Business Operations Specialist

UnitedHealth Group•Tampa, FL

14h•$20 - $36•Remote

About The Position

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. For all hires in Minneapolis, Virginia, Maryland, or Washington, D.C. area, you will be required to work in the office for a minimum of four (4) days per week. Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together. The Business Operations Specialist is responsible for collecting medical records from chart review programs. This role is a telecommuting position. You will be a member of the Outreach Operations 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), RADV, HEDIS, 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. This position is full time. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am – 5:00 pm. It may be necessary, given the business need, to work occasional overtime. We offer 6 weeks of on-the-job training, and the hours during training will be 8:00 am - 5:00 pm CST, Monday - Friday.

Requirements

High School Diploma / GED or equivalent experience.
Must be 18 years of age or older
Experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools.
Intermediate experience utilizing Microsoft Office applications, including Microsoft Word and Microsoft Excel.
Ability to work full time. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am – 5:00 pm. It may be necessary, given the business need, to work occasional overtime.
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.
Effective communication skills, an articulate and professional phone presence.
Ability to apply creative thinking skills when needed to resolve questions as it relates to the program.
Ability to thrive on change, to adapt to multiple focuses in short amounts of time.
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

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%25 phone work and 5%25 research and data entry.
Respond to coaching and various forms of feedback and quality analysis to meet or exceed performance metrics.
Adhere to Protected Health Information PHI policies and practices.