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About UHG

Careers at UnitedHealth Group

 

We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM

 

Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com

 

Job Category:

Business Operations

Country:

US

Approximate Salary:

Not Specified

Position Type:

Full Time

Data Entry Specialist - Tampa, FL

UHG - Tampa, Florida

Posted: 11/12/2018

This position will work directly with our Quality and Risk Adjustment market based teams and providers with both our employed and contracted providers in the respective market position are assigned. The PSU Logistical Support Admin is responsible for collecting data and capturing the Quality measures. Delivers quality customer service and maintains established quality control standards. This position will be held accountable for the following metrics % of appointments schedule, # of Gaps Closed, Post Audit/Reporting accuracy/audits complete, overall 5 Star rating for HMO products, and to achieve other assigned POD goals/metric objectives as assigned.

 

Primary Responsibilities:

  • Auditing support for PSU and/or data miners (validation of PRP open / closed gaps)

  • Use ePRG to pull various reports including but not limited to PML, Pink Box, Patient Summary detail, etc

  • Calculating and Submitting expenses and mileage for established POD
  • Quality assurance review of submitted forms for PSU
  • Troubleshooting for missing elements (i.e. may include calling radiology providers for copies of mammogram reports)
  • Equipment supply ordering and registration / check out to various employees
  • Assist PSR as necessary with outbound calls
  • Cover for Field PSU Data Mining events when necessary
  • Preparation of visit checklist and packets for MA/NP visits (including preparing packet of SDS, FOC, Attestation, and Patient Summary Detail log)
  • Responsible for keeping the overall calendar of all PSU / QRA activities / interventions including any PSU screening events
  • Ensure weekly reporting of activities of all PSU / Data mining staff is accurate and timely
  • Responsible for ensuring all Resource Requests are sourced and staffed appropriately

  • Coordinate with mobile screening vendor(s) for completion of FOC

  • Create any member mailings or customized calling scripts that are necessary to support QRA PSU efforts
  • Conduct post audits and ensure all gap measure were capture by corporate team (e.g. no longer pink in pink box)
  • Responsible for end to end process flow and accountable for achieving targets established for their PODS

  • Ensure direct manager has accurate knowledge of progress, risks, and barriers proactively

  • Identify training opportunities for staff based on post audits and report findings to direct manager


Required Qualifications:

  • High school graduate or GED

  • 2+ years of healthcare related experience including data entry in a medical office

  • 2+ years or more experience working with Microsoft Office – Excel, word, etc

  • Working knowledge of medical office procedures and medical terminology

  • Ability to accurately sort and file materials by alphabetic or numeric system

  • Ability to work effectively in a fast paced healthcare driven environment

Preferred Qualifications:

  • Associates Degree in healthcare with medical office experience

  • ICD 9/10 and CPT coding experience

  • 1 year of Managed Care Experience

  • Strong desire to work with the elderly
  • Effective communication and customer service skills
  • Ability to effectively de-escalate and resolve issues
  • Strong computer experience (data entry, screen navigation, keyboarding

Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 240,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to 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.

 

 

Job Keywords: Data Entry, Fulfillment Team Admin, Tampa, FL, Florida

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