Role Description

This position is National Remote. You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.

The Medical Health Questionnaire (MHQ) Specialist is responsible for conducting comprehensive telephone interviews with program members to complete detailed Medical Health Questionnaires, exposure assessments, and other required worksheets. This role ensures accurate documentation of member health histories and exposure information within internal systems to support the generation of monitoring exam summaries. The specialist also performs medical record review tasks in accordance with established program guidelines and work instructions. A strong commitment to confidentiality, adherence to HIPAA regulations, and reliable completion of daily departmental responsibilities are essential to success in this position.

This position is full time (40 hours / week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am to 5:00 pm CST. It may be necessary, given the business need, to work occasional overtime.

This will be on-the-job training. Training is not a set timeline and will be during normal work hours.

Primary Responsibilities:

• Conduct thorough telephone interviews to complete Medical Health Questionnaires (MHQs), exposure forms, and other program-specific worksheets
• Accurately enter and submit interview data through internal database systems to support member monitoring exam summaries
• Perform Medical Record Reviews following program requirements and documented work instructions
• Always maintain strict confidentiality, uphold member rights, and ensure compliance with HIPAA guidelines and organizational standards
• Complete daily operational tasks and assignments to support department workflow
• Perform other duties as assigned

Qualifications

• High School Diploma / GED
• Must be 18 years of age OR older
• 2+ years of experience in a customer service environment
• 2+ years of experience with medical terminology or completion of medical terminology course
• 1+ years of basic level experience in Microsoft Excel (opening a workbook, inserting a row, selecting font style and size)
• 1+ years of intermediate computer experience in Microsoft Outlook (creating and replying to emails)
• Ability to work any of our 8-hour shift between 8:00 am - 5:00 pm CST

Requirements

• Knowledge and understanding of CPT and ICD coding
• Vocational or Technical Training/Education (Medical Assistant, Nursing Assistant, etc.) or Clinical Upskilling course
• National Career Readiness Certificate

Benefits

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life & AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

More information can be downloaded at: http://uhg.hr/uhgbenefits

Company Description

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.