Enfermero De Oficina - 2030155

Enfermero De Oficina - 2030155

19 nov
|
Avella
|
Bogotá

19 nov

Avella

Bogotá

Job Details2021-10-18T13:58:48+00:00 2030155 Requisition Number: 2030155Job Category: Nursing Primary Location: Bogotá, Distrito Capital de Bogotá



Careers at UnitedHealth Group



We’re creating opportunities in every corner of the health care marketplace to improve lives while we’re building careers. At UnitedHealth Group, we support you with the latest tools, advanced training and the combined strength of high caliber co-workers who share your passion, your energy and your commitment to quality. Join us and start doing your life’s best work.SM



Clinical



Compassion.





It’s the starting point for health care providers like you and it’s what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you’re also providing leadership and contributing in ways that can affect millions for years to come. Ready for a new path? Learn more, and start doing your life’s best work.SM



Our teams are helping people from around the world. We can bring out your best as you put your listening, analytical and problem solving skills to work in a setting that is geared to helping improve lives and enhance health care for millions. Here, you’ll discover a wealth of pathways for professional growth within Customer Service, Billing, Claims, Enrollment & Eligibility and across our global economy. Join us and find out why this is the place to do your life’s best work.SM

1. Expedir autorizaciones médicas de acuerdo con los niveles de complejidad, analizando las condiciones según el producto y tipo de servicio, garantizando el acceso oportuno del usuario al servicio médico que solicita.

2. Dar solución oportuna a los usuarios de las inquietudes o quejas que presenten, sobre las negaciones o aplazamientos de los servicios médicos requeridos, siguiendo el procedimiento establecido y reportando los casos de difícil manejo a su jefe inmediato.

3. Responder por la recepción y direccionamiento oportuno y adecuado, de casos especiales como tutelas, derechos de petición según las normas establecidas, con el fin enviar a las áreas respectivas.

4. Hacer seguimiento a las solicitudes que haya radicado o casos asignados, con el fin de cumplir con los tiempos de respuesta y garantizando la solución integral del requerimiento.

5. Realizar el recaudo y control del dinero según los valores liquidados por sistemas, así como las demás transacciones del proceso de caja según las normas y procedimientos definidos.

6. Realizar las transacciones de servicio al cliente tales como: emisión de incapacidades, generación de certificaciones, radicación de reclamos, impresión de carnés, actualización de datos del usuario, según los procesos definidos.

7. Asistir a quien lo requiera respecto a las inquietudes médicas, utilizaciones, solicitudes de cambio, congelamiento y reactivaciones que se presenten en el manejo de los diferentes procesos.

8. Mantener organizado el archivo de transacciones realizadas, bajo los parámetros y tiempos de archivo definidos.

9. Realizar todas las demás funciones inherentes a su cargo y/o asignadas por su jefe inmediato.

”Estudios Requeridos : Profesional titulado en enfermería

Estudios de Especialización, capacitación, cursos, idiomas, otros : Curso en normatividad vigente del sector salud

Años experiencia Laboral: 2 años

Habilidades/Destrezas requeridas: Experiencia en procesos de emisión de autorizaciones médicas y áreas administrativas de servicio al cliente

Carreras en Colmédica Medicina Prepagada, parte de la familia de negocios de UnitedHealth Group. Colmédica lleva más de 30 años brindando soluciones innovadoras de salud en Colombia como una de las compañías médicas prepagas más grandes del sector privado. Formar parte de nuestro equipo significa conectar a más de 262.000 miembros con los servicios de salud que necesitan y hacer que la atención médica sea más humana, accesible y eficaz. Únete a una de las empresas de salud más confiables de Colombia. Siempre estamos buscando a más personas que puedan ayudarnos a encontrar nuevas formas de dar mejores servicios. Haz una diferencia en la vida de los demás mientras haces el mejor trabajo de tu vida.SM



Additional Job Detail Information



Requisition Number 2030155



Business Segment UHC Global Banmedica



Country: CO



Telecommuter Position No

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