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Healthcare Services Coordinator - Fort Myers, FL

UnitedHealth Group

Fort Myers, FL
Job Code:
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Job Details

Healthcare Services Coordinator - Fort Myers, FL(Job Number:725276)

Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. Take this opportunity and begin doing your life's best work.(sm)
Employees in this position will work as an extension of the local quality and provider teams by aligning to geographical regions, medical centers and / or physician practices that manage a high volume of WellMed membership.
Primary Responsibilities:
  • Assisting in the review of medical records to highlight Star / HEDIS opportunities for the medical staff
  • Review medical records for data collection, data entry, quality monitoring including health plan / WellMed form submission and chart collection activities that close gaps in care
  • Partner with the leadership team, the practice administrative or clinical staff to determine best strategies to support the practice
  • Assist patients in navigating their network of providers by assisting with follow-up and specialist appointments as needed
  • Assist with program eligibility and appropriate referrals to remove barriers in care. This may include referrals to case management and / or social worker services
  • Interaction with WellMed patients and providers via telephone including inbound / outbound calls regarding appointments / scheduling to close gaps in care
  • Communicate scheduling challenges or trends that may negatively impact quality outcomes
  • Track and trend barriers / challenges that exist at their assigned groups so that better outcomes can be achieved including access to appointments, lack of follow up on referrals, or inconsistent billing practices
  • Activities may include data collection, data entry, quality monitoring, health plan / WellMed form submission and chart collection activities
  • Provide ongoing support and education to team members and assist in removing barriers in care
  • Assist licensed staff in obtaining medical screening results / documentation for review
  • Other duties, as assigned 

Job Clinical & Medical Management
Primary Location US-FL-Fort Myers
Other Location 
Organization WellMed Medical Mgmt, Inc
Schedule Full-time
Number of Openings 1
Apply on the Company Site

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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