Business Operations Coordinator

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. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

 

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.

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 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 or GED
• 1+ years of experience in HIPPA and/or maintenance of privacy/confidentiality
• Knowledge of general office procedures and methods including telephone communications, office systems (Outlook, Excel, Word), and record keeping

• Able to work 10 AM – 7 PM EST, including every other weekend (40 hours per week with potential for overtime)

 

Preferred Qualifications:

• Knowledge of insurance appeal processes
• Excellent computer and typing skills as well as prior knowledge and use of portals, websites, and download data files
• Excellent organization, written and verbal communication skills, with proven solid attention to detail
• Self-motivated, Team player, with demonstrated ability to work independently with little supervision
• Demonstrated ability to work under pressure with tight deadlines, utilizing solid  problem-solving 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 $16.00 to $27.69 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 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.

 

 

UnitedHealth Group is 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 is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO