to continue the
honor, satisfaction, and quality of the TRICARE Military Health Benefit program
is greater than ever. Our efforts complement the Military Health System to
demonstrate the best blend of public and private Healthcare solutions.
It's not just business as usual. It is one of our proudest endeavors.
If you're ready to help make Healthcare work better for those who serve our
nation. If you are smart, creative, and committed. If you want to make a
difference, consider being part of the elite team at UnitedHealthcare Military
& Veterans.
This is an opportunity to share in something special; a chance for all of us to
serve, to excel, and to know that we've made a difference for those families
who have made our nation stronger.
Careers at UnitedHealthcare Military & Veterans. When it comes to their healthcare, the men and women who help keep the peace deserve the greatest peace of mind. That's why UnitedHealthcare is the organization that's called on to serve them and their loved ones. We're all about finding better ways to help improve their lives no matter where life may take them. So our career opportunities take challenge to a higher level. If you have a commitment to quality that mirrors our commitment to the men and women of the armed forces, take time to learn more about the career paths available here. It's a genuine opportunity to do your life's best work.SM
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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