Position Description:Energizeyour career with one of Healthcare's fastest growing companies. Youdream of a great career with a great company – where you can make an impact andhelp people. We dream of giving you theopportunity to do just this. And withthe incredible growth of our business, it's a dream that definitely can cometrue. Already one of the world's leading Healthcare companies, UnitedHealthGroup is restlessly pursuing new ways to operate our service centers, improveour service levels and help people lead healthier lives. We live for the opportunity to make adifference and right now, we are living it up. Thisopportunity is with one of our most exciting business areas: Optum –a growingpart of our family of companies that make UnitedHealth Group a Fortune 17 leader. Optum helps nearly 60million Americans live their lives to the fullest by educating them about theirsymptoms, conditions and treatments; helping them to navigate the system,finance their healthcare needs and stay on track with their health goals. Noother business touches so many lives in such a positive way. And we do it allwith every action focused on our shared values of Integrity, Compassion,Relationships, Innovation & Performance.Talk about meaningful work. Talk about an important role. Let's talk about your next career move. Due to our expanding business, UnitedHealth Group is seeking Associate Clinical Administrative Coordinators who share our passion for helping others live healthier lives. As one of the world's leading health care companies, UnitedHealth Group is pursuing innovative new ways to operate our service centers and improve on our ability to deliver high-quality care. As part of our clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive and positive for our members and providers. You'll have the opportunity to do live outreach, educating members about program benefits and services while also helping to manage member cases. 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. Responsible for facilitating Independent Medical Exam appointments for Injured Parties for our Auto Injury Management Department (IP).Primary Responsibilities:Schedules appointments for IP with Independent Medical Examiners (IME) within 5 calendar days from the date of the assignmentHandles an approximate caseload of 80-90+ IME filesEnsures IME appointments are scheduled to occur within 21 calendar days from the date of the assignmentFacilitates and documents all actions taken on any file including, but not limited to, cancellation and rescheduling IME Appointments as requested or directed by the client, the IP or the IPs representativeResponds promptly to inquiries or requests verbally or in writing with regard to the IME file including, but not limited to, attorneys, IPs, clients or any AIMS department employeeCoordinates client approved transportation in accordance with departmental policy and proceduresEnsures appointment notification letters are generated accurately and timely in accordance with departmental policy and proceduresEnsures all medical records are complete, free from duplications, in appropriate chronological order from the date of injury to present when sent to the IME ProviderPromptly contacts IME providers when we have not received the timely IME reports in accordance with the departmental policy, standards and proceduresEnsures the quality, accuracy and completeness of the IME reports prior to processing these reports and promptly takes action to resolve any discrepancies in order to ensure timelinessProperly identifies and submits Provider Grievances in accordance with the department policy and proceduresProperly and accurately processes all incoming mail the same business day receivedConfirms and documents that all served parties received all IME notification letters and / or medical records in accordance with the departmental policy and proceduresSends out and secures back from all Non-Contracted IME Providers a signed fee agreement prior to the IME Appointment date in accordance with departmental policies and procedures Ensures all IME provider invoices are billed at the agreed upon and / or contracted rates and promptly resolves any discrepancies by facilitating and securing the corrected invoiceProperly processes requests / approvals for any IME fee which are in excess of any Customers agreed upon ratesAccurately processes IME internal prepayment requestsCommunicates contracted IME provider updates / changes and submits IME recruitment requests per departmental policy and procedures to ensure the quality of our contracted Review Services Provider databaseFacilitates IME Addendums at the direction of the Account or their representative, Case Manager or Management teamActs as preceptor for IME Coordinators as directed by Management, if requestedWorks with the AIMS team to facilitate additional medical necessity issues that may arise after the IME assignment, prior to and after the IME appointment has occurred Ensures confidentiality and maintains accurate files and notepad entriesAdheres to cost savings measures and departmental and company-wide Quality Assurance programsAdheres to statutory regulations, HIPAA compliance, account protocols and department policy and proceduresPerforms other Review Services department duties as assignedMaintains the integrity of RMS system at all times and adheres to all electronic paperless workflows
Required Qualifications: High School Diploma / GED (or higher) 6+ months of experience using a computer and Microsoft Office (Word, Excel, and Outlook)Ability to type at least 45-50 WPM Customer Service experience Preferred Qualifications: Associate's Degree (or higher) Experience in an office setting using a Telephone and Computer to perform Job duties OptumRx isan empowering place for people with the flexibility to help create change.Innovation is part of the job description. And passion for improving the livesof our customers is a motivating factor in everything we do. If you're ready to talk about groundbreakinginteractions, let's talk about what happens when a firm that touches millionsof lives decides to gather results from millions of prescriptions every monthand analyze their impact. Let's talk about smart, motivated teams. Let's talkabout more effective and affordable healthcare solutions. This is caring. Thisis great chemistry. This is the way to make a difference. We're doing all this,and more, through a greater dedication to our shared values of integrity,compassion, relationships, innovation and performance. Join us and start doing your life's best work.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.Keywords: UHG, Norristown, PA, customer service, healthcare, telephonic, patient interaction, field based, advocacy
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 t...hey 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.