1,615 Healthcare Coding jobs in the United States

Job Description

Job Description

MEDICAL RECORDS

JOB DESCRIPTION

MISSION STATEMENT

In using the ministry of Jesus Christ as our model, we seek to provide quality of life options to assist adults 55+ to remain active by maintaining a healthy lifestyle.

VISION STATEMENT

People Matter. Life is Precious. Make Someone’s Life Better.

RESPONSIBLE TO

Director of Nursing.

EDUCATION, QUALIFICATIONS AND CREDENTIALS

Must possess a basic knowledge of health care terminology, basic knowledge of the legal aspects of health information privacy and confidentiality. Must possess basic knowledge of the ICD-10 statistical classification system. Must possess and display organizational and communication skills and demonstrate the ability to work effectively with all levels of personnel.

JOB ROLE

• Recognize your role as part of the QAPI efforts of your organization.
• Attend trainings to build understanding and capacity to undertake QAPI work.
• Carry out QAPI roles and responsibilities as assigned.
• Follow established policies and procedures in support of QAPI efforts.
• Look for, and share with leadership, ideas for improvement in the organization.
• Communicate to leadership upon witnessing a positive outcome of a QAPI project or detecting barriers preventing project success.
• Support QAPI efforts both verbally and non-verbally (i.e., via actions and attitude), including adjusting performance and practice in accordance with QAPI initiatives and findings.

ESSENTIAL JOB FUNCTIONS

1. Consistently model and demonstrate excellence in customer service, with a constant focus on person-centered care/services delivery.
2. Maintain complete and well organized closed (discharged) medical records ensuring proper chronology. Also maintain active medical records if he/she is uploading information in PCC.
3. Conduct periodic, random audits of active (in-house) medical records for both quantitative and qualitative data.
4. Notify appropriate individual(s) when a medical record is incomplete as needed.
5. Maintain a sign-out log for medical records(s) removed from the department and follow up as necessary.
6. Maintain the legal confidentiality and physical security of medical records as required by HIPAA and/or other regulations.
7. Determine proper release of medical record information in response to proper informational requests in compliance with HIPAA and/or other regulatory guidelines.
8. Code diagnoses and services provided with ICD-10 statistical classification as deemed necessary.
9. File medical record information in a timely manner and thin/purge medical records in accordance with facility policy.
10. Report any allegation of abuse, neglect, exploitation or misappropriation of resident property per facility policy.
11. Participate in the Quality Assurance Program as requested or directed.
12. Maintain stock of forms and record supplies.

KNOWLEDGE, ABILITIES AND SKILLS

Knowledge of current federal and state laws and regulations that apply to the practice of nursing in a long-term care setting. Has strong organizational and time management skills and the ability to prioritize responsibilities. Ability to define problems, collect date, establish facts and draw valid conclusions.

**Description**
**Introduction**
**Schedule:** Monday - Friday; 8am to 4:30pm. Rotating weekends.
Do you want to join an organization that invests in you as a Medical Records Specialist? At Fairview Park Hospital, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.
**Benefits**
Fairview Park Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
+ Free counseling services and resources for emotional, physical and financial wellbeing
+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock
+ Family support through fertility and family building benefits with Progyny and adoption assistance.
+ Referral services for child, elder and pet care, home and auto repair, event planning and more
+ Consumer discounts through Abenity and Consumer Discounts
+ Retirement readiness, rollover assistance services and preferred banking partnerships
+ Education assistance (tuition, student loan, certification support, dependent scholarships)
+ Colleague recognition program
+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits ( Eligibility for benefits may vary by location._**
You contribute to our success. Every role has an impact on our patients' lives and you have the opportunity to make a difference. We are looking for a dedicated Medical Records Specialist like you to be a part of our team.
**Job Summary and Qualifications**
As a Medical Records Specialist, you would be responsible for assisting the HIM Director by routinely performing duties in support of the management of the Horizon Patient Folder (HPF)/McKesson Patient Folder (MPF) workflow queues, working applicable worklists within 3M 360 Encompass, the resolution of unbilled accounts, and the processing of physician suspensions. In addition, you will serve as the primary point of contact when the HIM Director and/or HIM Coordinator is unavailable.
**In this role you will:**
+ Retrieves discharged medical records from various departments in the hospital and reconciles them to ensure that all records are accounted for.
+ Facilitates the retrieval and printing of medical records from storage, as well as the storage, archival and record retention of documents and/or other Alternate Media that cannot be scanned into HPF/MPF (e.g., fetal monitor strips).
+ May assist with the physician suspension process by evaluating if a physician should be put on suspension, creating the list of recommended suspensions for approval, sending out notice letters, making reminder calls, etc.
+ Prepares medical records and loose documents for scanning.
+ Scans and indexes medical record documents.
+ Interacts with the parents to collect and document the birth information, delivering the appropriate forms to them and providing guidance in the completion of the forms.
**What qualifications you will need:**
+ High school diploma or GED preferred
+ Hospital or medical office experience preferred, but not required. Previous experience in the handling of patient health information, medical records document imaging and/or medical records is strongly preferred.
+ Completing a certification program from the state(s) may be required for birth certificate processing, training and course fees will be provided.
**Parallon** provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Medical Records Specialist opening. Qualified candidates will be contacted for interviews. **Submit your resume today to join our community of caring!**
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

**$14.98 / hour**
At **CoreCivic** , we do more than manage inmates, we care for people. CoreCivic is currently seeking **Medical Records Clerks** who have a passion for providing the highest quality care in an institutional setting.
The successful applicant should be able to perform ALL of the following functions at a pace and level of performance consistent with the actual job performance requirements.
1. Create and maintain medical records, general files, logs and other related records and documents in an organized manner, to include sorting, labeling, filing and retrieving, in accordance with corporate and facility file retention and storage procedures; and maintains confidentiality and security of records.
2. Maintain a current inventory of clinic supplies; monitor compliance with sign in/out logs; prepare inventory reports as required.
3. Monitor outside referrals and coordinates transfer of medical records.
4. Assist in the preparation of routine medical and dental reports.
5. Read and comprehend medical instructions and procedures, correspondence, policies, regulations, reports, directions for forms completion and other simple or moderately complex documents.
**Qualifications:**
+ High school diploma, GED certification or equivalent.
+ Two years experience in a similar position required.
+ Additional education or specialized training may be substituted for the required experience.
+ A valid driver's license is preferred, unless required by contract or applicable statute.
+ Proficiency in Microsoft Word for Windows, Lotus 1-2-3 or Excel and other personal computer applications preferred.
+ Minimum age requirement: Must be at least 18 years of age.
_CoreCivic is a Drug-Free Workplace & EOE including Disability/Veteran._

**Description**
Hourly Wage Estimate: $18.29 - $4.30 / hour
Learn more about the benefits offered ( ) for this job.
The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.
**Introduction**
Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Medical Records Specialist today with HCA HealthONE Sky Ridge.
**Benefits**
HCA HealthONE Sky Ridge offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
+ Free counseling services and resources for emotional, physical and financial wellbeing
+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock
+ Family support through fertility and family building benefits with Progyny and adoption assistance.
+ Referral services for child, elder and pet care, home and auto repair, event planning and more
+ Consumer discounts through Abenity and Consumer Discounts
+ Retirement readiness, rollover assistance services and preferred banking partnerships
+ Education assistance (tuition, student loan, certification support, dependent scholarships)
+ Colleague recognition program
+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits ( Eligibility for benefits may vary by location._**
Come join our team as a Medical Records Specialist. We care for our community! Just last year, HCA Healthcare and our colleagues donated 13.8 million dollars to charitable organizations. Apply Today!
**Job Summary and Qualifications**
As a Medical Records Specialist, you would be responsible for assisting the HIM Director by routinely performing duties in support of the management of the Horizon Patient Folder (HPF)/McKesson Patient Folder (MPF) workflow queues, working applicable worklists within 3M 360 Encompass, the resolution of unbilled accounts, and the processing of physician suspensions. In addition, you will serve as the primary point of contact when the HIM Director and/or HIM Coordinator is unavailable.
In this role you will:
+ Retrieves discharged medical records from various departments in the hospital and reconciles them to ensure that all records are accounted for.
+ Facilitates the retrieval and printing of medical records from storage, as well as the storage, archival and record retention of documents and/or other Alternate Media that cannot be scanned into HPF/MPF (e.g., fetal monitor strips).
+ May assist with the physician suspension process by evaluating if a physician should be put on suspension, creating the list of recommended suspensions for approval, sending out notice letters, making reminder calls, etc.
+ Prepares medical records and loose documents for scanning.
+ Scans medical record documents.
+ Indexes medical record documentation.
+ Performs a paper document to PC screen quality control validation to ensure that all documents associated with each record have been scanned.
+ Completes any certification program and continuing education that may be required by state law to accurately perform the duties of the birth certificate clerk completion and works under the guidelines and process as defined by the state.
+ Interacts with the parents to collect and document the birth information, delivering the appropriate forms to them and providing guidance in the completion of the forms.
+ Works with the parents to complete the Acknowledgment of Paternity form, which can require patience, diplomacy, and sensitivity if there is conflict regarding parental responsibility.
+ Reviews patient medical records and other resources, as needed, to obtain required birth information.
What qualifications you will need:
+ High school diploma or GED preferred
+ Hospital or medical office experience preferred, but not required. Previous experience in the handling of patient health information, medical records document imaging and/or medical records is strongly preferred.
+ Completing a certification program from the state(s) may be required for birth certificate processing, training and course fees will be provided.
**Parallon** provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $ .7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"
"The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Medical Records Specialist opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. **Unlock the possibilities and apply today!**
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

_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 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
Positions in this function are responsible for investigating, recovering and resolving all types of claims as well as recovery and resolution for health plans, commercial customers and government entities. May include initiating telephone calls to members, providers and other insurance companies to gather coordination of benefits data. Investigate and pursue recoveries and payables on subrogation claims and file management. Process recovery on claims. Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance. May conduct contestable investigations to review medical history. May monitor large claims including transplant cases.
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 8am - 8pm EST. It may be necessary, given the business need, to work occasional overtime.
We offer 4 weeks of on-the-job training. The hours of training will be aligned with your schedule.
**Primary Responsibilities:**
+ Respond timely to all questions from assigned team members and management about internal process and procedures
+ Provide continuous availability for questions and assistance
+ Provide ongoing coaching and development to ensure peak performance
+ Handle escalated calls; anticipate customer needs and proactively develop solutions to meet them
+ Mentor team members by completing side - by - side training
+ Research and provide guidance regarding applicability of laws, regulations and other requirements to cases, contracts, or decisions
+ Prepare and facilitate ongoing training opportunities for assigned team members
+ Provide or seek settlement authority in accordance with internal policy / guidelines and client expectations
+ Perform oversight on work completed by assigned team members monthly to ensure understanding of department policies and procedures
+ Deliver oversight results to assigned team members
+ Identify trends and impacts to our business and resolve where appropriate or bring those concerns forward to management
+ Partner with management in the creation and development of team job aids to ensure the information is consistent and up to date
+ Collaborate with business partners to resolve issues impacting the business
+ Attend and participate in Team Lead team meetings by raising team concerns or questions to ensure the teams are consistent across all internal policies and procedures
+ Create and deliver client reporting as needed
+ Prioritize and organize own work to meet deadlines and established objectives
+ Assist management on special projects and any other assigned tasks
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 experience within an operations support role (i.e., administrative background involved with performing administrative duties on a day-to-day basis)
+ Proficiency with using Microsoft Word (documentation purposes) and Microsoft Excel (data entry for reporting purposes)
+ Ability to work 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 8am - 8pm EST. It may be necessary, given the business need, to work occasional overtime
**Preferred Qualifications:**
+ Experience with medical records
+ 1+ years of healthcare customer service
**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:**
+ Excellent organizational 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 - $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._

_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 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
Positions in this function are responsible for investigating, recovering and resolving all types of claims as well as recovery and resolution for health plans, commercial customers and government entities. May include initiating telephone calls to members, providers and other insurance companies to gather coordination of benefits data. Investigate and pursue recoveries and payables on subrogation claims and file management. Process recovery on claims. Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance. May conduct contestable investigations to review medical history. May monitor large claims including transplant cases.
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 8am - 8pm EST. It may be necessary, given the business need, to work occasional overtime.
We offer 4 weeks of on-the-job training. The hours of training will be aligned with your schedule.
**Primary Responsibilities:**
+ Respond timely to all questions from assigned team members and management about internal process and procedures
+ Provide continuous availability for questions and assistance
+ Provide ongoing coaching and development to ensure peak performance
+ Handle escalated calls; anticipate customer needs and proactively develop solutions to meet them
+ Mentor team members by completing side - by - side training
+ Research and provide guidance regarding applicability of laws, regulations and other requirements to cases, contracts, or decisions
+ Prepare and facilitate ongoing training opportunities for assigned team members
+ Provide or seek settlement authority in accordance with internal policy / guidelines and client expectations
+ Perform oversight on work completed by assigned team members monthly to ensure understanding of department policies and procedures
+ Deliver oversight results to assigned team members
+ Identify trends and impacts to our business and resolve where appropriate or bring those concerns forward to management
+ Partner with management in the creation and development of team job aids to ensure the information is consistent and up to date
+ Collaborate with business partners to resolve issues impacting the business
+ Attend and participate in Team Lead team meetings by raising team concerns or questions to ensure the teams are consistent across all internal policies and procedures
+ Create and deliver client reporting as needed
+ Prioritize and organize own work to meet deadlines and established objectives
+ Assist management on special projects and any other assigned tasks
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 experience within an operations support role (i.e., administrative background involved with performing administrative duties on a day-to-day basis)
+ Proficiency with using Microsoft Word (documentation purposes) and Microsoft Excel (data entry for reporting purposes)
+ Ability to work 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 8am - 8pm EST. It may be necessary, given the business need, to work occasional overtime
**Preferred Qualifications:**
+ Experience with medical records
+ 1+ years of healthcare customer service
**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:**
+ Excellent organizational 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 - $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._

_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 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
Positions in this function are responsible for investigating, recovering and resolving all types of claims as well as recovery and resolution for health plans, commercial customers and government entities. May include initiating telephone calls to members, providers and other insurance companies to gather coordination of benefits data. Investigate and pursue recoveries and payables on subrogation claims and file management. Process recovery on claims. Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance. May conduct contestable investigations to review medical history. May monitor large claims including transplant cases.
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 8am - 8pm EST. It may be necessary, given the business need, to work occasional overtime.
We offer 4 weeks of on-the-job training. The hours of training will be aligned with your schedule.
**Primary Responsibilities:**
+ Respond timely to all questions from assigned team members and management about internal process and procedures
+ Provide continuous availability for questions and assistance
+ Provide ongoing coaching and development to ensure peak performance
+ Handle escalated calls; anticipate customer needs and proactively develop solutions to meet them
+ Mentor team members by completing side - by - side training
+ Research and provide guidance regarding applicability of laws, regulations and other requirements to cases, contracts, or decisions
+ Prepare and facilitate ongoing training opportunities for assigned team members
+ Provide or seek settlement authority in accordance with internal policy / guidelines and client expectations
+ Perform oversight on work completed by assigned team members monthly to ensure understanding of department policies and procedures
+ Deliver oversight results to assigned team members
+ Identify trends and impacts to our business and resolve where appropriate or bring those concerns forward to management
+ Partner with management in the creation and development of team job aids to ensure the information is consistent and up to date
+ Collaborate with business partners to resolve issues impacting the business
+ Attend and participate in Team Lead team meetings by raising team concerns or questions to ensure the teams are consistent across all internal policies and procedures
+ Create and deliver client reporting as needed
+ Prioritize and organize own work to meet deadlines and established objectives
+ Assist management on special projects and any other assigned tasks
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 experience within an operations support role (i.e., administrative background involved with performing administrative duties on a day-to-day basis)
+ Proficiency with using Microsoft Word (documentation purposes) and Microsoft Excel (data entry for reporting purposes)
+ Ability to work 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 8am - 8pm EST. It may be necessary, given the business need, to work occasional overtime
**Preferred Qualifications:**
+ Experience with medical records
+ 1+ years of healthcare customer service
**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:**
+ Excellent organizational 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 - $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._