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Program Coordinator - Remote in Eastern and Central Time Zone

Company: UnitedHealth Group
Location: San Diego
Posted on: November 18, 2023

Job Description:

If you are located within Eastern and Central Time Zone, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.SM
This position is full-time (40 hours/week) Monday - Friday. Employees are required to work our normal business hours of 8:00am - 5:00pm CST plus an after hours on-call rotation of 7 consecutive days every 4-5 weeks. It may be necessary, given the business need, to work occasional overtime or weekends.
We offer 2 weeks of PowerPoint presentation, 6 weeks on-the-job training before they would get a case assigned, total of 8 weeks of paid training. The hours of the training will be 8:00am to 5:00pm CST, Monday - Friday. Training will be conducted virtually from your home.
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Primary Responsibilities: -

  • Program Coordinators will be responsible for assigned caseload and act as primary contact for members on assigned caseload
  • Use multiple systems to verify eligibility prior to initial member contact and to continue to verify eligibility at all required points of program participation
  • Review and process new referrals to COE programs including, but not limited to making initial contact with member within 24 hours of referral; educating member regarding program policies, procedures, and eligibility, prepare and email or mail program enrollment forms within 24 hours of receiving referral
  • Conduct proactive research and interview members to identify

    • Contacts
    • Providers
    • Care givers
    • Comprehensive clinical picture, including diagnosis origin, treatment and treating physician's information.

    • Respond to and own member inquires and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility, claims, financial support, correspondence, as a potential barrier to participation in special benefits
    • Provide on-going follow up and process updates to the member, carrier care manager and any other invested entities
    • Document all patient, carrier, caregiver, vendor, or provider contacts including all relevant information
    • Coordinate and manage

      • Mail
      • E-Mail

      • Resolve member service inquires related to:

        • Travel related issues
        • Eligibility to participate in special benefits
        • Correspondence requests

        • Educate members about the fundamentals of the benefit. Be the subject matter expect for benefit parameters across multiple employer groups
        • Own problems through to resolution on behalf of the member in real time or through comprehensive and timely follow-up with the member.
        • Communicate with members and their care givers regarding anticipated member service needs and resolution of issues
        • Identify member issues and escalate to management when unable to resolve
        • Employees may be asked to work independently after hours to resolve urgent issues that surface after normal business hours. This role has the ability to work outside of established procedures to ensure high level member satisfaction
        • Execute travel reservations including hotels, shuttles, and flights for traveling members and caregivers, and on occasion facilitate relocation for members traveling for long-term treatment.

          • Interact with and support members and caregivers in all aspects of travel.
          • Address travel related inquiries.
          • Review and process travel related expense activities in an accurate and timely manner.
          • Document travel activities accurately for reconciliation pertaining to tax allocations.

            Part of the challenge here is dealing positively with members and providers in sometimes challenging circumstances. As a subject matter expert, you'll also be the "go-to" resource for information. The flexibility to work evening hours will also be required.
            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 working in a customer facing role
            • 1+ years of experience working in healthcare, social services, travel or related field
            • Knowledge of Microsoft Office Outlook (create and send emails, calendar management), Excel (create spreadsheets, sort/filter data, build charts/graphs), and Adobe (edit and combine PDF documents)
            • Experience with answering calls in a telephonic que
            • Experience with making travel arrangements, including booking flights, hotels rooms and calculating allowed expenses
            • Ability to work during 8:00am - 5:00pm CST plus an after hours on-call rotation of 7 consecutive days every 4-5 weeks. It may be necessary, given the business need, to work occasional overtime or weekends.

              Preferred Qualifications: -

              • Bachelor's Degree (or higher) in healthcare, psychology, social work or related field
              • 5+ years of experience working in healthcare, social services, travel or related field
              • Bilingual fluency in English and / or Spanish
              • Knowledge of Medical Terminology
              • Knowledge of Medicare and End Stage Renal Disease entitlement
              • Experience with transplant or oncology patients

                Telecommuting Requirements:

                • Reside within Eastern and Central Time Zone
                • Ability to keep all company sensitive documents secure (if applicable)
                • Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
                • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.

                  Connecticut, New Jersey, New York or Rhode Island Residents Only: The hourly range for California / Colorado / Connecticut / Nevada / New York / New Jersey / Washington / Rhode Island residents is $18.80 - $36.78 per hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
                  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. -
                  #RPO #YELLOW -

Keywords: UnitedHealth Group, San Diego , Program Coordinator - Remote in Eastern and Central Time Zone, Other , San Diego, California

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