What are the responsibilities and job description for the Data Entry Representative - San Juan, PR position at UnitedHealth Group?
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.
The Data Entry Clerk will be supporting our Revenue Cycle Management Quest Diagnostics operations through Billing Data Entry, Billing Data Acquisition, and/or Third-Party Denials processes.
Primary Responsibilities:
Transfer data from imaged accessions into mainframe applications
Data entry of billing mnemonics and all required billing information that appears on imaged requisitions (such as US postal address, medical codes, insurance carrier details etc.)
Ensure that all needed "edits" are met and missing information is updated for billing
Research and resolve billing errors with additional information received from client or patient
Review bills denied by payer/insurance due to eligibility criteria. This can include patients not being covered on the date of service, errors with the patient's information or with the insurance information provided in the claim/bill
Research and update bills to resolve denials for re-billing
Navigate multiple computer applications (MS word, MS Excel, Online applications, Mainframe applications, etc.)
May be required to conduct basic research in computer applications to perform data entry (address, billing codes, reject codes etc.)
Follow any additional procedural guidelines to enter information into the systems
***ENGLISH PROFICIENCY ASSESSMENT WILL BE REQUIRED AFTER APPLICATION***
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:
1 years of data entry experience
Customer service experience
Professional proficiency in both English and Spanish
Proficiency with computer, Windows PC and web applications including ability to navigate and learn new and complex computer system application
Willing or ability to work 40 hours/week during standard business operating hours Monday - Friday from 7:00am - 4:30pm (It may be necessary, given the business need, to work occasional overtime on weekends and holidays
Preferred Qualifications:
Medical billing experience
Proven knowledge of medical or health insurance terminology
Proven solid Microsoft Excel skills
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.