Optum is hiring: Healthcare Documentation Coordinator - San Juan, PR in San Juan

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.

Work Schedule

This position is full-time (40 hours/week) as assigned, with a weekend requirement including holidays. Employees may be required to work overtime and shift any of the 8‑hour schedules available from 6:00 a.m. to 12:00 a.m. AST.

Primary Responsibilities

• Enter demographic and clinical data into the clinical database for both concurrent intake and appeals intake, as assigned.
• Electronically access client clinical systems to obtain data and enter case recommendations into the client system, assisting with document retrieval and troubleshooting from client/vendor systems as needed.
• Document, prepare, index, and perform quality control of documents related to retrospective appeals intake.
• Assist in placing telephonic calls to provide case updates and/or recommendations to clients and payors.
• Maintain the integrity, accuracy, and organization of retrospective and concurrent related documents.
• Communicate with the concurrent and retrospective teams, vendors, and the OPAS application support teams as needed.
• Monitor daily workflow for changing priorities, maintaining flexibility with responsibilities and hours, and multitask as needed.
• Perform other related duties as assigned.
• ENGLISH PROFICIENCY ASSESSMENT WILL BE REQUIRED AFTER APPLICATION.

Required Qualifications

• High School diploma or higher degree.
• 1+ years of experience with medical record management or medical billing (healthcare information).
• Proven knowledge of office procedures and methods including telephone communications, office systems (Outlook, Excel, Word), and record keeping.
• Bilingual proficiency both Spanish and English.
• Available to work full-time (40 hours/week) as assigned, with a weekend requirement including holidays; flexibility to work any of the 8-hour shift schedules available from 6:00 a.m. to 12:00 a.m. AST.

Preferred Qualifications

• Demonstrated understanding of confidentiality and HIPAA compliance.
• Proven knowledge of insurance appeal processes.
• Demonstrated computer and typing skills as well as prior knowledge and use of portals, websites, and download data files.

Equal Employment Opportunity

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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug‑free workplace. Candidates are required to pass a drug test before beginning employment.