Health Information Management Operations Specialist

Join our team at Optum in a strategic partnership with ProHealth Care, a leader in health care services for over a century. Located at N17W24100 Riverwood Dr, Waukesha, WI 53188, we invite you to explore opportunities where you can make a meaningful impact on the well-being of our community through your skills and compassion. Be part of a collaborative environment dedicated to excellence, respect, and high-quality patient care. Together, we uphold the values of Caring. Connecting. Growing together.

This full-time position requires an 8-hour commitment, Monday to Friday, with regular business hours from 8:00 am to 4:30 pm. Flexibility in scheduling is essential, with 4 weeks of comprehensive on-the-job training provided to align with your availability.

Primary Responsibilities:

• Conduct detailed medical record documentation quality reviews to ensure completeness.
• Understand reimbursement issues affecting timely chart completion and ensure adherence to standards from governing agencies such as the Joint Commission and Medicare.
• Consistently meet role-specific accuracy and quality standards.
• Accurately log and update deficiencies in our system with a minimum 95% accuracy rate.
• Manage health information to guarantee the accuracy, completeness, and security of patient data.
• Facilitate process improvements and pursue innovative suggestions.
• Ensure all job responsibilities align with required turnaround times for workflow processes.
• Promptly notify supervisors of any tasks that cannot be completed before the end of your shift.
• Make informed decisions using factual and objective data or seek expertise from coordinators as necessary.
• Independently exercise judgment when coordinators are not available and take responsibility for those decisions.
• Organize and maintain health information records effectively.
• Review both electronic and pre-electronic medical records, verifying accuracy and uniqueness.
• Handle requests for documentation and information proficiently.
• Locate, log, retrieve, file, and deliver medical records across various mediums and systems.
• Distribute necessary reports and results.
• Perform other relevant duties as assigned.

In this dynamic position, you will be rewarded for your performance and have clear direction on how to advance in your career while being challenged and nurtured.

Required Qualifications:

• High School Diploma or GED.
• Must be at least 18 years old.
• At least 1 year of experience in Health Information Management, clinical, or revenue cycle roles within healthcare.
• Proficiency with computers and Windows PC applications; capable of learning complex software systems quickly.
• Experience with Microsoft Word, Excel, and Outlook for document creation and email management.
• Ability to work full time onsite at N17W24100 Riverwood Dr, Waukesha, WI 53188.
• Availability for scheduled work hours from 8:00 am to 4:30 pm, Monday through Friday.

Preferred Qualifications:

• Experience with medical terminology.
• 1+ years of experience specifically in Health Information Management.

Soft Skills:

• Strong critical thinking abilities.
• Aptitude for analyzing detailed information.
• Capability to use various communication tools, including computers, telephones, and fax machines.
• Effective verbal and written communication skills for interaction with colleagues and guests.
• Ability to manage physical tasks, such as moving stacks of charts and reports as necessary.
• Willingness to assist in different departments as needed.
• Flexible to cross-train in related tasks.

Compensation for this role ranges from $16.00 to $27.69 per hour, depending on various factors such as local labor markets and individual qualifications. In addition, we offer a comprehensive benefits package, incentive and recognition programs, and opportunities for equity stock purchase and 401k contributions. All benefits are subject to eligibility requirements.

At UnitedHealth Group, our mission is to help individuals lead healthier lives. We value diversity and provide equitable care for all, especially for those facing barriers to good health. Join us as we work towards creating a healthier community for everyone.

UnitedHealth Group is an Equal Employment Opportunity employer, providing consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or veteran status. We are committed to maintaining a drug-free workplace; candidates must pass a drug test before commencing employment.