If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm) The Recovery/Resolution Representative supports the Prospective Investigations process by identifying and keying specific detail from the medical records and claims platforms. Individuals are responsible for dealing professionally and ethically safeguarding confidential information while adhering to UHGs Principles of Integrity and Compliance. This position is critical to the success of the Investigative teams and their ability to meet required internal and mandated turn-around times and requires both speed and accuracy in completing their tasks. Primary Responsibilities: Data enter key detail from the medical records and claim platform, into an online communication Meet required metrics for quality and quantity of work Adherence to state and federal compliance policies and contract compliance Assist the prospective team with special projects and reporting ENGLISH PROFICIENT ASSESSMENT WILL BE REQUIRED AFTER APPLICATION Required Qualifications: High School Diploma or GED required 1 year experience within an office environment 1 year experience with MS Office: Word and Excel Be a fast learner and ability to keep up within a Fast paced environment Strong typing & keying skills Strong analytical and problem solving skills that enable quick identification and efficient resolution of issues English Proficiency Preferred Qualifications: Health Insurance knowledge, managed care experience Claims processing experience Medical record familiarity Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm) 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. Job Keywords: Claims, Medical Records, Data Entry, San Juan, PR, Puerto Rico 747188f7-c1c3-43a6-8d3e-4b132e837ec1 Recovery Resolutions Representative Associate - San Juan, Puerto Rico Puerto Rico-San Juan 765533
Ciudad: san juan
