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If you want to get way ahead
in your career, it makes sense to be with an organization that's way ahead of
the curve. Formed in 1997, ProHealth Physicians has grown to become
Connecticut’s leading primary care physician organization. With over 90 locations
throughout the state of Connecticut, our family of primary care doctors and
specialists care for more than 360,000 people statewide. In fact, ProHealth
serves every county and provides roughly ten percent of the primary care
delivered to patients in the state. We're leaders in thinking and in serving
our communities. For instance, we're a C.M.S. approved Accountable Care
Organization (ACO), covering over 30,000 Medicare patients associated with our
community-based primary care providers. We're also nationally recognized as a
NCQA Level III Medical Home. That kind of progressive leadership makes us
perfect fit for OptumCare and UnitedHealth Group's expanding family of
providers. This is a place where you can stay way ahead as you do yourlife's best work. (sm)Primary Responsibilities:
Receives daily assignments from the Ancillary Sleep Service Manager to coordinate patient tests / visits
Processes insurance verifications and prior authorizations for patient test / visits
Processes individual insurance referrals, understanding individual plans and regulations
Makes patient appointments across multiple business lines, adhering to productivity standards
Tracks referrals, assuring accuracy and maintaining timelines
Communicates with Program Director, Practice Manager, and, Lab Director in maintaining productivity goals and objectives
Maintains knowledge of current payer requirements, coding, practice regulations, and ProHealth policies and procedures
Assists in program operations and care delivery
Educates patients on products and services.
Problems customer service issues
Performs other duties as assigned
Required Qualifications:
Associate's degree or 2+ years of equivalent work experience
Highly successful with insurance management and scheduling patient visits
Experience dealing with complex patient calls, including an understanding of multiple insurance products, strong understanding of prioritizing workflows and unit / team contributions
Ready to answer the call? Take this opportunity to do your life's best work.(sm)Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)ProHEALTH Care is one of the largest integrated physician group practices in the New York Metropolitan Area with twenty locations throughout Long Island. ProHEALTH Care features more than 300 highly skilled physicians with outstanding credentials from nearly every medical specialty working together to care for thousands of patients each month. Many of our physicians are recognized for innovative medical achievements including writing award winning medical journals and conducting research studies.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: Referral Coordinator, clinical coordinator, Farmington, CT, Connecticut, West Hartford
