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Job Details
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. 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 diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity 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 8-hour shift schedules during our normal business hours of 8am - 5pm local time zone. It may be necessary, given the business need, to work occasional overtime. We offer weeks of on-the-job training. The hours of the training will be aligned with your schedule. *All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy. Primary Responsibilities:
- Act as a Subject Matter Expert for other team members
- Manage the intake of members or the admission/discharge information post notification
- Work with hospitals, clinics, facilities and the clinical team to manage requests for services
- Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles
- Resolve inquiries from members and/or providers
- High School Diploma / GED or equivalent work experience
- Must be 18 years of age or older
- 2+ years of experience analyzing and solving customer problems
- 1+ years of experience working in the health care industry
- 1+ years of experience working with medical terminology
- Ability to work Monday-Friday from 8:00am to 5:00pm local time
- Experience working with health care insurance
- Experience in a hospital, physician's office or medical clinic setting
- Clerical or administrative support background or experience working in a call center environment
- Experience working with Medicare and/or Medicaid Services
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy
- Ability to keep all company sensitive documents secure (if applicable)
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
About the Company
UnitedHealth Group
Minnetonka, MN, United States
UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions worldwide. We are... Read more