Combine two of the fastest - growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making Healthcare data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing YOUR LIFE'S BEST WORK.

PRIMARY RESPONSIBILITIES:

• Assist in the review of medical records to highlight Star opportunities for the medical staff
• Partner with your leadership team, the practice administrative or clinical staff to determine best strategies to support the practice and our members.
• Assist members in navigating their network of providers by assisting with follow - up and specialist appointments as needed
• Assist with program eligibility and appropriate referrals to remove barriers in care (This may include referrals to case management and / or social worker services)
• Interact with UHC 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
• Communicate scheduling challenges or trends that may negatively impact quality outcomes
• Data collection, data entry, quality monitoring, HQPAF submission and chart collection activities
• Track appointments and document information completely and accurately in all currently supported systems in a timely manner
• Demonstrate sensitivity to issues and show proactive behavior in addressing customer needs
• Provide ongoing support and education to team members and assist in removing barriers in care
• Optimize customer satisfaction, positively impact the closing of gaps in care and productivity
• Locate medical screening results / documentation to ensure quality measures are followed in the closure of gaps (Will not conduct any evaluation or interpretation of Clinical data and will be supervised by licensed and / or certified staff)
• Manage time effectively to ensure productivity goals are met
• Adhere to corporate requirements related to industry regulations / responsibilities
• Maintain confidentiality and adhere to HIPAA requirements
• 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)
• 2+ years of telephonic customer service experience
• 1+ years of a healthcare background with medical terminology familiarity of clinical issues
• 1+ years of working experience with Microsoft Tools including Word (create / edit) and Outlook (send emails / utilize calendar)
• 1+ years of working experience with and knowledge of HIPAA compliance requirements
• Experience with navigating, filtering and analyzing reports in Microsoft Excel
• Strong data entry skills, with a typing speed of at least 45 - 50 WPM
• Must live within one of the following GA counties: Dekalb or Fulton
• Ability to travel up to 75% of the time
• Experience with ICD-10 and CPT Codes
• Experience working in a Physician, Provider, and / or Medical Office

PREFERRED QUALIFICATIONS:

• EMR and HEDIS knowledge and experience
• Experience working as a Medical Assistant

SOFT SKILLS:

• Demonstrated ability to identify with a consumer in order to understand and align with their needs and realities
• Demonstrated ability to perform effective active listening skills to empathize with the customer in order to develop a trust and respect
• Demonstrated ability to take responsibility and internally driven to accomplish goals and recognize what needs to be done in order to achieve a goal(s)
• Demonstrated ability to turn situations around and go above and beyond to meet the needs of the customer

CAREERS WITH OPTUMINSIGHT. Information and technology have amazing power to transform the Healthcare industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place 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.

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.