Central Support Operations Coordinator - National Remote

Company: UnitedHealth Group
Location: Miami
Posted on: March 19, 2023

Job Description:

You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.

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 Central Support Operations Coordinator serves as the main point of contact for healthcare providers and members that are receiving post-acute services. In addition, the Central Support Operations Coordinator role serves as administrative (non - clinical) support for the remote clinical services team. This role is responsible for providing direct support to the multi - disciplinary team to anticipate and plan for continuum of care and discharge needs and communication with providers and clients. The Central Support Operations Coordinator is responsible for processing inbound and outbound communication (i.e., telephonic, fax, electronic notifications and letters), maintaining accuracy of database documentation and the completeness of the medical record and naviHealth database.

This position is full - time (40 hours / week), Monday - Friday. Employees are required to work our normal business hours of 1:00 PM - 9:30 PM CST (Central Standard Time zone) including the flexibility to work occasional overtime and weekends based on business need.

We offer 4+ weeks of training. The hours during training will be 8:00 AM - 4:30 PM / 5:00 PM CST (Central Standard Time zone) for the 1st week only. Training will be conducted virtually from your home.

All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Primary Responsibilities:

• Manage inbound and outbound telephone communication in a professional manner and according to productivity and quality standards
• Process inbound and outbound data and communication (i.e., faxes, emails and electronic communication) according to productivity and quality standards
• Enter, review and or verify member information in the nH Coordinate care management platform and communicate approved pertinent information with healthcare providers and / or naviHealth team as needed
• Enter the required data into the naviHealth database accurately and in a timely manner
• Complete administrative documentation for member records including but not limited to disenrollment, transitioning, creating authorization shells, attaching documents (i.e., medical records), and logging therapy information
• Assist in a smooth coordination of members care between health providers and the health plan
• Establish relationships and communicate, when appropriate, to providers, clients and / or naviHealth field / care management staff as defined by departmental policy and process
• Triage inbound calls manage member inquiries / requests and resolve or escalates to appropriate naviHealth or health plan personnel
• Run and / or review reports to monitor assigned team duties are completed
• Follow chain of command as appropriate when reporting issues or concerns
• Attend naviHealth meetings as requested
• Adhere to organizational, departmental, compliance and regulatory policies and procedures
• Promote a positive attitude and work environment
• Perform other duties and responsibilities as required, assigned, or requested
  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 higher)
  • Experience with using Microsoft Office applications, including Microsoft Word (navigating, creating, and editing), Microsoft Excel (navigating, creating, and editing), and Microsoft PowerPoint (navigating, creating, and editing)
  • Ability to work any shift between the hours of 1:00 PM - 9:30 PM CST (Central Standard Time zone) from Monday - Friday including the flexibility to work occasional overtime and weekends based on business need
    Preferred Qualifications:
    • Associate's Degree (or higher)
    • Experience in healthcare setting
    • Familiarity with medical terminology and HIPAA laws
    • Experience with working in a call center environment
      Telecommuting Requirements:
      • Required to have a dedicated work area established that is separated from other living areas and provides information privacy
      • Ability to keep all company sensitive documents secure (if applicable)
      • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
        Soft Skills:
        • Excellent written and oral communications skills
        • Must be organized and able to prioritize, plan, and handle multiple tasks / demands simultaneously
        • Demonstrated critical thinking skills
        • Ability to verbally articulate and communicate with manager, team members, and customers
        • Detail - oriented and able to interpret data and information in the nH Coordinate system
          Physical and Work Environment:
          • Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard time period
          • Ability to communicate with Clients and team members including use of cellular phone or comparable communication device
          • Ability to remain stationary for an extended time period (1 - 2 hours)
          • Experience with using various office equipment, such as copier, fax machine, telephone and scanner
            About naviHealth
            
            naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation's top health plans, health systems, and at - risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence - based protocols, naviHealth's high - touch, proven care model fully supports patients from pre - acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit .
            
            Our Purpose
            
            Improving the healthcare experience for seniors to live a more fulfilling life
            
            Our Values
            
            Rooted in respect
            
            Guided by purpose
            
            Devoted to service
            
            Energized by impact
            
            The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.
            
            naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
            
            Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.
            
            California, Colorado, Connecticut, Nevada, Washington, New York, or Rhode Island Residents Only: The salary range for California / Colorado / Connecticut / Nevada / Washington / New York / Rhode Island residents is $16.00 - $27.31. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
            
            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 . click apply for full job details

Keywords: UnitedHealth Group, Miami , Central Support Operations Coordinator - National Remote, Other , Miami, Florida