Requisition number: 2396567
Job category: Medical & Clinical Operations
This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.
This position is full-time. Employees are required to have flexibility to work a rotating schedule between the hours of 6:00 AM and 8:00 PM EST, including every third weekend (6:00 AM to 2:30 PM EST) and participation in a rotating holiday schedule. It may be necessary, given the business need, to work occasional overtime.
We offer 2 weeks of on-the-job training. The hours of training will be Monday- Friday, 06:00AM - 04:30PM EST.
Primary Responsibilities
Access client clinical systems to gather, enter, and/or update demographic and/or clinical data into the EHR and/or screening tool database to maintain client records, as appropriate, while maintaining accuracy and completeness of the information.
Reconcile nurse worklist with outcomes from EHR's database into screening tool database.
Access client clinical systems to obtain census reports and process census reports per FLR process.
Access client clinical system to obtain pertinent documents to build a FLR template for nurse to complete the First Level review.
Monitors, tracks and retrieves client faxes to assure timely processing by the team.
Assist with identification and correction of inaccurate and incomplete information as communicated by the client and from reports.
Establish and maintain permanent electronic files.
Maintains and generates reports to clients while ensuring compliance with HIPPA/HITECH guidelines.
Maintains continuity of work operations by documenting and communicating needed actions to management.
Monitors the First Level Review email inbox and sorts, distributes and responds to incoming emails.
Payor communication, sending and receiving clinical documentation, responding to additional requests and sending outcomes appropriately.
Answers calls from clients and/or internally regarding their inquiries.
Prepares and modifies various documents using Microsoft Office.
Perform other miscellaneous job-related duties/special projects as assigned.
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 / GED
Must be 18 years of age OR older
1+ years of data entry and/or general office experience (skills include- telephone communications, office systems, and record keeping)
Knowledge of Microsoft Office applications (Outlook, Excel, Word, etc.)
Experience with confidentiality and HIPAA compliance
Ability to work any shift between 8:00 AM and 8:00 PM EST, including every third weekend (6:00 AM to 2:30 PM EST) and participation in a rotating holiday schedule
Preferred Qualifications:
1+ years of experience in a Medical Office/Hospital/Health Insurance Company experience
Knowledge of Electronic Health Record navigation
Telecommuting Requirements:
Ability to keep all company sensitive documents secure (if applicable)
Required to have a dedicated work area established that is separated from other living areas and provides information privacy
Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Soft Skills:
Self-motivated with the ability to work independently with little supervision
Team player attitude
Good organizational skills with strong attention to detail
Excellent computer and typing skills
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16 - $29 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.
UnitedHealth Group and its affiliated brands are an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
