1+ months

LHI - Certification Specialist - La Crosse, WI or US Telecommute

La Crosse, WI 54601 Work Remotely
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At Optum, the mission is clear: Help people live healthier lives and help make the health system work better for everyone

LHI is one of 4 businesses under OptumServeOptumServe provides health care services and proven expertise to help federal government agencies modernize the U.S. health system and improve the health and well - being of Americans.
By joining OptumServe you are part of the family of companies that make UnitedHealth Group a leader across most major segments in the U.S. health care system.

LHI was founded in 1999 and acquired by Optum in 2011, LHI specializes in creating and managing health care programs through on - location services, patient - specific in - clinic appointments, telehealth assessments, or any combination based on customer need. LHI's customizable solutions serve the diverse needs of commercial customers, as well as federal and state agencies, including the U.S. Departments of Defense, Veterans Affairs, and Health and Human Services.

There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Ready for a new path? Start doing your life's best work.SM 
The LHI Certification Specialist collaborates with the Certification Specialist, RN to complete medical summaries for specific health conditions.  Reviews medical records and cohesively constructs record reviews with Certification Specialist, RN.  Assures all components pertinent to the member needs are addressed in the documentation.
Primary Responsibilities:
  • Communicate with a variety of internal and external individuals for the purpose of acquiring accurate and up - to - date information concerning WTCHP NPN certifications
  • Compile data from a variety of sources for the purpose of preparing WTC NPN Certifications
  • Receive, review, and evaluate various documents for health - related certifications
  • Review records for qualifying information
  • Contact members to obtain information pertinent to certification
  • Navigate codebook to identify qualifying coverage
  • Understand program coverage guidelines
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.
Posted: 2020-08-21 Expires: 2020-10-09

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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LHI - Certification Specialist - La Crosse, WI or US Telecommute

UnitedHealth Group
La Crosse, WI 54601

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