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.
The Quality Coordinator will work as an extension of the local Practice Location and Provider teams by completing Population Health Management tasks in a centralized location.
This position is full time, Monday - Friday. Employees are required to have flexibility to work our normal business hours of 8:00am - 5:00pm. It may be necessary, given the business need, to work occasional overtime.
We offer weeks of paid training. The hours of the training will be based on schedule. Duration of training will depend on candidate's learning curve. Training for the role is through shadowing.
If you are located in Indianapolis, IN, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
- Assisting in the review of medical records to highlight opportunities for the medical staff.
- Locate medical screening results/documentation to ensure the closure of gaps in care/suspect medical conditions.
- Will not conduct any evaluation or interpretation of clinical data and will be supervised by licensed and/or certified staff
- Activities may include data collection, data entry, insurance verification, quality monitoring, HQPAF submission and chart collection activities.
- Documents and updates patient records in NextGen.
- Navigating multiple different EMR systems
- Partners with your leadership team, the practice administrative or clinical staff to determine best strategies to support the practice and our members.
- Interaction with 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
- Assist members in navigating their network of providers by assisting with follow-up and specialist appointments as needed
- Communicate scheduling challenges or trends that may negatively impact outcomes
- Optimize customer satisfaction, positively impact the closure of gaps in care and productivity
- Manage time effectively to ensure productivity goals are met
- Ability to problem solve, use best professional judgement and apply critical thinking techniques to resolve issues as they arise
- Adhere to corporate requirements related to industry regulations/responsibilities
- Maintain confidentiality and adhere to HIPAA requirements
- Attends meetings and participates on committees as requested.
- Reviews current literature and attends training sessions and seminars to keep informed of new developments in the field.
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
- Must be 18 years of age or older
- 1+ years of experience with Microsoft Tools: Microsoft Word, Excel and Outlook
- Ability to work independently
- Ability to work our normal business hours of 8:00am - 5:00pm. It may be necessary, given the business need, to work occasional overtime.
Preferred Qualifications:
- 6+ months of experience in a medical office environment
- 1+ years of working experience with and knowledge of HIPAA compliance requirements
Telecommuting Requirements:
- Reside within Indianapolis, IN
- Ability to keep all company sensitive documents secure (if applicable)
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.
*All employees working remotely 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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