Medical Record Specialist - San Juan, PR - *Sign-On Bonus $750* Job at UnitedHealth Group
$750 Sign-on Bonus for external candidates
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm)
Are you looking for a chance to get your foot in the door with a great company? You’ve found it here. Already one of the world’s leading health care companies, Optum, part of the UnitedHealth Group family of businesses, is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. Here, you’re not just working. You are making great things happen for the people who rely on us for healthcare across the United States. You’re part of an elite team that is equipped with the best tools and resources, the most thorough training and learning opportunities and a mission that can inspire you every day.
This employee will be part of the Intake Operations team covering areas of concurrent intake, appeals intake, and support services, based on business needs. As a Case Coordinator, this individual will be trained in all three areas, staying current on any changes in process, and assist in each area as directed. This individual will be responsible for gathering data and processing information sent from client hospitals to OPAS as documents, image files, and other channels and will manage their safe keeping and entry into OPAS’s internal database. The individual in this role will also track and verify the quality of this data in a timely manner, taking action when appropriate to ensure that the data is accurate and complete.
Work Schedule: This position is full-time (40 hours/week) as assigned, with every other weekend requirement including Holidays. It may be necessary, given the business need to work overtime. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of Monday to Sunday 6:00am - 12:00am AST. (Several shifts available)
8AM- 5PM
9AM- 6PM
10AM- 7 PM
12 PM- 9PM
3PM- 12 AM
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Enter demographic and clinical data into the clinical database for both concurrent intake and appeals intake, as assigned
Electronically access client clinical systems to obtain data as well as enter case recommendations into the client system, assisting with document retrieval and troubleshooting from client/vendor systems as needed
Responsible for documentation, preparation, data entry, indexing, and quality control of documents related to retrospective appeals intake
Assist in placing telephonic calls to provide case updates and/ or recommendations to clients and payors
Maintain the integrity, accuracy, and organization of retrospective and concurrent related documents
Communicate with the concurrent and retrospective teams, vendors, and the OPAS application support teams as needed
Monitor daily workflow for changing priorities, maintaining flexibility with responsibilities and hours, multi-tasking if needed
Perform other related duties as ssigned
*** ENGLISH PROFICIENT ASSESSMENT WILL BE REQUIRED AFTER APPLICATION ***
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.
Required Qualifications:
High School diploma or higher degree
1+ years of experience with medical record management or medical billing (healthcare information)
Proven knowledge of office procedures and methods including telephone communications, office systems (Outlook, Excel, Word), and record keeping
Bilingual proficiency both Spanish and English
This position is full-time (40 hours/week) as assigned, with every other weekend requirement including Holidays. It may be necessary, given the business need to work overtime. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours Monday to Sunday 6:00am – 12:00am AST (Several shifts available).
Preferred Qualifications:
Understanding of confidentiality and HIPAA compliance
Knowledge of insurance appeal processes
Computer and typing skills as well as prior knowledge and use of portals, websites, and download data files
To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment
Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
**PLEASE NOTE** The Sign On Bonus is only available to external candidates. Candidates who are currently working for a UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time, or per diem basis (“Internal Candidates”) are not eligible to receive a Sign On Bonus.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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