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Clinical Referral Coordinator

Learn more about UnitedHealth Group
UnitedHealth Group

UnitedHealth Group

Clinical Referral Coordinator

Corpus Christi, TX
Full Time
Paid
  • Responsibilities

    POSITION 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) WellMed provides concierge - level medical care and service for seniors, delivered by physicians and clinic stat that understands and care about the patient's health. WellMed's proactive approach focuses on prevention and the complete coordination of care for patients. WellMed is now part of the Optum division under the greater UnitedHealth Group umbrella. Under the supervision of the Referral Management Supervisor, this position is responsible for the daily coordination of referral processes and other duties as assigned.

    PRIMARY RESPONSIBILITIES:

    • Manage the internal/ external referral process and daily referral reconciliation
    • Answers telephone and assists caller through the phone queue and back office phone line
    • Participate in clinic and market education/training, 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 timely
    • Work independently and act as a resource or subject matter expert (SME) for others
    • Manage and prioritize tasks that may include compiling reports and spreadsheets
    • Maintain professionalism and positive service attitude with all internal and external customers/peers
    • 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
    • Health Care related experience 1-2 years
    • Effective verbal and written communication skills
    • Strong customer service skills
    • Detail oriented with organizational and time management skills
    • Basic proficiency in Microsoft Office applications including: Excel, Word and Outlook

    PREFERRED QUALIFICATIONS:

    • Medical Assistant experience
    • Knowledge of basic medical terminology
    • Referral management experience 1-2 years
    • Medical Insurance experience 1-2 years
    • Customer Service 1-2 years
    • Bilingual

    CAREERS WITH WELLMED. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 380,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do 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.

    OptumCare is committed to creating an environment where physicians focus on what they do best: care for their patients. To do so, OptumCare provides administrative and business support services to both owned and affiliated medical practices which are part of OptumCare. Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. OptumCare's support services do not interfere with or control the practice of medicine by the medical practices or any of their physicians.

    This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease. 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

  • Industry
    Hospital and Health Care
  • Fun Fact
    UnitedHealth Group is working to create the health care system of tomorrow.
  • About Us
    Our mission is to help people live healthier lives and to help make the health system work better for everyone. 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. Our biggest point of differentiation is our people - and the collective talent, energy, intelligence and drive our force of 305,000 individuals around the world bring to our mission every single day. So, how do we do it? With our every action, interaction, and intention that demonstrates the five fundamental values that guide everything we do: • Integrity • Compassion • Relationships • Innovation • Performance Diversity creates a healthier atmosphere: 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.