subject matter expert - Quezon City, ncrUnitedHealth Group

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)
Jobs in this function provide coding and coding auditing services directly to providers. This includes the analysis and translation of medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical codes. Some work is completed without established procedures. Basic tasks are completed without review by others. Supervision/guidance is required for higher level tasks. *Employees in jobs labeled with 'SCA' must support a government Service Contract Act (SCA) agreement.
Primary Responsibilities:
Coordinate, supervise and is accountable for the daily / weekly / monthly activities of a team members
Set priorities for the team to ensure task completion and performance goals are met, such as Quality, Adherence, Service Level and AHT
Coordinate work activities with other supervisors, managers, departments, etc.
Identify and resolve operational problems using defined processes, expertise and judgment
Provide coaching and feedback to team members, including formal corrective action
Conduct regular performance reviews for team members
Provide expertise and customer service support to members, customers, and/or providers
Direct phone-based customer interaction to answer and resolve a wide variety of inquiries
Assist with other ad hoc responsibilities deemed necessary by his/her supervisors
Require minimal assistance with standard and non-standard requests
Work with supervisor to solve more complex problems
Abide by and perform to the best of abilities and all function, duties and responsibilities to be assigned by the Company in due course
Comply with the orders and instructions given from time to time by the Company through its authorized representatives
Shall not disclose any confidential information in respect of the affairs of the Company to any unauthorized representatives
Perform any other administrative or non-administrative duties as assigned by any representative of the Company from time to time either through direct written order or by oral assignment
Participate in coding meetings and education conferences to maintain coding skills and accuracy
Demonstrate willingness and flexibility in working additional hours or changing hours
Consistently demonstrate time awareness: strive to meet deadlines; reduce non-essential interruptions to an absolute minimum
Demonstrate thorough understanding on how position impacts the project / hospital and organization
Exceed customer expectations. Proactively identify and respond to the different needs of customers
Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
Required Qualifications:
Graduate and Board-passer of any Allied Medical Profession (Nurse, Physical / Occupational / Speech Therapist, Medical Technologist, etc.) with minimum of 1 year of clinical / hospital experience
AAPC or AHIMA Certified or any equivalent coding certification
Minimum of 1 year of experience as a supervisor
Moderate work experience within own function
Preferred Qualifications:
Minimum of 1 year of Medical Coding experience
Claims Processing experience in a BPO / HMO setting
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)
Diversity creates a healthier atmosphere: Optum 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.
Optum is a drug-free workplace. © 2021 Optum Global Solutions (Philippines) Inc. All rights reserved.
Job Keywords: Subject Matter Expert, SME, Allied Medical Profession, Clinical, Hospital, AAPC, AHIMA, Coding Certification, Coding Certificate, Coding, Supervisor, Lead, Team Lead, Quezon City, NCR, National Capital Region
UnitedHealth Group

Quezon City, Metro Manila
Permanent
Full-time