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 PSU Logistical Support Admin - Tampa, FL - TAMPA, Florida, United States

   
Job information
Posted by: UnitedHealth Group 
Hiring entity type: Insurance 
Work authorization: Existing work authorization required for United States
Position type: Direct Hire, Full-Time 
Compensation: ******
Benefits: See below
Relocation: Not specified 
Position functions: Operations - Logistics
Operations - Other
Operations - Purchasing
Operations - Quality
 
Travel: Minimal 
Accept candidates: from anywhere 
Languages: English - Fluent
Spanish - Fluent
 
Minimum education: See below 
Minimum years experience: See below 
Resumes accepted in: English
Cover letter: No cover letter requested
Job code: 743286 / Latpro-3591700 
Date posted: Jan-19-2018
State, Zip: Florida, 33601

Description

If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm)   Primary Responsibilities: Auditing support for PSU and/or data miners (validation of PRP open / closed gaps) Use ePRG to pull various reports including but not limited to PML, Pink Box, Patient Summary detail, etc Calculating and Submitting expenses and mileage for established POD Quality assurance review of submitted forms for PSU Troubleshooting for missing elements (i.e. may include calling radiology providers for copies of mammogram reports) Equipment supply ordering and registration / check out to various employees Assist PSR as necessary with outbound calls Cover for Field PSU Data Mining events when necessary Preparation of visit checklist and packets for MA/NP visits (including preparing packet of SDS, FOC, Attestation, and Patient Summary Detail log) Responsible for keeping the overall calendar of all PSU / QRA activities / interventions including any PSU screening events Ensure weekly reporting of activities of all PSU / Data mining staff is accurate and timely Responsible for ensuring all Resource Requests are sourced and staffed appropriately Coordinate with mobile screening vendor(s) for completion of FOC Create any member mailings or customized calling scripts that are necessary to support QRA PSU efforts Conduct post audits and ensure all gap measure were capture by corporate team (e.g. no longer pink in pink box) Responsible for end to end process flow and accountable for achieving targets established for their PODS Ensure direct manager has accurate knowledge of progress, risks, and barriers proactively Identify training opportunities for staff based on post audits and report findings to direct manager   This position will work directly with our Quality and Risk Adjustment market based teams and providers with both our employed and contracted providers in the respective market position are assigned. The PSU Logistical Support Admin is responsible for collecting data and capturing the Quality measures. Delivers quality customer service and maintains established quality control standards. This position will be held accountable for the following metrics % of appointments schedule, # of Gaps Closed, Post Audit / Reporting accuracy / audits complete, overall 5 Star rating for HMO products, and to achieve other assigned POD goals / metric objectives as assigned.


Requirements

Required Qualifications:

High school graduate or GED

2 years of healthcare related experience including data entry in a medical office

2 years or more experience working with Microsoft Office Excel, word, etc

Working knowledge of medical office procedures and medical terminology

Ability to accurately sort and file materials by alphabetic or numeric systems

Effective communication and customer service skills

Ability to travel frequently within assigned market

Be flexible and adaptable to change

Current Driver's License and reliable transportation with ability to travel to provider offices

Ability to exercise sound judgment in the handling of complex inquiries per protocol

Ability to work effectively in a fast paced healthcare driven 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:

Associates Degree in healthcare with medical office experience

ICD 9/10 and CPT coding experience

Bilingual (English/Spanish)

1 year of Managed Care Experience
    
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.

 

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