Employer: UnitedHealth Group
$1,000 Sign On Bonus For External Candidates
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Energize your career with one of Healthcare’s fastest growing companies.
There may be easier administrative jobs out there, but few offer the satisfaction of truly helping people manage their personal health and well-being. UnitedHealthcare, part of the UnitedHealth Group family of businesses, is serving employers and individuals, states and communities, military families and veterans wherever 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. Our customer service teams have a serious responsibility to make every contact informative, productive, positive and memorable. If you’re the kind of person who wants to bring your contribution to a new level every day, find out more.
The Census Data Unit (CDU) is responsible for the management of the census data for accurate bed day reporting. Inpatient, skilled nursing and acute rehab cases are created in the appropriate UM applications and routed to the Census Data Unit for coverage determination, eligibility verification, and routing to the assigned facility nurse as per the Priority Review (PR) and Secondary Level of Care (SLOC) criteria. Census Data Unit is responsible for capturing the most accurate census data as possible, timely discharge date entry, managing future scheduled admissions, and referrals to the applicable case management and disease management programs, while meeting the turnaround time goals to support timely clinical review.
This position is full-time, Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules between the hours of 8:00am – 6:00pm including rotating weekends (every couple of weeks). It may be necessary, given the business need, to work occasional overtime and weekends.
We offer 1-2 weeks of training. Training will be conducted virtually from your home.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
- Manage notifications and case validation using standard process documents
- Route Priority Review inpatient cases from Intake to ICM and Generic work queue within required timeframe
- Focus on data integrity and accuracy for multiple downstream dependencies
- Foster collaborative working relationships with facilities, vendors, medical groups, internal clinical and non-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
- Meets expected quality and productivity standards
- Be able to review benefit documents and quote INN and OON benefits
- Knowledge to create referrals in HSR
Required Qualifications:
- 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 documents), Microsoft Word (ability to create, edit, save, and send documents), and Microsoft Excel (ability to create, edit, save, and send documents)
- Ability to perform ICD-10, CPT and HCPC coding
- Understanding of basic medical terminology
- Ability to work an 8-hour shift Monday through Friday between the hours of 8:00am – 6:00pm and ability to work on rotating weekends (every couple of weeks) and holidays
Preferred Qualifications:
- Associate’s Degree (or higher)
- Previous CDU experience
- Previous experience working with HSR (IQUE)
Telecommuting Requirements:
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy
- Ability to keep all company sensitive documents secure (if applicable)
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service (minimum speed 1.5 download mps and 1 upload mps) via cable / DSL in home (NOTE: wireless/cell phone provider, satellite, microwave, etc… does NOT meet this requirement)
Soft Skills:
- Ability to work independently or with teams using process documents
- Comfort level to make out bound calls to facilities and provider offices
Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $16.00 – $26.88. The salary range for Connecticut / Nevada residents is $16.83 – $29.66. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
**PLEASE NOTE** The sign on bonus is only available to external candidates. Candidates who are currently working for a UnitedHealth Group, UnitedHealthcare or related entity in a full time, part time, or per diem basis (“Internal Candidates”) are not eligible to receive a sign on bonus.