Referral Coordinator - St. Petersburg, FL
Company: Optum
Location: Saint Petersburg
Posted on: April 19, 2024
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Job Description:
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. - -
The -Referral Coordinator is responsible to the Center
Administrator and assists with medical management data entry and
referral functions.
This position is full time. Monday - Friday. Employees are required
to have flexibility to work any of our 8-hour shift schedules
during our normal business hours of - 8am - 5pm EST. It may be
necessary, given the business need, to work occasional overtime.
Our office is located at 2812 54th Ave South St. Petersburg, FL
33172. -
We offer weeks of on-the-job training. The hours of the training
will be aligned with your schedule. -
Primary Responsibilities: -
Consistently exhibits behavior and communication skills that
demonstrate commitment to superior customer service, including
quality and care and concern with each and every internal and
external customer.
Represents the Company in a professional manner, following all
Company policies and procedures.
Uses, protects, and discloses patients' protected health
information (PHI) only in accordance with Health Insurance
Portability and Accountability Act (HIPAA) standards.
Responsible for total coordination and processing of all patient
referrals for specialty services.
Follows protocols for proper authorization and processing of all
referrals.
Communicates with the patient on a timely basis for all scheduling
requirements.
Coordinates pre-admission testing requirements with clinic
personnel and patient.
Completes all administrative functions associated with referral
activities in a timely manner.
Enters all referral, hospital, outpatient, DME and other patient
specialty health service authorizations into the computer system
according to Company policy and procedure.
Receives consultant reports, maintains documentation, and routes to
the appropriate physician promptly.
Responsible for monitoring all referral reports not received and
timely follow-up in accordance with Company policy and
procedure.
Performs other duties as assigned.
Must have consistent, punctual and reliable attendance.
Ability to travel may be required.
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 equivalent years of experience
1+ years of experience working in a medical setting (Doctor's
office, healthcare facility, Medical insurance company)
Experience with windows based programs including Microsoft Office
Outlook
Experience with windows based programs including Microsoft
Excel
Experience with windows based programs including Microsoft
Teams
Must be 18 years of age or older
Preferred Skills
Previous experience with EMR systems is a plus.
Medial coding experience
Knowledge of HIPAA regulations.
Soft Skills
Ability to interact and verbally communicate effectively with
patients and all levels of personnel in a professional, courteous
and effective manner with excellent customer service skills.
Possess excellent communication and organizational skills with the
ability to multi task, set priorities, and meet deadlines.
Results and goal-oriented with a philosophy for quality
improvement.
Possess high job accuracy, efficiency, and dependability.
Ability to read, speak, write, and understand the English language
fluently.
Ability to multi- task in a high paced environment with good
organizational skills.
Ability to follow written and oral instructions and to work with
general guidance.
At UnitedHealth Group, our mission is to help people live healthier
lives and make the health system work better for everyone. We
believe everyone-of every race, gender, sexuality, age, location,
and income-deserves 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.
#RPO #RED -
Keywords: Optum, Greater Carrollwood , Referral Coordinator - St. Petersburg, FL, Other , Saint Petersburg, Florida
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