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Optum Clinical Care Representative in Colorado Springs, Colorado

Overview:

Coordinate the Provider’s post-visit care plan with the patient. Process and pre-book all follow-up tests, PCP appointments, specialist appointments, ancillary appointments and procedural appointments prior to the patient leaving the clinic. Review educational and resource information with the patient. Distribute hand-outs and appointment cards to the patient. Manage the Walk-In schedule visits for various injections like flu shots and vaccines.

Essential Functions:

  • Schedule consults and appointments with providers.

  • Schedule follow-up appointments and review clinical care summaries with patients prior to patient leaving the clinic.

  • Confirm appointment times with patient, hand out appointment cards, and related educational materials.

  • Pre-authorize and schedule tests, medications, ancillary appointments, referrals and procedures ordered by Providers.

  • Create and maintain file system to review referrals/pre-certification for approvals and/or denials.

  • Prepare patient charts and pertinent documents for PTs and Providers, prior to appointment.

  • Maintain incoming and outgoing faxes, notes and letters and patient documents for Providers.

  • Send consult and procedure notes to Optum providers through Allscripts.

  • Share in the care of office machines and send faxes, make copies, and route incoming materials.

  • Complete blood pressure checks, pulse checks and vaccines as appropriate with appropriate oversight.

  • Perform additional duties as needed.

Education:

  • Minimum: High School Diploma, GED or equivalent.

  • Certification in Medical Assisting or Healthcare preferred.

Experience:

  • Minimum: At least one year of medical clerk experience and/or training; or equivalent combination of education and experience;

  • Previous experience with referrals and/or pre-certification or clinical back office experience preferred.

Knowledge, Skills, and Abilities:

  • Learn and effectively use company’s Groupcast and Allscripts EHR.

  • Know when to ask or clarify clinical information.

  • Read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.

  • Knowledge of medical terminology required.

  • Communicate messages accurately to patients, teammates, and employees of outside facilities such as medical offices and pharmacies in a positive and professional manner.

  • Adapt to a fast-paced environment and multi-task under pressure.

  • Accurately and appropriately document messages in a medical record.

  • Proficient written and verbal communication skills.

  • Accept responsibility and take initiative to proceed without direct supervision.

  • Must be a problem solver, detail oriented, reliable, and a self-starter.

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Here you’ll find incredible ideas in one incredible company and a singular opportunity to do your life's best work.

Diversity creates a healthier atmosphere: Optum and its affiliated medical practices are Equal Employment Opportunity/Affirmative Action employers 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. Optum and its affiliated medical practices is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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