$2,200 Sign-On Bonus for External Candidates

Incentive Bonus 2 times a year

18 days of PTO & Closed On Major Holidays

MA Certification Fee Reimbursement - 401 K Match

Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind *Caring. Connecting. Growing together.  *

The office is located in Port Saint Lucie

Work Hours: Monday- Friday 8:00am-5:00pm EST

Under the supervision of the Referral Management Supervisor, this position is responsible for the daily coordination of referral processes and other duties as assigned.

Primary Responsibilities:

• Manage the internal/ external referral process and daily referral reconciliation gathering required information and documents needed, working them accordingly in compliance with established timelines

• Answers telephone and assists caller through the phone queue with scheduling and other needs based on the call type

• Participate in clinic and market education, training, and meetings as needed and/or required

• Maintains knowledge and ensures procedures are followed including referral guidelines and policies, privacy, and confidentiality

• Deliver quality customer service, managing the referral process professionally and in a timely manner mainting professionalism and a positive attitude with all internal and external customers/peers

• Ability to work independently

• Obtain and update prior authorizations and referral authorizations for both internal and external specialty offices

• Being a patient advocate for quality healthcare in external facilities, maintaining the strictest confidentiality

• Retain and utilize knowledge of insurance policies and procedures

• Performs all other related duties as assigned

• Act as a subject matter expert in role of senior coordinator with the ability to assist others

• Assist physicians and nursing personnel with injections, EKGs, phlebotomy and other patient care procedures

• Maintain established quality control standards

• Record and process patient care documentation quickly and accurately

• Coordinate patient care as directed by physicians, company standards and policies

• Organize, stock and clean exam and treatment rooms and sterilize instruments

• Maintain quality control standards and required Medical Assistant and CPR certifications

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 or GED equivalent

• Current, nationally recognized Medical Assistant certification or registration or the ability to obtain the designation within 180 days of employment

• 2+ years of Referral management experience

• 1+ years of Health Care related experience

• 1+ years of Medical Insurance experience

• Knowledge of medical terminology

• Current CPR and/or BLS certification or the ability to attain the certification within 30 days of employment

• Proven efficient proficiency in Microsoft Office applications including: Excel, Word and Outlook

• This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease

Preferred Qualifications:

• 1+ years of proven solid customer service skills

• Knowledge/experience of NextGen, Excel, Powerpoint

• ICD-9/10 and CPT coding experience

• Bilingual fluent in English and Spanish

Physical & Mental Requirements:

• Ability to lift up to 25 pounds

• Ability to push or pull heavy objects using up to 25 pounds of force

• Ability to sit for extended periods of time

• Ability to stand for extended periods of time

• Ability to use fine motor skills to operate office equipment and/or machinery

• Ability to properly drive and operate a company vehicle

• Ability to receive and comprehend and carryout instructions verbally and/or in writing

• Ability to use logical reasoning for simple and complex problem solving

• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. 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.