Business Operations Specialist

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.

 

The Business Operations Coordinator is responsible for collecting medical records from chart review programs.  This role is a telecommuting position.  You will be a member of the Provider Outreach team working under the direction of a team lead, SME and/or manager, responsible for provider outreach and quality assurance (QA) functions in support of the Provider Claim Review (PCR) and/or Provider Not Participating (PNP) team. This team interfaces with provider offices to deliver results based off a chart review that was conducted which includes outbound calling, educating providers on the reason for the project and can build relationships and listen to provider relate issues and work to resolve those in a timely manner.  You may also flex between Outreach Operations programs based on business need.

 

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

 

Primary Responsibilities:

• Contact providers, hospitals and/or clinical staff via phone and email to explain program and request, set commitments for information return, and explain options for completing and transmitting information
• Develop and manage on-going relationships with providers to reduce provider abrasion and drive program participation
• You will be responsible for making approx. 40 – 60 outbound calls daily and meeting program specific metrics outlined by leadership
• In addition to initial outreach, you will perform research to locate providers, prepare data for release, and conduct follow-up
• Your day will consist of 95% phone work and 5% research and data entry
• Respond to coaching and various forms of feedback and quality analysis to meet or exceed performance metric
• Adhere to Protected Health Information PHI policies and practices

 

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 or equivalent experience
• Experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools
• Experience utilizing MS Office applications (Intermediate level of use) including Word and Excel
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Ability to keep all company sensitive documents secure

 

Preferred Qualifications:

• Demonstrated effective communication skills, an articulate and professional phone presence
• Demonstrated ability to apply creative thinking skills when needed to resolve questions as it relates to the program
• Proven ability to thrive on change, to adapt to multiple focuses in short amounts of time
• Proven ability to work independently, apply critical thinking skills when needed, multi-task and demonstrate professionalism in all interactions

 

*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 $20.00 to $35.72 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.

 

 

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.

#RPO