- All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
- Assisting in the review of medical records to highlight Star/HEDIS opportunities for the medical staff
- Review medical records for data collection, data entry, and 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 identify trends observed and potential strategies to support the practice
- Communicate 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 coding practices
- Activities may include data collection, data entry, quality monitoring, health plan/WellMed form submission and chart collection activities
- Navigate multiple documentation systems and obtain medical record sections supportive of HEDIS/Star measures
- Support quality initiatives by requesting medical records from provider's offices as needed.
- Receives and responds to incoming Clinical Quality inquiries from all communication venues: e.g. phone and fax queue, TruCare, or department e-mail box
- Conducts in-bound and out-bound calls for quality requirements including, but not limited to: patient scheduling, medical records requests, contact verification
- Documents timely patient and clinic interactions of in-bound and/or out-bound calls into software applications
- Provides clerical and/or administrative support to quality staff and managers for special projects and reporting needs
- Provides excellent customer service by serving as a resource to all internal and external customers
- Maintains education/knowledge base of HEDIS/STARs
- Performs all other related duties as assigned
- High School Diploma/GED
- 18 years of age or older
- 2+ years of administrative support experience.
- Experienced using Microsoft Office applications, including Microsoft Excel, Microsoft Word, and Microsoft Outlook.
- Possesses medical terminology knowledge base
- Ability to work 8:00am - 5:00pm. It may be necessary, given the business need, to work occasional overtime or weekends.
- Certified Medical Assistant training OR certification
- 1+ years of HEDIS/STAR experience OR participation with similar quality regulatory reporting.
- 2+ years of experience in a physician's clinic or hospital
- 3+ years of experience with data analysis/quality chart reviews
- Additional years of experience working in a medical care setting as a receptionist OR medical assistant.
- Bilingual fluency in English/Spanish
- EMR and HEDIS knowledge and experience
- Reside within commutable distance of 19500 IH 10W 2nd floor, San Antonio, TX 78257
- Ability to keep all company sensitive documents secure (if applicable)
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.
- Must be able to work independently, with some supervision and direction from manager.
- Must possess and demonstrate excellent organizational skills, customer service skills, to include verbal and written communication.
- Must maintain and demonstrate a high degree of to include both personal conduct and appearance at all times.
- Must maintain strict confidentiality at all times.
- Must adhere to all department/ organizational policies and procedures.
-
ADMINISTRATIVE COORDINATOR
4 weeks ago
Southwest Research Institute San Antonio, United States· Who We Are: · The HR Employment Ops Group is responsible for all outreach and recruitment activities for our organization. We support eleven technical divisions, and all admin support groups with developing and promoting job openings, passive and active recruitment activities, ...
-
Coordinator/Administrator
1 week ago
Pedigo Staffing Services San Antonio, United StatesTitle: Coordinator/Administrator · Location: San Antonio, Texas · Contract Type: Contract, W-2 · Starting Date: Immediately · Work from home: 100% at client site, Monday through Friday · Contract duration: 800 hours. Client may extend or offer a full-time position at the age ...
-
ADMINISTRATIVE COORDINATOR
4 weeks ago
Southwest Research Institute San Antonio, United States· Who We Are: · Our goal is to process the financial records in a timely and accurate manner. Cost Accounting is responsible for preparing the operating statements and internal unaudited financial statements on a periodic basis. In addition, to responding to inquiries about expe ...
-
Administrative Coordinator
4 days ago
Blue Line Roofing & Construction, LLC. San Antonio, United StatesJob Description · Job DescriptionWe are a restoration company seeking an Administrative Project Coordinator to join our team We offer a great opportunity for career growth in a challenging, fast paced competitive environment. · The perfect candidate is an encouraging team player ...
-
ADMINISTRATIVE COORDINATOR
2 weeks ago
Southwest Research Institute San Francisco, United States PermanentWho We Are:Our goal is to process the financial records in a timely and accurate manner. Cost Accounting is responsible for preparing the operating statements and internal unaudited financial statements on a periodic basis. In addition, to responding to inquiries about expense de ...
-
ADMINISTRATIVE COORDINATOR
3 days ago
Southwest Research Institute San Francisco, United States PermanentWho We Are:The HR Employment Ops Group is responsible for all outreach and recruitment activities for our organization. We support eleven technical divisions, and all admin support groups with developing and promoting job openings, passive and active recruitment activities, and o ...
-
Administrative Coordinator I
3 weeks ago
Texas A&M Health San Antonio, United States Full timeJob Description · Our Commitment · Texas A&M University is committed to enriching the learning and working environment by promoting a culture that respects all perspectives, talents & lived experiences. Embracing varying opinions and perspectives strengthens our which are: Resp ...
-
ADMINISTRATIVE COORDINATOR
3 days ago
Southwest Research Institute San Francisco, United States PermanentWho We Are:The Supplier Diversity Office (SDO) promotes Socioeconomic Programs (often called Small Business Concerns), assists purchasing personnel, provides contract compliance reporting, and interacts with Federal agencies. The SDO is under the Program Compliance Group of the P ...
-
ADMINISTRATIVE COORDINATOR
4 weeks ago
Southwest Research Institute San Antonio, United States· Who We Are: · The Purchasing Department's Subcontracts Group manages the entire subcontract process from solicitation to closeout, providing full support to Project Managers. · Objectives of this Role: · Accurately and efficiently perform administrative tasks for subcontract c ...
-
ADMINISTRATIVE COORDINATOR
4 weeks ago
Southwest Research Institute San Antonio, United States· Who We Are: · The Supplier Diversity Office (SDO) promotes Socioeconomic Programs (often called Small Business Concerns), assists purchasing personnel, provides contract compliance reporting, and interacts with Federal agencies. The SDO is under the Program Compliance Group of ...
-
E-Z Bel Construction San Antonio, TX, United StatesWith over 50 years of experience, E-Bel Construction is a leading civil and commercial construction employee-owned company, operating in Texas. We specialize in street reconstruction, underground utility installations, concrete work, bridges, and traffic signals. · At E-Z Bel Co ...
-
ADMINISTRATIVE COORDINATOR
2 weeks ago
Southwest Research Institute San Antonio, United StatesWho We Are: · The Supplier Diversity Office (SDO) promotes Socioeconomic Programs (often called Small Business Concerns), assists purchasing personnel, provides contract compliance reporting, and interacts with Federal agencies. The SDO is under the Program Compliance Group of th ...
-
Project Coordinator- Business Administration
5 days ago
Vestal Corporation San Antonio, United StatesJob Description · Job DescriptionAs a vital part of our growing team, your career has endless possibilities. Vestal Corporation encourages and provides professional development and advancement opportunities reflecting true dedication to continually investing in you. Invest in you ...
-
Administrative Coordinator
3 weeks ago
Jasmine Engineering Incorporated San Antonio, United StatesWe are a full-service Program Management and Total Building Commissioning Firm delivering service excellence while providing the most efficient and well-planned projects. Our firm is currently seeking an Administrative CAssistant to handle a wide range of administrative and execu ...
-
administrative coordinator-general clerk 3
1 week ago
Bickham Services Unlimited, LLC San Antonio, United StatesJob Description · Job DescriptionSalary: DOE · We have an immediate need for an Administrative Coordinator to support our client. The ideal candidate will have a minimum of 1 year of Supplier Diversity or Small Business experience. · The Supplier Diversity Office (SDO) promotes S ...
-
UM Administration Coordinator
3 weeks ago
CenterWell Home Health San Antonio, United StatesBecome a part of our caring community and help us put health first · The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/custo ...
-
Humana San Antonio, United StatesBecome a part of our caring community and help us put health first · Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva, a wholly owned subsidiary of Humana, Inc., we want ...
-
Minor League Baseball San Antonio, United StatesOur team is seeking a full-time front desk receptionist who will greet customers, vendors and partners. In this role you will manage the front desk by answering all calls and routing them appropriately. Additionally, you will provide administrative d Receptionist, Administrative, ...
-
AEG San Antonio, United StatesOur team is seeking a full-time front desk receptionist who will greet customers, vendors and partners. In this role you will manage the front desk by answering all calls and routing them appropriately. Additionally, you will provide administrative data entry support for the acco ...
-
Service Assistant
2 weeks ago
NovaWorks San Antonio, United States Part time"Our mission is to satisfy our customers in every way possible. As a member of our team, you will contribute as a receptionist (m/f/d) to provide first-class customer service and live our mission. Everyone is welcome to join us, whether as a career changer (m/f/d) or experienced ...
Clinical Administrative Coordinator - San Antonio, United States - UnitedHealth Group Inc.
Description
If you are in San, Antonio TX, you will have the flexibility to work from home and the office in this hybrid role* as you take on some tough challenges.
WellMed was founded in 1990 with a vision of being a physician-led company that could change the face of healthcare delivery for seniors.
Through the WellMed Care Model, we specialize in helping our patients stay healthy by providing the care they need from doctors who care about them.
We partner with multiple Medicare Advantage health plans in Texas and Florida and look forward to continuing growth.This position is full-time, Monday - Friday. Employees are required to work our normal business hours of 8:00am - 5:00pm. It may be necessary, given the business need, to work occasional overtime or weekends.
Our office is located at 19500 IH 10W 2nd floor, San Antonio, TX, Employees will be required to work some days onsite and some days from home.
Primary Responsibilities:
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:
Preferred Qualifications:
Telecommuting Requirements:
Soft Skills:
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone.
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:
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.#RPO #YELLOW
