Practice Performance Specialist - Central Arkansas Remote

Unitedhealth Group Inc. Little Rock , AR 72215

Posted 3 weeks ago

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Combine two of the fastest - growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making Healthcare data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.SM

Employees in this position will work on - site or virtually 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 UHC Medicare & Retirement membership.

If you are located in Arkansas, you will have the flexibility to telecommute* as you take on some tough challenges.

Training will be conducted virtually from your home.

All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

What we do defines who we are. Take a deeper look at how we're providing support during this global health crisis and search for a way you can get involved. View our Covid

19 Resources Page at: https://info.uhg.com/

Primary Responsibilities:

Assist in the review of medical records to highlight Star opportunities for the medical staff
Activities include data collection, data entry, quality monitoring, upload of images, and chart collection activities
Locate medical screening results / documentation to ensure quality measures are followed in the closure of gaps. Will not conduct any evaluation or interpretation of Clinical data
Track appointments and document information completely and accurately in all currently supported systems in a timely manner
Optimize customer satisfaction, positively impact the closing of gaps in care and productivity
Partner with your leadership team, the practice administrative or clinical staff to determine the best strategies to support the practice and our members
Interaction with UHC members via telephone to assist and support an appropriate level of care. This may include making outbound calls to members and / or providers to assist in scheduling appointments, closing gaps in care or chart collection activities
Answer inbound calls from patients and/or providers regarding appointments
Communicate scheduling challenges or trends that may negatively impact quality outcomes
Demonstrate sensitivity to issues and show proactive behavior in addressing customer needs
Provide ongoing support and education to team members and assist in removing barriers in care
Manage time effectively to ensure productivity goals are met
Ability to work independently in virtual setting. Ability to problem solve, use best professional judgment and apply critical thinking techniques to resolve issues as they arise
Identify and seek out opportunities within one's own work flow to improve call efficiency
Adhere to corporate requirements related to industry regulations / responsibilities.
Maintain confidentiality and adhere to HIPAA requirements
Data analysis required for multiple system platforms to identify open quality opportunities to address on a member or provider level
Appointment coordination for specialist appointments, late to refill medication outreach and scheduling members for local market clinic events
Participate within department campaigns to improve overall quality improvements within measure star ratings or contracts
Field based activities require the abilities to support appropriate targeted providers
Other duties, as assigned

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:

High School Diploma / GED (or higher)
2+ years of experience in a healthcare background with medical terminology familiarity of clinical issues
1+ year of working experience with and knowledge of HIPAA compliance requirements
Intermediate Proficiency in Microsoft Office including: Microsoft Outlook (setting calendar appointments, email) and Microsoft Excel (creating spreadsheets, filtering, navigating reports)
Ability to work Monday

Friday, 8 AM - 5 PM

Must reside within the State of Arkansas (residency required)
Ability to travel 75% of the time
If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group - approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders

Preferred Qualifications:

1+ year of working experience with ICD - 9 / 10 and CPT Codes
Medical Coding Experience
Experience working in a physician, provider, and / or medical office
Previous experience working as a Medical Assistant or LPN
Knowledge and experience with EMR and HEDIS
Strong data entry skills, with a typing speed of at least 45 - 50 WPM

Soft Skills:

Demonstrated ability to identify with a consumer in order to understand and align with their needs and realities
Demonstrated ability to perform effective active listening skills to empathize with the customer in order to develop a trust and respect
Demonstrated ability to take responsibility and internally driven to accomplish goals and recognize what needs to be done in order to achieve a goal(s)
Demonstrated ability to turn situations around and go above and beyond to meet the needs of the customer

UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography - specific trends. At this time, 90% of our non - clinical workforce transitioned to a work at home (remote) status. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us.

Some of the steps we've taken to ensure employee well - being include:

Transitioned our new hire training classes to be conducted virtually
Launched our ProtectWell app and UnitedCARES program to help ease the burden and stress for our UnitedHealth Group team members and their immediate family affected by COVID

Daily updates from our CEO Dave Wichmann to support and inspire team members during this challenging time
Onsite social distancing and increased sanitization measures for employees who have been welcomed back to our offices
Fully cover the COVID

19 healthcare costs for our employees

Employees who self - identify as high risk or who live with someone who is high risk have been asked to remain working from home

You can learn more about all we are doing to fight COVID

19 and support impacted communities at: https://www.unitedhealthgroup.com/newsroom/addressing-covid.html

Careers with OptumInsight. Information and technology have amazing power to transform the Healthcare industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place 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: Practice Performance Specialist, Medical Coding, Electronic Records, Medical Data Entry, Little Rock, Conway, Pine Bluff, Hot Springs, Searcy, Arkansas, AR, work at home, work from home, WAH, WFH, remote, telecommute, hiring immediately

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Reads and signs minutes of unattended meetings. Offers positive and constructive remarks during the meeting. * Communicates with patient and their insurance company, to obtain referral and authorization information. * Obtains referrals using appropriate provider list and provides referral information to both the patient and the referral specialist. * Provides and documents patient/family educational teaching as instructed by a physician, including patient/family understanding. * Accurately and completely documents physician orders regarding patient phone calls. * Complete and concise documentation of patient emergency situation is recorded in patient's chart. * Follows clinic guidelines regarding chart documentation. * *Communication/ Education* * Uses tack, courtesy, sound judgment and a professional attitude when relating to patients, families, and co-workers. * Maintains patient confidentiality * Demonstrates willingness to be flexible. * Researches patient problems and effectively provides solutions. * Serves as preceptor, providing an opportunity for new employees to learn the clinical procedures and clerical responsibilities necessary to perform their job responsibilities. * *Stewardship* * Is honest in using hospital and clinic resources. * Uses time wisely in completing job assignments. 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