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Medical Support Admin

Company: UnitedHealth Group
Location: Lakeland
Posted on: January 15, 2022

Job Description:

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work.(sm)The Logistical Support Admin will work directly with the Quality and Risk Adjustment market-based teams and providers with both the employed and contracted providers in the respective market position are assigned. The PSU (Patient Support Unit) Logistical Support Admin is responsible for collecting data and capturing the quality measures. Delivers quality customer service and maintains established quality control standards. This position will be held accountable for the following metrics percentage of appointments schedule, number of gaps closed, post audit/reporting accuracy/audits complete, overall, 5 star rating for HMO products, and to achieve other assigned market group (POD) goals/metric objectives as assigned.This position is responsible for performing a wide variety of logistical support duties in a manner which will ensure the proper functioning of the business unit and enhance the productivity and effectiveness of the department. The position works under the specific instruction and direction of one or more higher level staff and may provide administrative support to an individual office. Incumbents are regularly responsible for dealing professionally with confidential information while performing several aspects of assigned work. Specific tasks may be answering phones, maintaining files, scheduling appointments, producing correspondence, spreadsheets and presentation and otherwise relieving those supported of minor administrative tasks and business deals. Works under general supervision.Primary Responsibilities:

  • Auditing support for the department (PSU) and/or data miners (validation of PRP open/closed gaps)
  • Use internal systems (ePRG) to pull various reports including but not limited to PML, Pink Box, Patient Summary detail, etc.
  • Quality assurance review of submitted forms for PSU
  • Preparation of visit checklist and event packets for LPN/NP visits (including preparing EMR system to reflect open gaps, event type, pulling attestations from ePRG, etc.)
  • Coordinate focus groups to communicate progress, risks and/or barriers back to the market
  • Responsible for keeping the overall calendar of all PSU/QRA activities/interventions including any PSU events
  • Ensure weekly reporting of activities of all PSU/Data mining staff is accurate and timely
  • Responsible for ensuring all Resource Requests are sourced, staffed and tracked appropriately
  • Conduct post audits and ensure all gap measure were capture by corporate team (e.g., no longer pink in pink box)
  • Responsible for end to end process flow and accountable for achieving targets established for their market groups (PODS)
  • Ensure direct manager has accurate knowledge of progress, risks, and barriers proactively
  • Identify training opportunities for staff based on post audits and report findings to direct manager -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 or GED
    • 2+ years of healthcare related experience including data entry in a medical office
    • Proficiency with Microsoft Office - Excel, Word, etc.
    • Working knowledge of medical office procedures and medical terminology
    • Ability to accurately sort and file materials by alphabetic or numeric systems
    • Proven ability to have effective communication and customer service skills
    • Solid computer experience (data entry, screen navigation, keyboarding, multiple screens)
    • Ability to travel frequently within assigned market
    • Access to reliable transportation with ability to travel to provider offices
    • Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliancePreferred Qualifications:
      • Associates Degree in healthcare with medical office experience
      • 1+ years of Managed Care experience
      • ICD 9/10 and CPT coding experience
      • Bilingual (English/Spanish) -
      • Ability to exercise sound judgment in the handling of complex inquiries per protocol
      • Ability to work effectively in a fast-paced healthcare driven environment
      • Ability to adhere to daily schedules and duties
      • Ability to think critically
      • Ability to effectively de-escalate and resolve issues
      • Excellent listening skills
      • Excellent Customer Service voice and demeanor
      • Excellent telephone etiquette
      • Excellent oral and written communication skills
      • Excellent problem-solving skills
      • Excellent demonstration of caring and compassion
      • Desire to work with the elderlyTo protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.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 550,000+ 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: - Logistical Support Medical Admin (Bilingual), Tampa Bay Area, accounting project coordinator, sr. project coordinator, accounts payable, FL, Florida

Keywords: UnitedHealth Group, Lakeland , Medical Support Admin, Administration, Clerical , Lakeland, Florida

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