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Clinical Practice Performance Coordinator

UnitedHealth Group

UnitedHealth Group

Clinical Practice Performance Coordinator

Indianapolis, IN
Full Time
Paid
  • Responsibilities

    POSITION DESCRIPTION

    OPPORTUNITIES WITH AMERICAN HEALTH NETWORK, OPTUMCARE PARTNER. When you join American Health Network (AHN), you become part of a team that strives to identify and retain the top healthcare professionals in the markets it serves. At American Health Network, we want to be the best health care organization we can be. Our mission is to improve the health of our patients. We're a physician-led organization, operating over 70 medical offices in Indiana and Ohio, with over 300 providers and 1200 employees. We're also an OptumCare partner, part of the UnitedHealth Group family of businesses, and backed by the resources of a global health care organization working to help people live healthier lives and help make the health system work better for everyone. That's an important differentiator as more people need our help simplifying the complexities of the American health care system. At the same time, the culture of AHN supports work-life flexibility for providers and places a high value on their physical, emotional, financial and other aspects of well-being. Find out what it means to be part of an exceptional company that values its providers, its role in health care, and making a difference one patient at a time. Take a look at AMERICAN HEALTH NETWORK and explore a new path to YOUR LIFE'S BEST WORK.(SM) As a CLINICAL PRACTICE PERFORMANCE COORDINATOR, you will work as an extension of the local Practice Location and Provider teams by completing Population Health Management tasks in a centralized location.

    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
    • 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
    • Other 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/ GED or higher
    • Intermediate level proficiency in MS Word, Excel, and Outlook
    • 6+ months of experience working in a heathcare environment

    PREFERRED QUALIFICATIONS:

    • Associates degree or higher
    • Knowledge of Medicare products
    • Knowledge of HIPAA compliance requirements

    CAREERS WITH OPTUM. Here's the idea. We built an entire organization around one giant objective; make health care 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: 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.

  • Industry
    Hospital and Health Care
  • Fun Fact
    UnitedHealth Group is working to create the health care system of tomorrow.
  • About Us

    A Fortune 6 company, we're focused on helping people live healthier lives while making the health system work better for everyone. Here, we seek to empower people with the information, guidance and tools to make personal health choices. We work harder and we aim higher. We expect more from ourselves and each other. And, at the end of the day, we’re doing a lot of good for more than 142 million people worldwide.