Care Coordinator

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)

The Care Coordinator (also referred to as a Referral Coordinator) is responsible to the Center Administrator and assists with medical management data entry and referral functions.

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
• 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
• 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 graduate, GED or equivalent
• Knowledge of HIPAA regulations

Preferred Qualifications:

• Medical office experience with referral processing for HMO plans
• Experience with EMR systems
• Knowledge of medical coding
• Proven 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
• Proven ability to possess excellent communication and organizational skills with the ability to multitask, set priorities, and meet deadlines
• Proven ability to possess high job accuracy, efficiency, and dependability
• Proven ability to read, speak, write, and understand the English language fluently
• Proven ability to multi- task in a high paced environment with good organizational skills
• Proven ability to follow written and oral instructions and to work with general guidance
• Proven results and goal-oriented with a philosophy for quality improvement
• Proven computer literate and have exceptional telephone skills

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: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.