Healthcare Services Coordinator Resume Samples

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JD
J Dooley
Jalen
Dooley
11601 Parker Key
San Francisco
CA
+1 (555) 745 0769
11601 Parker Key
San Francisco
CA
Phone
p +1 (555) 745 0769
Experience Experience
Chicago, IL
Healthcare Services Coordinator
Chicago, IL
Sporer, Dach and Dibbert
Chicago, IL
Healthcare Services Coordinator
  • Assists consumers in finding network healthcare providers and will work with them in appointment scheduling
  • Complete tasks that support the strategy designed by the provider and the Practice Performance Manager to improve quality scores
  • Work on location in provider offices and / or work remotely from home office
  • Working with physicians and practice performance managers
  • Provide clinical and medical management services, including case management, health assessments, interventions, and discharge planning
  • Provide ongoing support and education to team members and assist in removing barriers in care
  • Identify and seek out opportunities within one’s own work flow to improve call efficiency
New York, NY
Telecommute Healthcare Services Coordinator
New York, NY
Bayer-Schaden
New York, NY
Telecommute Healthcare Services Coordinator
  • Some work is completed without established procedures
  • Utilize interviewing techniques and active listening to collect and retain member information and incorporating responses as they are presented to complete assessment
  • Work with members to develop healthcare goals and identify potential barriers to achieving healthcare goals
  • Provide informal counseling and social support resources
  • Collaborate with member to create solutions to overcome barriers to achieving healthcare goals
  • Role assists in coordinating health services and does not write care plans
  • Work collaboratively with the interdisciplinary care team to ensure an integrated team approach
present
San Francisco, CA
Field Based Healthcare Services Coordinator
San Francisco, CA
Reynolds and Sons
present
San Francisco, CA
Field Based Healthcare Services Coordinator
present
  • Review all member charts prior to a physician appointment and create alerts / triggers to highlight Star opportunities for the Provider
  • Review all member charts prior to a physician appointment and create alerts/triggers to highlight Star opportunities for the Provider
  • Provide ongoing support and education to team members
  • Interact with patients and providers via telephone; scheduling appointments
  • Assist with Program Eligibility verifications
  • Other duties, as assigned
  • Coordination of care between practice and other Optum programs
Education Education
Bachelor’s Degree
Bachelor’s Degree
Ball State University
Bachelor’s Degree
Skills Skills
  • Health care knowledge surrounding disease management, community resources, durable medical/consumable products
  • Ability to communicate technical information to non-technical personnel
  • Ability to work independently as well as within a team environment
  • Excellent communication skills, both written and verbal, in English and Spanish
  • Strong typing, writing and grammar skills
  • Able to use multiple computer systems and programs at once
  • Providing exceptional customer service
  • Critical thinking skills
  • Provide benefit explanation
  • Completing assessments and documentation within a CER system
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6 Healthcare Services Coordinator resume templates

1

Healthcare Services Coordinator Resume Examples & Samples

  • Assist with Program Eligibility Verification
  • Appropriate Referrals to Case Management staff
  • Interact with patients via telephone; Scheduling appointments
  • Provide ongoing support and education to team members
  • Will not conduct any evaluation or interpretation of Clinical data and will be supervised by Licensed and/or Certified staff
  • 1+ years of working experience with Microsoft Word and Excel
  • 1+ years of knowledge of HIPAA Compliance Requirements
  • Available to work from 9:00 am to 5:30 pm Monday through Friday
  • Experience working in a Physician's, Provider's, and/or Medical Office
2

Healthcare Services Coordinator Resume Examples & Samples

  • Ability to travel approximately 25-75% of the time, depending on business needs, within approximately 1-hour radius of the job site to Provider offices, Member homes, or other locations within the service delivery area
  • Data Entry skills, with a Typing speed of at least 45-50 WPM
  • 1+ year of a Healthcare background with Medical Terminology and a familiarity of Clinical issues
  • 1+ year of working experience with Microsoft Word and Excel
  • 1+ year of knowledge of HIPAA Compliance requirements
  • Experience working in a Physician, Provider, and/or Medical Office
3

Healthcare Services Coordinator Resume Examples & Samples

  • 1+ year experience working in a Medical or Healthcare Environment
  • Comfortable with local travel 100% of the time
  • Must have access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area
  • Knowledge of Medical Terminology/Coding (ICD-9 and CPT)
  • Managed Care experience with knowledge of Community-based programs
  • Social Work or Case Management experience
4

Healthcare Services Coordinator Resume Examples & Samples

  • Assisting in the review of medical records to highlight Star / HEDIS opportunities for the medical staff
  • Review medical records for data collection, data entry, quality monitoring including health plan / WellMed form submission and chart collection activities that close gaps in care
  • Partner with the leadership team, the practice administrative or clinical staff to determine best strategies to support the practice
  • Assist patients in navigating their network of providers by assisting with follow-up and specialist appointments as needed
  • Assist with program eligibility and appropriate referrals to remove barriers in care. This may include referrals to case management and / or social worker services
  • Interaction with WellMed patients and providers via telephone including inbound / outbound calls regarding appointments/scheduling to close gaps in care
  • Track and trend barriers / challenges that exist at their assigned groups so that better outcomes can be achieved including access to appointments, lack of follow up on referrals, or inconsistent billing practices
  • Activities may include data collection, data entry, quality monitoring, health plan / WellMed form submission and chart collection activities
  • Provide ongoing support and education to team members and assist in removing barriers in care
  • Assist licensed staff in obtaining medical screening results / documentation for review
  • Certified Medical Assistant, Patient Care Technician or Certified Nursing Assistant or other equivalent certification
  • 4+ years of customer service experience or equivalent
  • Working knowledge of Microsoft tools: Word, Outlook and Excel
  • 2+ years of healthcare background or equivalentStrong data entry skills
  • ICD 9/10 and CPT coding experience
  • Experience working in a physician, provider, and / or medical office
5

Healthcare Services Coordinator Resume Examples & Samples

  • 2+ years experience working in a telephonic healthcare environment is required
  • High School Diploma or GED is required
  • Proficient in MS/Office (Word, Excel & Outlook) is required
  • Experience in a role requiring strong typing, writing and grammar skills
  • Experience with medical terminology, benefits management, claim and/or healthcare insurance is required
  • Associate Degree (Preferably healthcare or business)
6

Healthcare Services Coordinator Resume Examples & Samples

  • Handles inbound and outbound calls from consumers in a call center environment
  • Effectively engages consumers over the phone, that either qualify for our programs, or are interested in learning more about the offerings
  • Engagement Specialists must exhibit proficiency in all Optum products (e.g. CIDM, TDS/NL, Wellness, MSP, CSP etc.), in order to identify, qualify, engage and compel consumers to enroll into the most appropriate health and wellness programs to meet each consumer’s needs
  • Must exhibit strong proficiency in medical terminology
  • Assists consumers in finding network healthcare providers and will work with them in appointment scheduling
  • Must consistently meet established productivity, schedule adherence, and quality standards while maintaining good attendance
  • Provides quality, consumer focused customer services
  • Accurately documents consumer interaction and appropriately follow all processes and procedures
  • Must stay abreast of all customer specific details, to ensure high quality customer service
  • Other duties and responsibilities, not specifically described, may be defined or assigned from time to time, consistent with knowledge, skills and abilities of the incumbent by management
  • 1+ years of Customer Service experience in a Call Center environment
  • 1+ years of experience using the telephone as the primary instrument to perform job duties
  • 6+ months of experience working in the Healthcare field or with Health Insurance
  • 6+ months of experience working with Medical Terminology
  • Comfortable working Monday - Friday 12:30-9:00pm and then 8:00am-4:30pm every 6th Saturday
  • Sales or Telesales experience
  • Must be able to use multiple computer systems and programs at once
7

Healthcare Services Coordinator Resume Examples & Samples

  • Moderate work experience within own function
  • 1+ years experience working in a Medical or Healthcare Environment
  • 1+ year experience working with the Medicaid or Medicare population
8

Telecommute Healthcare Services Coordinator Resume Examples & Samples

  • Engage members either face to face or over the phone to educate about their health
  • Review available member service records and relevant documentation (e.g., utilization history, functional level, stratification information, current plan of care)
  • Conduct comprehensive member assessment that includes bio-psychosocial, functional, and behavioral health needs
  • Identify member service needs related to health concerns
  • Identify member support systems available and incorporate into plan of care
  • Integrate health care and service needs into a plan or recommendation for member care and service
  • Collaborate with member to create solutions to overcome barriers to achieving healthcare goals
  • Refer members to appropriate programs and services
  • Facilitate member choice of preferred provider
9

Healthcare Services Coordinator Resume Examples & Samples

  • Telephonic call center operations
  • Knowledge of call center operations/measurements preferred
  • Solves routine problems on own
  • Prioritizes and organizes own work to meet agreed upon deadlines
  • Works with others as part of a team- Moderate work experience within own function
  • Rotational Saturdays are required for this position
  • 1+ years of high volume Call Center experience
  • 1+ years of Customer Service experience
  • Ability to navigate a PC to open applications, send emails and conduct data entry
  • Ability to work an 8 hour shift between 11:30 am and 8:00 pm Monday through Friday with rotational Saturdays (2 Saturdays a month required)
  • Healthcare Industry experience
  • Experience utilizing Microsoft Excel, Word, and Outlook
10

Healthcare Services Coordinator Resume Examples & Samples

  • 1+ years of experience working in a customer service type environment
  • Proficient in the use of a PC in a Windows environment, including the ability to
  • 1+ years of experience working in a Medical or Healthcare Environment
  • 1+ years of experience working with the Medicaid or Medicare population
11

Healthcare Services Coordinator Resume Examples & Samples

  • Must exhibit proficiency in medical terminology
  • Initiating and engaging into clinical and wellness programs
  • Comfortable working 12:30pm-9pm Monday-Thursday and Friday 11:30am-8pm with rotating Saturdays from 8am-4:30pm (every 5-6 weeks or so)
  • 1+ year of Customer Service experience in a Call Center environment
  • 6+ months of experience working in the Healthcare Field or with Health Insurance
  • Able to use multiple computer systems and programs at once
12

Healthcare Services Coordinator Resume Examples & Samples

  • Handle outbound calls in a call center environment
  • Comfortable working Monday - Friday from 11:30 am - 8:00 pm with rotating Saturdays (about once per month, 4 hour shift from 9:00 am - 1:00 pm)
  • 6+ months of professional experience in an office setting using the telephone and computer as the primary instruments to perform ones job duties
  • 1+ year of Microsoft Office experience, including the ability to sort, filter, and plug in data using Word, Excel, and Outlook
  • Sales/Cold Calling experience
  • Call Center experience
  • Knowledge of Healthcare or Insurance Benefits
  • Experience working with a Dialer system
  • Knowledge of Medicare and/or Medicaid
13

Healthcare Services Coordinator Resume Examples & Samples

  • Assisting in the review of medical records to highlight Star opportunities for the medical staff
  • Partner with your leadership team, the practice administrative or clinical staff to determine best strategies to support the practice and our members
  • Assist with program eligibility and appropriate referrals to remove barriers in care. This may include referrals to case management and/or social worker services
  • Interaction with UHC members via telephone to assist and support an appropriate level of care. This may include making outbound calls to members and/or providers to assist in scheduling appointments, closing gaps in care or chart collection activities
  • Activities may include data collection, data entry, quality monitoring, HQPAF submission and chart collection activities
  • Track appointments and document information completely and accurately in all currently supported systems in a timely manner
  • Optimize customer satisfaction, positively impact the closing of gaps in care and productivity
  • Locate medical screening results/documentation to ensure quality measures are followed in the closure of gaps. Will not conduct any evaluation or interpretation of Clinical data and will be supervised by licensed and/or certified staff
  • Manage time effectively to ensure productivity goals are met
  • Ability to work independently in virtual setting. Ability to problem solve, use best professional judgment and apply critical thinking techniques to resolve issues as they arise
  • 1+ year of experience in a Healthcare background with Medical Terminology and familiarity of Clinical issues
  • 1+ year of knowledge of HIPAA Compliance Requirements
14

Healthcare Services Coordinator Resume Examples & Samples

  • 2+ years of Customer Service experience
  • Must be able to navigate a PC environment and utilize Microsoft Office in a Professional setting
  • Must be able to work Monday-Friday 11:30am-8:00pm EST with a possibility of Saturdays
  • 1+ year of Telephonic experience
15

Healthcare Services Coordinator Resume Examples & Samples

  • Demonstrated ability to identify with a consumer in order to understand and align with their needs and realities
  • Good Attendance Record
  • 1+ years of a Healthcare background with Medical Terminology familiarity of Clinical Issues
  • 1+ year of working experience with ICD- 9/10 and CPT Codes
  • 1+ year of working experience with Microsoft Tools: Word and Outlook
  • Experience with navigating, filtering and analyzing reports in Microsoft Excel
  • 1+ year of working experience with and knowledge of HIPAA Compliance Requirements
  • Must be able to type 45-50 WPM
  • Up to 100% of traveling within the local area
  • Experience working in a Physician, Provider, and/or Medical Office is preferred
16

Healthcare Services Coordinator Resume Examples & Samples

  • Telephonic outreach to qualified members for participation in health plan programs
  • Engage member to participate
  • Documentation of member interactions
  • Best in class customer service delivery
  • Influence others through clear and effective communication including active listening
  • Comfortable working Monday-Friday 11am-7:30pm, potential OT and weekends as needed
  • Experience working in an office setting using the telephone and computer
17

Healthcare Services Coordinator Resume Examples & Samples

  • Must be able to navigate Microsoft Office, Word, Excel and Outlook in a professional setting
  • Ability to work Monday through Friday from 11:30 am to 8:00 pm EST with the possibility of Saturdays
  • 1+ years of Telephonic experience
18

Healthcare Services Coordinator Resume Examples & Samples

  • This may include referrals to case management and/or social worker services
  • Interaction with UHC members via telephone to assist and support an appropriate level of care
  • This may include making outbound calls to members and/or providers to assist in scheduling appointments, closing gaps in care or chart collection activities
  • Locate medical screening results/documentation to ensure quality measures are followed in the closure of gaps
  • Will not conduct any evaluation or interpretation of Clinical data and will be supervised by licensed and/or certified staff
  • 2+ years of telephonic customer service experience
  • 1+ years of experience in a healthcare background with medical terminology familiarity of clinical issues
  • 1+ years of working experience with ICD- 9/10 and CPT Codes
  • 1+ years of working experience with Microsoft Word and Outlook
  • 1+ years of working experience with and knowledge of HIPAA compliance requirements
  • Strong data entry skills, with a typing speed of at least 45-50 WPM
  • Access to reliable transportation, valid and current driver's license, and current auto insurance
  • Must reside within a 60 mile radius from Raleigh, NC
19

Healthcare Services Coordinator Resume Examples & Samples

  • 2+ years of experience in a Customer Service environment
  • Ability to navigate a PC to open applications, send emails, and conduct data entry
  • Available to work Monday through Friday from 10:30 am - 7:00 pm and overtime as needed
  • Bachelor of Arts or Sciences (or higher)
  • Call Center or Retail Customer Service experience
20

Healthcare Services Coordinator Resume Examples & Samples

  • Identify urgent member situations and escalate to next level when necessary
  • Engage member to participate in the assessment process and collaboratively develop plan of care based on their individual needs, preferences, and objectives with nursing oversight
  • Work with members to develop healthcare goals and identify potential barriers to achieving healthcare goals
  • Review plan benefits and identify appropriate programs and services based on heath needs and benefits
  • Work collaboratively with the interdisciplinary care team to ensure an integrated team approach
  • Identify relevant community resources available based on member needs
  • Provide informal counseling and social support resources
  • Advocate for individuals and communities within the health and social service systems
21

Healthcare Services Coordinator Resume Examples & Samples

  • Making manual outbound calls
  • Utilizing dialer system for outbound calls
  • Speaking to members and engaging them regarding different programs
  • Comfortable working Monday-Friday 11:30am-8pm with 1-2 Saturdays per month
  • Previous experience working with Microsoft Office (Word, Excel, and Outlook) and be able to utilize its applications in a professional setting
22

Healthcare Services Coordinator Resume Examples & Samples

  • Able to adjust to role changes, must be adaptable and flexible
  • Comfortable working Monday - Friday from 12:30 pm - 9:00 pm with rotating Saturdays from 8:00 am - 12:00 pm (about once per quarter)
  • Experience working in the Healthcare field or with Health Insurance
23

Healthcare Services Coordinator Resume Examples & Samples

  • Keep member actively engaged with their primary physician
  • Support the member to ensure pick-up of their Rx
  • Provide member education
  • May conduct HRA assessments if needed
  • Must have a current LPN (Licensed Practical Nurse) licensure,
  • Must have resided within the local community for at least 2 years
  • Must have access to reliable transportation, valid and current driver's license, and current auto insurance
  • Community Health Worker (CHW) Accreditation
  • Experience working in Managed Care
  • Knowledge of MS Medicaid and/or Medicare population
  • Field Based experience
  • 3+ years of experience working within the community health setting in a Healthcare role
24

Healthcare Services Coordinator Resume Examples & Samples

  • 1+ year of a healthcare background with medical terminology familiarity of clinical issues
  • 1+ year of working experience with and knowledge of HIPAA compliance requirements
  • Data entry skills, with a typing speed of at least 45-50 WPM
25

Healthcare Services Coordinator Resume Examples & Samples

  • Working with physicians and practice performance managers
  • Increase number of preventative screenings
  • Engage with Practice Performance Team with regard to screenings for Medicare and Retirement members
  • Maintaining HEDIS measures through STARS
  • Communicate effectively across all levels of the organization pertaining to the measures being taken to maintain compliance and evaluate efforts
  • Ability to travel 75% of the time locally
  • 3+ years of experience working closely with physicians in a medical office or clinic environment
  • Experience with MS PowerPoint and the ability to create/edit presentations as well as give presentations
  • Experience with MS Excel and the ability to create, edit, save/send documents, use sort/filter functions and import/export tables
  • Access to reliable transportation and the ability to travel up to 75 mile radius
  • Experience with medical terminology and the ability to communicate with members as well as providers
  • Experience with ICD-10, CPT or HCPCS codes preferred
  • HEDIS knowledge preferred
26

Healthcare Services Coordinator Resume Examples & Samples

  • Coordination of care between practice and other Optum programs
  • Proficient with Microsoft Word and Excel
  • Available to travel up to 80% of the time around Staten Island, NY and work from home 20% of the time
27

Telephonic Healthcare Services Coordinator Resume Examples & Samples

  • Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services
  • Manage a care plan throughout the continuum of care as a single point of contact
  • Participate in Interdisciplinary team meetings and Utilization Management rounds and provide information to assist with safe transitions of care
  • Bachelor’s Degree (or higher) in Social Work
  • 1+ year of clinical or case management experience
  • Available to work a shift between the hours of 8:00 am - 8:00 pm
28

Field Based Healthcare Services Coordinator Resume Examples & Samples

  • Review all member charts prior to a physician appointment and create alerts/triggers to highlight Star opportunities for the Provider
  • Partner with the Practice's Administrative and Clinical staff while managing patient appointments and data between visits
  • Assist members in navigating their network of Providers by assisting with follow-up and Specialist appointments as needed
  • Interact with patients and providers via telephone; scheduling appointments
  • Perform Data collection, Data Entry and Quality monitoring activities, as applicable
  • Demonstrate sensitivity to issues and show proactive behavior in addressing customer needs
  • Optimize customer satisfaction, and positively impact productivity
  • Adhere to corporate requirements related to industry regulations/responsibilities
  • 2+ years of Telephonic Customer Service experience
  • 1+ years of experience in a Healthcare background with Medical Terminology and familiarity of Clinical issues
  • 1+ years of knowledge of HIPAA Compliance requirements
  • Data Entry skills, with a typing speed of at least 45-50 WPM
  • EMR (Electronic Medical Records) knowledge and experience
  • Available to travel up to 80% of the time around Manhattan or Queens, NY and work from home 20% of the time with the ability to travel to all boroughs except for Staten Island
29

Healthcare Services Coordinator Resume Examples & Samples

  • Multitasking, inbound/outbound phone calls to members and/or physicians
  • Completing assessments and documentation within a CER system
  • Provide benefit explanation
  • Health care knowledge surrounding disease management, community resources, durable medical/consumable products
  • Associate Degree or higher (Preferably healthcare or business)
30

Healthcare Services Coordinator Resume Examples & Samples

  • Up to 75% travel required within the local area
  • 2+ years of telephonic Customer Service experience
  • 1+ year of experience in healthcare with a knowledge of medical terms and familiarity with clinical issues
  • 1+ year of experience with ICD- 9/10 and CPT Codes
  • 1+ year of experience with and knowledge of HIPAA Compliance Requirements
  • Bilingual and fluent in English and Spanish
31

Healthcare Services Coordinator Resume Examples & Samples

  • Up to 50% travel required - candidates need to be able to travel to the office during the week
  • Available to work Monday - Friday, 8 AM - 4:30 PM
  • Candidates must know how to create, edit, copy, send and save documents, correspondence and spreadsheets in MS Word and Excel
  • HEDIS or STARs experience highly preferred
  • RN, LVN or Medical Assistant Certification
32

Healthcare Services Coordinator Resume Examples & Samples

  • Experience with Microsoft PowerPoint and the ability to create/edit presentations as well as give presentations
  • Experience with Microsoft Excel and the ability to create, edit, save/send documents, use sort/filter functions and import/export tables
  • Ability to travel 75% of the time locally (up to a 100 mile radius within Alachua and surrounding counties)
  • Experience with ICD-10, CPT or HCPCS codes
  • HEDIS knowledge
33

Healthcare Services Coordinator Resume Examples & Samples

  • Up to 75% travel required - candidates need to be able to travel between their home office, provider offices and the UHG office in Birmingham
  • Available to work Monday - Friday, 8 AM - 5 PM
  • Knowledge of how to create, edit, copy, send and save documents, correspondence and spreadsheets in Microsoft Word and Excel
  • 1+ year of working knowledge of HIPAA Compliance requirements
  • HEDIS or STARs experience
  • Data Entry experience, with a typing speed of at least 45 - 50 WPM
34

Healthcare Services Coordinator Resume Examples & Samples

  • Make outbound calls to members
  • Take inbound calls from members
  • Address issues and benefit questions during member calls
  • Educate members on the benefits of specific programs
  • Prompt members to come in and take advantage of services that they need
  • Help members get the correct form of care
  • Support multiple provider offices
  • Experience working in a physician office, provider office or medical office
  • EMR knowledge and experience
  • HEDIS knowledge and experience
35

Healthcare Services Coordinator Resume Examples & Samples

  • Must have resided within the community for 2+ years
  • Familiarity with the resources available in the community
  • Schedule is Mon- Fri 8am to 5pm with flexibility to adjust schedule based on member's needs
  • Must live in the state of Kansas
  • Ability to travel up to 40% of the time for field based work (radius includes 30 miles from the staff members home zip code)
  • Bachelor’s Degree (or higher) in social work and / or health care administration
  • Licensed practical nurse (LPN), Certified Nursing Assistant/Home Health Aide, Medical Assistant
  • Bilingual fluency in Spanish and English
  • CHW accreditation
  • Experience working in managed care
36

Healthcare Services Coordinator Resume Examples & Samples

  • Effectively engages over the phone via both inbound and outbound, members that either qualify for our programs, or are interested in learning more about the offering
  • Engagement Specialist supporting enrollments into clinical programs
  • Provide clinical and medical management services, including case management, health assessments, interventions, and discharge planning. May identify, coordinate or provide appropriate levels of care under the direct supervision of an RN or MD. This function does not include Health Coach, Health Educator and Health Advocate roles that do not require an RN. Those roles are found in the Wellness Coach Management function
  • Supervision / guidance is required for higher level tasks
37

Healthcare Services Coordinator Resume Examples & Samples

  • Bachelor’s degree (or higher) in social work and/or health care administration
  • Ability to create, edit, copy, send and save documents, correspondence and spreadsheets in MS Excel, MS PowerPoint, MS Word, MS Outlook
  • Bilingual in Spanish and English highly preferred
38

Healthcare Services Coordinator Resume Examples & Samples

  • Multitasking, inbound / outbound phone calls to members and / or physicians
  • Health care knowledge surrounding disease management, community resources, durable medical / consumable products
  • You will be providing care coordination telephonically; completing assessments and documentation within a clinical system while multitasking other applications gathering information to support member's needs
  • Must have excellent typing, writing and grammar skills
  • Primary responsibilities are telephonic case management and some administrative responsibilities for the clinical department related to member care
  • Very fast paced environment. 10+ people, team player, goal focused, must be a self-motivated, take initiative and willing to learn in a fast environment
  • 2+ years of experience working in a case management or a telephonic healthcare environment
  • Experience with Microsoft Outlook (send emails and set folders) and Microsoft Excel (update spreadsheets)
  • Experience with medical terminology, benefits management, claim, and / or healthcare insurance
39

Healthcare Services Coordinator Resume Examples & Samples

  • Interaction with WellMed patients and providers via telephone including inbound / outbound calls regarding appointments / scheduling to close gaps in care
  • 2+ years of healthcare background or equivalent
  • Strong data entry skills
40

Healthcare Services Coordinator Resume Examples & Samples

  • Up to 25% travel required - candidates need to be able to travel to the office a couple times a month
  • Available to work Monday - Friday, 8:00 AM – 5:00 PM
  • 1+ years of Telephonic Customer Service experience
  • Candidates must know how to create, edit, copy, send and save documents, correspondence and spreadsheets in MS Word, Excel and Outlook
41

Healthcare Services Coordinator Resume Examples & Samples

  • Work on location in provider offices and / or work remotely from home office
  • Complete tasks that support the strategy designed by the provider and the Practice Performance Manager to improve quality scores
  • Make outbound calls to healthplan members to coordinate services, make appointments, etc
  • Collect medical records and submit documents through our portal system
  • Help assigned provider office achieve goals and incentive dollars while striving for better health outcomes for our members
  • 2+ years of experience working in a physician's office, medical clinic, or hospital environment
  • 2+ years of experience working in healthcare industry
  • Ability to use a Windows PC and learn new applications easily
  • Basic knowledge of Microsoft Excel with the ability to conduct data entry
  • Intermediate knowledge of Microsoft Word with the ability to create and send documents
  • College experience
  • LPN or other nursing experience
42

Healthcare Services Coordinator Resume Examples & Samples

  • 1+ years of working experience with ICD- 9 / 10 and CPT Codes
  • 1+ years of working experience with Microsoft Word (edit, save) and Microsoft Outlook (create emails and folders, meetings)
  • Ability to travel up to 15% of the time (member events, provider offices) as needed
43

Healthcare Services Coordinator Resume Examples & Samples

  • Must live in Johnson County, KS or Wyandotte County, KS or Leavenworth County, KS
  • Schedule is Mon - Fri 8:00am to 5:00pm with flexibility to adjust schedule based on member's needs
  • Licensed practical nurse (LPN), Certified Nursing Assistant / Home Health Aide, Medical Assistant
44

Healthcare Services Coordinator Resume Examples & Samples

  • Provide clinical and medical management services, including case management, health assessments, interventions, and discharge planning
  • May identify, coordinate or provide appropriate levels of care under the direct supervision of an RN or MD
  • This function does not include Health Coach, Health Educator and Health Advocate roles that do not require an RN
  • Those roles are found in the Wellness Coach Management function
  • 1+ years of professional experience in Microsoft Word and Microsoft Excel
  • 1+ years of healthcare background with medical terminology and a familiarity with clinical issues
  • Ability to type 45 - 50 WPM
  • Ability to work 10:00 am - 7:00 pm Monday through Friday and 9:00 am - 5:00 pm training for 2 weeks
45

Field Based Healthcare Services Coordinator Resume Examples & Samples

  • Review all member charts prior to a physician appointment and create alerts / triggers to highlight Star opportunities for the Provider
  • Perform data collection, data entry and quality monitoring activities, as applicable
  • Will not conduct any evaluation or interpretation of clinical data and will be supervised by Licensed and / or Certified staff
  • Adhere to corporate requirements related to industry regulations / responsibilities
  • Proficient with Microsoft Word and Microsoft Excel
  • Experience working in a Physician's, Provider's, and / or Medical Office
46

Field Based Healthcare Services Coordinator Resume Examples & Samples

  • Assist members in navigating their network of Providers by assisting with follow - up and Specialist appointments as needed
  • Customer service experience, telephonic and / or in person
  • Experience in data entry
  • Proficiency with a Windows PC and ability to learn new applications easily
  • Access to reliable transportation with the ability to travel to client sites within the designated territory
  • HEDIS knowledge and / or experience
  • STARS knowledge and / or experience
  • EMR (Electronic Medical Records) knowledge and / or experience
  • Ability to type 50+ WPM
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Healthcare Services Coordinator Resume Examples & Samples

  • 2+ years of Customer Service or Call Center experience
  • 2+ years of experience with Microsoft Outlook (send emails and set folders) and Microsoft Excel (update spreadsheets)
  • 1+ years of Healthcare Industry experience
48

Healthcare Services Coordinator Resume Examples & Samples

  • Interaction with UHC members via telephone to assist and support an appropriate level of care. This may include making outbound calls to members and / or providers to assist in scheduling appointments, closing gaps in care or chart collection activities
  • Answer inbound calls from patients and / or providers regarding appointments
  • Locate medical screening results / documentation to ensure quality measures are followed in the closure of gaps
  • Will not conduct any evaluation or interpretation of clinical data and will be supervised by licensed and / or certified staff
  • 1+ years of working experience with ICD-10 and CPT Codes
  • 1+ years of working experience with Microsoft Word (edit, and save) and Microsoft Outlook (create emails, folders, and meetings)
  • Ability to travel up to 15% of the time (member events, and provider offices) as needed
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Healthcare Services Coordinator Resume Examples & Samples

  • Make outbound calls from an automated dialing system to members who have been diagnosed with diabetes
  • Perform assessments via phone
  • Determine the level of care that the members need moving forward
  • Document all of your work in the system
  • You will make 50 outbound calls a day on average
  • Experience with MS Word and the ability to create, edit, save and send documents
  • Experience with MS Excel and the ability to perform data entry, create and edit spreadsheets
  • Must be available to work Monday through Friday, 9 am to 5:30 pm
  • Experience working in a metric driven environment where you have quotas/goals to achieve
  • Ability to work independently as well as within a team environment
  • Excellent communication skills, both written and verbal, in English and Spanish
  • Track record of achieving and maintaining goals / metrics