Consistently exhibits behavior and communication skills that demonstrate Optums commitment to superior customer service, including quality, care and concern with each and every internal and external customer Serves as a primary point of contact between patient and health care team to anticipate and appropriately address patient questions and concerns Confirms patient understanding of primary care physician (PCP) assignment and educates patient on available tools, resources, appropriate and new s... more details
If you are located within50 mile radius of5701 S Eastern Avenue, Commerce, CA, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.
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.
Conducts patient outreach to facilitate patient understanding of healthcare systems and services through the use of standardized scripts. Uses, protects, and discloses Optum patients protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
Responsible for welcoming and orienting prospective patients to care management services and coordinating delivery of quality services through appropriate data gathering and resource referrals. Acts as the primary point of contact to facilitate effective patient communication in support of the care management team to ensure continuity of care across the care continuum and improve patient outcomes.
This position is full-time, Monday - Friday. Employees are required to work our normal business hours of 8:00am 5:00pm PST. It may be necessary, given the business need, to work occasional overtime or weekends (1 weekend a month rotation). Our office is located at5701 S Eastern Avenue, Commerce, CA
.We offer 4 weeks of paid training. The hours during training will be 8am to 5pm PST, Monday - Friday. Training will be conducted virtually from your home.
*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.
Primary Responsibilities:
- Consistently exhibits behavior and communication skills that demonstrate Optums commitment to superior customer service, including quality, care and concern with each and every internal and external customer
- Serves as a primary point of contact between patient and health care team to anticipate and appropriately address patient questions and concerns
- Confirms patient understanding of primary care physician (PCP) assignment and educates patient on available tools, resources, appropriate and new services available
- Conducts patient outreach to facilitate patient understanding of healthcare systems and services through the use of standardized scripts including mailings of welcoming packages, needed materials and thank you letters
- Initiates data gathering through record review and telephonic outreach to complete timely and accurate documentation of appropriate care management forms for selected patient population
- Ensures timely outreach to selected patient population and provides hand-off to care manager
- Utilizes motivational interviewing techniques, facilitates communication with patient / caregiver for program engagement
- Ensures ongoing coordinated management of patient care with appropriate resource allocations, referrals and notifications that are purposeful, supportive and interconnected with team members
- Notifies care management team of patient requests, need for referral and facilitates referrals
- Facilitates the identification, recommendation and appropriate enrollment to care management programs, patient transportation and other community-based assistance or support programs for selected patient population
- Assists in care delivery through the provision of scripted health education and monitoring
- Expedites completion of necessary forms and paperwork, confirms mailings, receipt of pertinent mailed materials, coordinates and tracks outstanding government / plan obligations and notifies appropriate team members for follow ups.
- Meets or exceeds productivity targets
- Uses, protects, and discloses Optum patients protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
- Performs additional duties as assigned
Youll 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 OR equivalent years of experience
- 1+ years of experience in a healthcare, medical office setting
- Experience with windows based programs including Microsoft Word and Microsoft Outlook
- Excellent verbal and written communication skills with ability to read, write, speak and understand English clearly
- Must be 18 years of age OR older
- Ability to work our normal business hours of 8:00am 5:00pm PST. It may be necessary, given the business need, to work occasional overtime or weekends (1 weekend a month rotation).
Preferred Qualifications:
- Certified Medical Assistant (CMA)
- 1+ years of experience as a medical assistant or clinical administrative capacity with the organization
- Bilingual fluency in English/Spanish
- Understanding of Medicare and MediCal / Medicaid benefits
- Basic understanding of managed care principles
Telecommuting Requirements:
- Reside within 50 mile radius of5701 S Eastern Avenue, Commerce, CA
- 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.
Soft Skills
- Good critical thinking skills and resourcefulness
- Outstanding customer service skills
- Ability to problem-solve to effectively assist patient with issues and challenges
- Health literacy and cultural awareness skills to effectively coordinate patient centric care
- Ability to concurrently perform multiple tasks
- Ability to manage workload and complete assigned tasks within designated timeframes
California Residents Only: The hourly range for California residents is $19.47 - $38.08 per hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, youll find a far-reaching choice of benefits and incentives.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location, and incomedeserves 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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