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.*
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 (40 hours / week), Monday - Friday. Employees are required to work an 8-hour shift schedules during our normal business hours of 11:00 AM - 8:00 PM EST. It may be necessary, given the business need, to work occasional overtime and weekends.
We offer 5-6 weeks of paid training. The hours of training will 8:00 AM - 4:30 PM EST, Monday - Friday. Training will be conducted virtually from your home.
Primary Responsibilities:
- Manages the ancillary referral process by handling incoming and outgoing orders and prior authorizations
- Serves as primary point of contact regarding referrals, by engaging in (telephonic and electronic) client and vendor communications
- Follows protocols to determine patient eligibility and task requests appropriately
- Learns computer system and navigate between computer applications and platforms to research information
- Determine whether authorizations are required for requested medical services
- Reference automated job aid tools via computer to research relevant rules, regulations, or procedures
- Identifies and contacts appropriate resources if necessary to clarify information and respond to medical requests
- Schedules appointments, provides information regarding appointments and medical services to patients
- Orders supplies/durable medical equipment requested through the appropriate vendor
- Ensures the order is entered correctly to submit to billing
- Provisioners complete 6 orders per day/Intake associates handles 45 a day
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 work experience
- Must be 18 years of age OR older
- 1+ years of experience in an office, claims or customer service environment
- Experience working in a metric-driven work environment
- Proficiency with Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
- Ability to work full-time (40 hours / week), Monday - Friday. Employees are required to work an 8-hour shift schedules during our normal business hours of 8:00 AM - 8:00 PM EST. It may be necessary, given the business need, to work occasional overtime and weekends
- Ability to work 11:00 AM - 8:00 PM EST
Preferred Qualifications:
- Knowledge of ICD-10 and CPT codes
- Call center experience
- Durable medical equipment (DME) understanding
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.
Soft Skills:
- Ability to manage and prioritize multiple tasks in a challenging environment with focused diligence
- Excellent verbal and written communication skills
- Strong organizational skills
- Possess time management skills; exhibits solid ability to prioritize work and perform multi-tasks
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16 - $29 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
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.