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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:
- Total coordination and processing of all patient referrals for specialty services
- 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. Coordinates pre-admission testing requirements with clinic personnel and patient
- Completes all administrative functions associated with referral activities in a timely manner
- Monitoring all referral reports not received and timely follow-up in accordance with Company policy and procedure
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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
Preferred Qualification:
- Medical office experience with referral processing for HMO plans
- Experience with EMR systems
- Knowledge of Medical Coding
- Ability to read, write and speak the Spanish language fluently
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.