Coordinate, supervise and is accountable for the daily/weekly/monthly activities of team members
Sets priorities for the team to ensure task completion and performance goals are met, such as Quality, Adherence, Service Level and AHT
Coordinate work activities with other supervisors, managers, departments, etc.
Identify and resolve operational problems using defined processes, expertise and judgment
Provide coaching and feedback to team members, including formal corrective action
Conduct regular performance reviews for team members
Provide expertise and customer service support to team members, customers, and/or providers
Assists with other ad hoc responsibilities deemed necessary by his/her supervisors.
Job Scope and Guidelines
Require minimal assistance with standard and non-standard requests.
Work with Clinical Review Manager to solve more complex problems.
Abide by and perform to the best of abilities and all function, duties and responsibilities to be assigned by the Company in due course.
Comply with the orders and instructions given from time to time by the Company through its authorized representatives.
Shall not disclose any confidential information in respect of the affairs of the Company to any unauthorized representatives.
Perform any other administrative or non-administrative duties as assigned by any representative of the Company from time to time either through direct written order or by oral assignment.
Participate in coding meetings and education conferences to maintain coding skills and accuracy.
Demonstrate willingness and flexibility in working additional hours or changing hours.
Consistently demonstrate time awareness: strive to meet deadlines; reduce non-essential interruptions to an absolute minimum.
Demonstrate thorough understanding on how position impacts the project and organization.
Exceed customer expectations. Proactively identify and respond to the different needs of team members and different team representatives working within Optum.
Soft Skills
Strong analytical and research skills
Expertise in reading a medical record
Coding proficiency (ICD, CPT, HCPCS)
Computer proficiency in operating Microsoft Office Applications
Ability to learn new and complex computer system applications
Ability to multitask and prioritize
Ability to communicate effectively.
Make a positive first impression and present a professional appearance
Demonstrate a positive attitude and strong work ethic
Offers to help fellow employees whenever possible
Takes ownership of problems; demonstrates pride in one's job and the organization
