Job description

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

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 .

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 of 6:00am – 12:00am AST (Several shifts available).

• Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster

doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to
employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation.

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 6:00am – 12:00am AST.

Job Type: Full-time

Salary: $12.50 per hour

Benefits:

• Health insurance
• Paid time off

Schedule:

• 8 hour shift
• Monday to Friday
• Weekend availability

Ability to commute/relocate:

• San Juan, PR 00926: Reliably commute or planning to relocate before starting work (Required)

Language:

• English and Spanish (Required)

Work Location: One location

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