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WellMed Bi-Lingual Call Center LPN - Tampa, FL

UnitedHealth Group

Tampa, FL
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Job Details

755591 WellMed BiLingual Call Center LPN Tampa FL

WellMed Bi-Lingual Call Center LPN - Tampa, FL (755591)

Position Description

The Patient Services Coordinator performs a wide variety of duties associated with patient services and scheduling health care screenings. This position is responsible for making sure the patient understands the mobile team experience ranging from health care screenings, appointment scheduling, and information sharing with their PCP. The position also provides customer service and coordination with the PCP office staff to ensure scheduling information, medical records, and provider support is available to the contracted PCP groups. The PSC’s ability to promote our mobile team services and schedule patients who attend their appointments is an integral part of meeting quality goals in completing measures.


*This position is located at 500 N. Westshore Blvd. Tampa, FL and hours are M - F: 8AM - 5PM*


Primary Responsibilities:

  • Coordinates initial patient contact and ensures patient eligibility to clinic and verifies the appropriate primary care physician is listed prior to setting up appointments
  • Reviews quality detail report to determine which patients have outstanding measures and need to be scheduled
  • Scheduling of patients with notification to PCP group of patient list and location of the mobile unit
  • Prepares intake forms for healthcare screening clinics to ensure providers and staff have the most up to date forms available for patient visit
  • Requests medical records for appropriate use by providers to assess healthcare diagnosis code assessment
  • Coordinates all clinic schedules with PCP group and patients including scheduling transportation or other special services as indicated for the patient visit
  • Initiates Comfort Care appointments for patients as needed and trouble shoots problems that may arise between Comfort Care and the patient
  • Coordinates with PBMs and PCP groups for patients that are not reachable as well as involving management to take next steps to follow-up with the patient
  • Coordinates with the providers and contracted PCP groups and ensures a timely submission of the attestation sheets to the DataRap department
  • Audits completed screenings to ensure all information is completed and faxes all quality forms to DataRAP for processing
  • Reviews charts for outstanding referral services needed such as colon screening, DM eye exam, and mammograms to make sure patient has appointment within required timeframe
  • Validates patients’ attestation sheets and conducts research to determine if and when a patient may need a follow-up visit with their PCP as indicated in provider progress note
  • Serves as a team lead as needed by the contracted groups to ensure they have all information
  • and instructions to meet their quality goals
  • Performs all other related duties as assigned
Required Qualifications:
  • High School Diploma or GED
  • Unrestricted LVN / LPN license in applicable states
  • Bi-lingual in English and Spanish (ability to read, write and speak).
  • 2 years experience in healthcare environment with direct customer contact
  • Ability to respond appropriately to patient questions regarding tests and treatments
  • Ability to exercise sound judgment in the handling of complex medical assistant inquiries per protocol
  • Ability to work effectively in a fast paced call center 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
  • Strong computer experience (data entry, screen navigation, keyboarding)
  • Strong desire to work with the elderly
Preferred Qualifications:
  • Familiarity with managed care
  • Medical office experience
  • Electronic Medical Record experience
  • Bilingual (English and Spanish)
If the hired individual resides in Florida (office based or telecommuting) this position requires the AHCA Level II background check (fingerprinting) by the State of Florida for all clinicians that have direct face to face contact with members OR employees who will have access to confidential patient data and will require renewal every five years.
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 90,000+ 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: WellMed, Healthcare, Bilingual, Licensed Vocational Nurse, LVN/LPN, Medical Terminology, ICD-9 and CPT coding, Call Ctr., Tampa, FL, Florida, Brandon, Thonotosassa, St. Pete, Clearwater, Carrollwood, West Chase, St. Petersburg, Larg

Job Details

  • Contest Number755591
  • Job TitleWellMed Bi-Lingual Call Center LPN - Tampa, FL
  • Job FamilyNursing
  • Business SegmentOptumCare

Job Location Information

  • Tampa, FL
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionNo
  • Overtime StatusNon-exempt

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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