United Health Group Work Values

Daily Duties at United Health Group:

Administer the accumulation of member admission and discharge information post-notification through collaboration with Hospital and Clinical teams. Ensure strict compliance with legal and regulatory requirements, including Health Insurance Portability and Accountability Act (HIPAA), healthcare reform, National Committee for Quality Assurance (NCQA), and Employee Retirement Income Security Act (ERISA). Provide keen oversight to productive processes for all utilization review governance, as well as boosting incoming and outgoing referrals and prior authorizations. Prepares reports/data collection, as assigned, within the established time frame Provides statistical and financial data as requested Effectively function as member of self-directed team to attain individual and team performance metrics. Exemplify expertise in conveying all types of benefit determinations and decisions including coverage guidelines, contractual limitations, and reimbursement determinations. Work in partnership with health care providers and members through phone discussion regarding benefit coverage and medical determinations for the acquisition of clinical information. Participates in the development and ensures completion with IT Participates in advising the operations committee in reviewing, revising and developing policies and procedures for the clerical department

What they like about United Health Group:

You highly value a work environment built on a formal structure, rules, and regulations. You do not enjoy the unpredictability of shifting priorities and deadlines that upset your routine. You require and enjoy direction, input and accountability as part of your work environment. You have a strong need to participate in making key decisions and feel left out if your superiors or co-workers do not seek your input when making decisions. You thrive on providing good customer service to both internal or external customers, and doing so makes you feel good.

Tags

patient financial services, critical thinking , revenue cycle , private insurances, team building , training , reporting , Quality, Insurance, Policies and Procedures, Audit, Compliance, ERISA, Health Insurance, Health Insurance Portability And Accountability Act, contracts, customer service, reimbursement, informations systems, Epic, EMR, EHR, CMS, NCQA, HIPAA, utilization review

Skills

Customer Service Healthcare HIPAA Leadership Microsoft Excel Hospitals Team Building Management EMR Strategic Planning Medical Education Emergency Medicine Public Health Data Analysis Healthcare Information Revenue Cycle Management Medical Compliance Staf, Customer Service Healthcare HIPAA Leadership Microsoft Excel Hospitals Team Building Management EMR Strategic Planning Medical Education Emergency Medicine Public Health Data Analysis Healthcare Information Revenue Cycle Management Medical Compliance Staf, Customer Service Healthcare HIPAA Leadership Microsoft Excel Hospitals Team Building Management EMR Strategic Planning Medical Education Emergency Medicine Public Health Data Analysis Healthcare Information Revenue Cycle Management Medical Compliance Staf, Patient care, Case Management, Treatment planning, Clinical experience, Scheduling, Home Health, Acute Care, Discharge planning, Operations Management, Medical Coding, Process Improvement, Business Administrator, Mentoring, Accounting, Staff Development,

These are some of the questions we asked our climbers about their experiences with United Health Group: