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. Join us to start Caring. Connecting. Growing together.
This position is full time, Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8:00 AM - 5:00 PM PST (Pacific Standard Time only). It may be necessary, given the business need, to work occasional overtime.
We offer 3 - 4 weeks of paid training. The hours during training will be 8:00 AM - 5:00 PM PST from Monday - Friday.
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and / or providers
Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification, and census roles
Handle resolution / inquiries from members and / or providers
Other duties as assigned
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
High School Diploma / GED OR equivalent years of experience
Must be 18 years of age OR older
1+ years of referrals, utilization management experience
1+ years of customer service experience with analyzing and solving customer problems
Knowledge of medical terminology
Experience with computers and Windows based programs including Microsoft Word and Microsoft Excel (ability to create, edit, save, and send documents and spreadsheets)
Ability to work any of our shift schedules during our normal business hours of 8:00 AM - 5:00 PM PST (Pacific Standard Time only) from Monday - Friday. It may be necessary, given the business need, to work occasional overtime.
Preferred Qualifications:
Call center experience
Knowledge of ICD - 10 and CPT codes
Clerical OR administrative support background
Experience with working in a metric - driven work environment
Experience in working with Medicare Commercial and / OR Medicaid Services
Telecommuting Requirements:
Ability to keep all company sensitive documents secure (if applicable)
Required to have a dedicated work area established that is separated from other living areas and provides information privacy
Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
The hourly range for this role is $16.00 to $28.85 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
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