Employer: UnitedHealth Group
Responsible for contacting medical and/or dental healthcare professionals to retrieve missing or incomplete documentation of requested services and ensure customer/contract specifications are being met. Inform and educate office providers on expectations of service delivery and appropriate documentation of medical/dental services. Analyze order requests and determine appropriate course of action based on contract specifications with varied requirements and specific service component expectations.
This position is full – time (40 hours / week) Monday – Friday. Employees are required to have flexibility to work any of our 8 hour shift schedules during our normal business hours of (8:00am – 6:00pm). It may be necessary, given the business need, to work occasional overtime. Training will be conducted virtually from your home.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
- Contact health care providers and customers by telephone using inbound/outbound phone queue to retrieve missing medical and/or dental components on service paperwork. Including discussing medical and / or dental services with providers to ensure services are completed correctly and up to the customer / LHI contract guidelines
- Update internal LHI and external customer database(s) by inputting medical and/or dental service results and initiating appropriate task in event tree; clearly and concisely document updated notes and make changes to service documentation
- Review all medical/dental service orders to ensure strict turnaround times are met; assist various LHI departments to ensure customer designated time frames are met by contacting Customers, and/or internal operational departments of outstanding issues and resolve discrepancies to ensure services requested by customer are completed in expeditious timeframes
- Review hand-written paper documentation from provider and transpose and transcribe medical information onto the fillable electronic form to ensure accurate transfer and final medical review that includes profiling and status changes of customer records
- Utilize external databases to update medical readiness services for employee. This includes multiple component databases. This could include ordering eyewear prescriptions, medical exceptions, and mobilizing / readiness status
- Urgent requests are processed in stricter time frame turnarounds established outside contract requirements
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 (or higher)
- 2+ years of data entry and customer service experience
- Knowledge of healthcare documentation and terminology
- Intermediate computer skills and with Microsoft Excel (general spreadsheet navigation, data entry and data sorting), Microsoft PowerPoint (creating, editing and delivering presentations), Microsoft Outlook (calendar and email), and Microsoft Word (creating and editing documents)
- Electronic file / database management experience
- Must be able to work 8 hour shift between the hours of 8:00am 6:00pm
- Ability to work overtime as the business needs
Telecommuting Requirements:
- Dedicated work area established that is separated from other living areas that provides information privacy
- Ability to keep all company sensitive documents secure (if applicable)
- Residing in a location that can receive a high-speed internet connection (additional information on UnitedHealth Group approved internet providers and restrictions will be provided)
Preferred Qualifications:
- Associate’s Degree (or higher) in Business, Health Information Technology, Medical and or related field
- Medical or dental transcription
Soft Skills:
- Ability to perform detailed work with a high degree of accuracy
- Strong analytical thinking, multi – tasking, organizational and time management skills
- Excellent verbal and written communication skills
- Ability to influence and be assertive through use of verbal, written and interpersonal means with a diverse group of people / disciplines at all levels of an organization
- Ability to work independently as well as with a team and must be able to problem solve and propose solutions in a fast paced environment
- Must demonstrate an appropriate level of assertiveness in performing work responsibilities under time – sensitive deadlines established by contract requirements
- Willingness to work special projects as directed
- Must be able to recognize inconsistencies in data
- Proficient typing ability
- Must be able to recognize inconsistencies in data