Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. Take this opportunity and begin doing your life's best work.(sm) Employees in this position will work as an extension of the local quality and provider teams by aligning to geographical regions, medical centers and / or physician practices that manage a high volume of WellMed membership. Primary Responsibilities: Assisting in the review of medical records to highlight Star / HEDIS opportunities for the medical staff Review medical records for data collection, data entry, quality monitoring including health plan / WellMed form submission and chart collection activities that close gaps in care Partner with the leadership team, the practice administrative or clinical staff to determine best strategies to support the practice Assist patients 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 Interaction with WellMed patients and providers via telephone including inbound / outbound calls regarding appointments / scheduling to close gaps in care Communicate scheduling challenges or trends that may negatively impact quality outcomes Track and trend barriers / challenges that exist at their assigned groups so that better outcomes can be achieved including access to appointments, lack of follow up on referrals, or inconsistent billing practices Activities may include data collection, data entry, quality monitoring, health plan / WellMed form submission and chart collection activities Provide ongoing support and education to team members and assist in removing barriers in care Assist licensed staff in obtaining medical screening results / documentation for review Other duties, as assigned
Required Qualifications: High School Diploma / GED Certified Medical Assistant, Patient Care Technician or Certified Nursing Assistant or other equivalent certification 4+ years of customer service experience or equivalent Working knowledge of Microsoft tools: Word, Outlook and Excel 2+ years of healthcare background or equivalent Strong data entry skillsPreferred Qualifications: ICD 9/10 and CPT coding experience Experience working in a physician, provider, and / or medical office EMR and HEDIS knowledge and experienceCareers 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 90,000+ 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) 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. Job Keywords: MA, PCT, CNA, Medical Assistant, Patient Care Tech, Certified Nursing Assistant, Medical Office, Customer Service, Fort Myers, FL, Florida
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.