LHI Certification Specialist - La Crosse, WI Or US Telecommute

Unitedhealth Group Inc. La Crosse , WI 54601

Posted 3 months ago

Let's talk about meaningful work. UnitedHealth Group is always looking for new ways to improve our ability to deliver high-quality care. As part of our clinical support team, you'll help make every contact informative, productive and positive for our members and providers. You'll have a chance to do live outreach, educating members about program benefits and services while also helping to manage member cases. It's truly an opportunity to make an impact on a huge scale.

Collaborates with the Certification Specialist-RN to complete medical summaries for specific health conditions. Reviews medical records and cohesively constructs record reviews with Certification Specialist-RN. Assures all components pertinent to the member needs are addressed in the documentation.

Primary Responsibilities

  • Communicates with a variety of internal and external individuals for the purpose of acquiring accurate and up-to-date information concerning WTCHP NPN certifications

  • Compiles data from a variety of sources for the purpose of preparing WTC NPN Certifications

  • Receives, reviews, and evaluates various documents for health related certifications

  • Review records for qualifying information

  • Contact members to obtain information pertinent to certification

  • Navigate codebook to identify qualifying coverage

  • Understand program coverage guidelines

Requirements:

  • High School Diploma / GED or higher

  • Medical terminology knowledge

  • Ability to work 8am - 5pm Monday-Friday

Assets:

  • Healthcare experience (CNA, MA, LPN, EMT, ect)

  • Previous call center experience

  • National Career Readiness Certificate

  • Medical vocational or technical training/education (CNA, MA, etc.)

Soft Skills:

  • Excellent verbal and written communication skills including strong telephone etiquette and interpersonal skills with individuals at all levels of an organization

  • Excellent grammar and spelling

  • Must have the ability to take initiative and be detail-orientated in a goal-orientated environment

  • Demonstrated ability to adapt to performing a variety of duties, changing from one task to another of a different nature, without a loss of efficiency or composure

Careers with LHI. Our focus is simple. We're innovators in cost-effective health care management. And when you join our team, you'll be a partner in impacting the lives of our customers, and employees. We've joined OptumHealth, part of the UnitedHealth Group family of companies, and our mission is to help the health system work better for everyone. We're located on the banks of the beautiful Mississippi River in La Crosse, Wis., with a satellite office in Chicago and remote employees throughout the United States. We're supported by a national network of more than 25,000 medical and dental providers. Simply put, together we work toward a healthier tomorrow for everyone. Our team members are selected for their dedication and mission-driven focus. 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.

Keywords: CNA, LPN, EMT, MA, customer service, medical, WTC, call center, medical records, diagnosis, member


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VIEW JOBS 11/30/2018 12:00:00 AM 2019-02-28T00:00 The Certification Specialist collaborates with the Certification Specialist, RN to complete medical summaries for specific health conditions. Reviews medical records and cohesively constructs record reviews with Certification Specialist, RN. Assures all components pertinent to the member needs are addressed in the documentation. Energize your career with one of Healthcare's fastestgrowing companies. You dream of a great career with a great company - whereyou can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of ourbusiness, it's a dream that definitely can come true. Already one of theworld's leading Healthcare companies, UnitedHealth Group is restlessly pursuingnew ways to operate our service centers, improve our service levels and helppeople lead healthier lives. We live forthe opportunity to make a difference and right now, we are living it up. This opportunity is with one of our most exciting businessareas: Optum - a growing part of our family of companies that make UnitedHealth Group a Fortune 6leader. Primary Responsibilities: * Communicate with a variety of internal and external individuals for the purpose of acquiring accurate and up - to - date information concerning WTCHP NPN certifications * Compile data from a variety of sources for the purpose of preparing WTC NPN Certifications * Receive, review, and evaluate various documents for health related certifications * Review records for qualifying information * Contact members to obtain information pertinent to certification * Navigate codebook to identify qualifying coverage * Understand program coverage guidelines Required Qualifications: * High School Diploma / GED (or higher) * Completed Medical, Vocational or Technical training / education (i.e. CNA, MA, EMT) * 2 years experience in a customer service setting * Knowledge of Medical Terminology * Ability to travel 1 - 2 times for training and seminars within the state as required Preferred Qualifications: * Previous call center experience * National Career Readiness Certificate Soft Skills: * Demonstrated ability to adapt to performing a variety of duties, changing from one task to another of a different nature, without a loss of efficiency or composure * Must have the ability to take initiative and be detail - orientated in a goal - orientated environment. * Excellent verbal and written communication skills including strong telephone etiquette and interpersonal skills with individuals at all levels of an organization * Excellent grammar and spelling Careers with LHI. Our focus is simple.We're innovators in cost - effective health care management. And when you joinour team, you'll be a partner in impacting the lives of our customers, andemployees. We've joined OptumHealth, part of the UnitedHealth Group family ofcompanies, and our mission is to help the health system work better foreveryone. We're located on the banks of the beautiful Mississippi River in LaCrosse, Wis., with a satellite office in Chicago and remote employeesthroughout the United States. We're supported by a national network of morethan 25,000 medical and dental providers. Simply put, together we work toward ahealthier tomorrow for everyone. Our team members are selected for theirdedication and mission - driven focus. For you, that means one incredible teamand 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. Keywords: medical documents, medical file review, La Crosse, WI, Optum, WTC NPN Certifications, health related certifications, customer service, medical terminology Unitedhealth Group Inc. La Crosse WI

LHI Certification Specialist - La Crosse, WI Or US Telecommute

Unitedhealth Group Inc.