6 days old

Lead Referral Coordinator USMD - 911835

Irving, TX 75060
  • Job Code
    911835

Under the supervision of the Referral Management Supervisor, this position is responsible for the daily coordination of referral processes and other duties as assigned.

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Primary Responsibilities:

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  • Help department Supervisor coordinate daily workflow and productivity helping to ensure daily goals are met
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  • Assist in with training or up-training of updated process
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  • Attend required meetings and participate in committees as requested by your Leader and the business
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  • Answers telephone and assists caller through the phone queue with scheduling and other needs based on the call type
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  • Participate in clinic and market education, training, and meetings as needed and/or required
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  • Maintains knowledge and ensures procedures are followed including referral guidelines and policies, privacy, and confidentiality
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  • Deliver quality customer service, managing the referral process professionally and in a timely manner mainting professionalism and a positive attitude with all internal and external customers/peers
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  • Ability to work independently
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  • Obtain and update prior authorizations and referral authorizations for both internal and external specialty offices
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  • Being a patient advocate for quality healthcare in external facilities, maintaining the strictest confidentiality
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  • Retain and utilize knowledge of insurance policies and procedures
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  • Performs all other related duties as assigned
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  • Act as a subject matter expert in role of coordinator with the ability to assist others
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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.

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Required Qualifications:

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  • High school diploma or GED equivalent required
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  • 3+ years of Health Care related experience
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  • Effective verbal and written communication skills
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  • 2+ years of strong customer service skills
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  • Detail oriented with organizational and time management skills
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  • Efficient proficiency in Microsoft Office applications including: Excel, Word and Outlook, PowerPoint
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  • Able to navigate through multiple software and computer technology
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  • Knowledge of medical terminology
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  • 2+ years of Medical Insurance experience
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  • 1+ years of Referral management experience
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  • 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 doctors diagnosis of disease
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  • Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and localmasking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained
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  • You will be provisioned with appropriate Personal Protective Equipment (PPE) and are required to perform this role with patients and members on site, as this is an essential function of this role
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Preferred Qualifications:

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  • Medical Assistant experience
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  • Knowledge of basic medical terminology
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  • Bilingual
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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)

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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.

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UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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Job Keywords: Referral Coordinator, Call Center, Team Lead, Irving, Dallas, Arlington, TX, Texas

Categories

Posted: 2021-04-07 Expires: 2021-05-07

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Lead Referral Coordinator USMD - 911835

UnitedHealth Group
Irving, TX 75060

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