Provider Representative - San Juan, PR

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. 

The Clinical Admin Coordinator is responsible in obtaining newborn baby information for maternity cases which in turn is used to update the pregnancy outcome assessment report. 80% Non-voice & 20% Voice

Primary Responsibilities:

• Manage daily census, close normal delivery cases per Federal Mandate, gather newborn data, and report required data elements
• Calling providers to verify delivery information and discharge dates, and responding back to providers on a daily basis with authorization numbers
• Input data (newborn and KICK data elements) and research to gather additional information when necessary
• Ensure accuracy of FLASH bi monthly. With some Health Plans, this function includes assistance with enrollment of newborns as required

*** ENGLISH PROFICIENT 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 experience in healthcare environment
  
• Experience working with Microsoft Word (creating, editing, saving documents) and Microsoft Excel (creating, editing, saving spreadsheets)
• Experience working with a PC and windows applications
• Professional English proficiency
• Willing or ability to work 40 hours / week during standard business operating hours Monday - Sunday from 8am - 7pm Central (It may be necessary, given the business need, to work occasional overtime on weekends and holidays)
• Ability to undergo cross-training in accordance with business needs

Preferred Qualifications:

• 1+ years of experience in a call center setting environment
• Professional experience in a clinical, clerical, or administrative support related role
• Any experience working within the healthcare industry
• Working knowledge of medical terminology

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.

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.