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Manage notifications and case validation using standard process documents
Utilize the Blended Census Report (BCRT) to identify cases requiring updates and / or correction following designated timeframes and processes
Route Priority Review inpatient cases from Intake to ICM within required timeframe
Focus on data integrity and accuracy for multiple downstream dependencies
Foster collaborative working relationships with facilities, venders, medical groups, internal clinical staff
Orient new and existing facilities to the notification requirements / process
Adhere to a work schedule based on business needs including weekend and holiday rotations
Make timely case corrections based on the Health Care Economics Exception Reports
Meet expected quality and productivity standards
High School Diploma / GED (or higher)
Health care or health plan experience
Previous experience working with Microsoft Office including Microsoft Outlook (ability to create, edit, save, and send correspondence), Microsoft Word (ability to create, edit, save, and send documents), and Microsoft Excel (ability to create, edit, save, and send spreadsheets)
Understanding of basic medical terminology
Ability to work Monday
6pm. Rotating weekends and holidays
Must have a quiet designated work space
Access to install secure high - speed internet (minimum speed 1.5 download mps and 1 upload mps) via cable / DSL in home (NOTE: wireless / cell phone provider, satellite, etc... does NOT meet this requirement)
Live within 50 miles of a UHC office
Ability to perform ICD-10, CPT and HCPC coding
Ability to work independently using process documents
Comfort level to make out bound calls to facilities and provider offices
Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can 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.
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Unitedhealth Group Inc.