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Senior Clinical Admin Coordinator @ Optum

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 Senior Clinical Admin Coordinator

Job Description

The Provider Outreach Specialist is a key member of the Provider Not Participating (PNP) Team, responsible for engaging healthcare providers who are currently unable to supply medical charts for review. This role focuses on identifying and resolving barriers to medical record retrieval, ensuring compliance with audit and quality initiatives. Primary Responsibilities:
  • Conduct outbound outreach using telephonic systems to providers who have not submitted requested medical records
  • Investigate and document reasons for non-participation or inability to provide charts
  • Educate providers on the importance of chart retrieval and the process involved
  • Maintain accurate and detailed records of all outreach activities and outcomes
  • Escalate unresolved issues to appropriate departments or leadership as needed
  • Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

    • Required Qualifications:
  • 1+ years of experience in international contact center, healthcare, customer service, or provider relations
  • Solid communication and interpersonal skills
  • Ability to handle sensitive information with discretion and professionalism
  • Proficiency in Microsoft Office and CRM or medical record systems
  • Proven problem-solving mindset with attention to detail
    • Preferred Qualification:
  • Associate or bachelors degree
    • 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. #NJP

    Job Classification

    Industry: Retail
    Functional Area / Department: Healthcare & Life Sciences
    Role Category: Health Informatics
    Role: Hospital Administration
    Employement Type: Full time

    Contact Details:

    Company: Optum
    Location(s): Bengaluru

    + View Contact

    Keyskills:   customer service hospital administration clinical administration hospital management crm operations management health care services healthcare management nabh medical services patient care hospital operations medical operations facility management

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    Optum

    With the playing field for software development radically altered by distributed computing applications that span from cloud to mobile to Internet of Things (IoT), efficiency is at a premium. OptumSoft streamlines the software writing process through a platform that replaces the ad hoc approach many...

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