Referral Coordinator - Irving, TX
Company: UnitedHealth Group
Location: San Jose
Posted on: June 25, 2022
Job Description:
Do you have compassion and a passion to help others?
Transforming healthcare and millions of lives as a result starts
with the values you embrace and the passion you bring to achieve
-your life's best work.(sm) Under the supervision of the Referral
Management Supervisor, this position is responsible for the daily
coordination of referral processes and other duties as assigned. -
If you are located in Irving, TX, you will have the flexibility to
telecommute* as you take on some tough challenges. This is Office
Based; potential telecommute. *** Bilingual English / Spanish
speaking highly preferred*** Primary Responsibilities:
- Manage the internal/ external referral process and daily
referral reconciliation gathering required information and
documents needed, working them accordingly in compliance with
established timelines -
- Answers telephone and assists caller through the phone queue
with scheduling and other needs based on the call type -
- Participate in clinic and market education, training, and
meetings as needed and/or required -
- Maintains knowledge and ensures procedures are followed
including referral guidelines and policies, privacy, and
confidentiality -
- Deliver quality customer service, managing the referral process
professionally and in a timely manner maintaining professionalism
and a positive attitude with all internal and external
customers/peers -
- Ability to work independently -
- Obtain and update prior authorizations and referral
authorizations for both internal and external specialty offices
-
- Being a patient advocate for quality healthcare in external
facilities, maintaining the strictest confidentiality -
- Retain and utilize knowledge of insurance policies and
procedures -
- Performs all other related duties as assigned - 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 or GED equivalent -
- 1+ years of Health Care related experience -
- Efficient proficiency in Microsoft Office applications
including: Excel, Word and Outlook -
- Able to navigate through multiple software and computer
technology -
- Knowledge of medical terminology
- Full COVID-19 vaccination is an essential requirement of this
role. Candidates located in states that mandate COVID-19 booster
doses must also comply with those state requirements. UnitedHealth
Group will adhere to all federal, state and local regulations as
well as all client requirements and will obtain necessary proof of
vaccination, and boosters when applicable, prior to employment to
ensure compliance Preferred Qualifications: -
- 1+ years of Referral management experience
- 1+ years of Medical Insurance experience -
- 1+ years of Customer Service
- Bilingual English / -Spanish Speaking
- Effective verbal and written communication skills -
- Solid customer service skills -
- Detail oriented with organizational and time management skills
- Physical and Mental Requirements: -
- Ability to sit for extended periods of time -
- Ability to receive and comprehend and carryout instructions
verbally and/or in writing -
- Ability to use logical reasoning for simple and complex problem
solving -
- Reasonable accommodations may be made to enable individuals
with disabilities to perform the essential functions USMD part of
OptumCare is a multi-specialty group of hospital, clinics and
physicians. USMD serves the Dallas-Fort Worth metropolitan area
with more than 250 physicians and associate practitioners, and
provides healthcare services to patients in more than 20 different
specialties at its 2 hospitals, 4 cancer treatment centers and
nearly 50 physician clinics, many of which are multi-specialty. -
To protect the health and safety of our workforce, patients and
communities we serve, UnitedHealth Group and its affiliate
companies require all employees to disclose COVID-19 vaccination
status prior to beginning employment. In addition, some roles and
locations require full COVID-19 vaccination, including boosters, as
an essential job function. UnitedHealth Group adheres to all
federal, state and local COVID-19 vaccination regulations as well
as all client COVID-19 vaccination requirements and will obtain the
necessary information from candidates prior to employment to ensure
compliance. Candidates must be able to perform all essential job
functions with or without reasonable accommodation. Failure to meet
the vaccination requirement may result in rescission of an
employment offer or termination of employment Careers with USMD. If
you're idea of a great day at work involves putting great new ideas
to work, we should talk. Throughout the greater Dallas area, we've
built an evolving, integrated health care model that brings primary
care and specialist providers together to work in new and better
ways. A thriving part of OptumCare and the UnitedHealth Group
family of companies, our multi - specialty group of hospitals,
clinics and providers features more than 250 physicians and
associate practitioners. We provide health care services to
patients in more than 20 different specialties at our two
hospitals, four cancer treatment centers and nearly 50 physician
clinics. Join us and start doing your life's best work.(sm) WellMed
was founded in 1990 with a vision of being a physician-led company
that could change the face of healthcare delivery for seniors.
Through the WellMed Care Model, we specialize in helping our
patients stay healthy by providing the care they need from doctors
who care about them. We partner with multiple Medicare Advantage
health plans in Texas and Florida and look forward to continuing
growth. *All Telecommuters will be required to adhere to
UnitedHealth Group's Telecommuter Policy. Diversity creates a
healthier atmosphere: OptumCare is an Equal Employment
Opportunity/Affirmative Action employers 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. OptumCare is a drug-free
workplace. Candidates are required to pass a drug test before
beginning employment.
Keywords: UnitedHealth Group, San Jose , Referral Coordinator - Irving, TX, Other , San Jose, California
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