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 work any 8-hour shift between the hours of 8:00 AM - 8:00 PM CST. It may be necessary, given the business need, to work occasional overtime or weekends.We offer 4 - 6 weeks of paid on-the-job training. The hours of the training will be 8:00 AM - 5:00 PM CST from Monday - Friday.All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.Primary Responsibilities:
Managing authorizations / notifications and other service requests received via incoming phone calls, faxes and portal submission
Providing excellent customer service, including the ability to handle escalated callers
Determining authorization or notification requirements
Preparing authorization cases for Medical Directors, UM Nurses, and Case Managers
Providing administrative approvals (depends on line of business)
Handling expedited authorizations, authorization updates and status checks
Confirming member eligibility
Outreaches to providers and / or Patient to complete authorization requests and prescriptions
Maintaining knowledge of various health plan partner benefits, networks, CMS regulations and health plan partner policies
Utilizing experience and judgement to plan, accomplish goals and effectively resolve each assigned task
Non - Clinical staff is not responsible for conducting any UM activity that requires interpretation of clinical information
Performs all other related 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 work experience
2+ years of combined OR related experience in a healthcare, call center, and / or customer service setting, using the telephone and computer as the primary instrument to perform job duties
Intermediate proficiency with using Microsoft Office products, including Microsoft Word, Microsoft Excel, and Microsoft Outlook
Ability to work any 8-hour shift between the hours of 8:00 AM - 8:00 PM CST from Monday - Friday including the flexibility to work occasional overtime or weekends based on business need
Must be 18 years of age OR older
Preferred Qualifications:
3+ years of health care call center experience
Advance proficiency with using Microsoft Office products, including Microsoft Word, Microsoft Excel, and Microsoft Outlook
Medical Terminology experience
ICD - 9 / ICD - 10 and CPT knowledge
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
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington, or Rhode Island Residents Only: The hourly range for California / Colorado / Connecticut / Hawaii / Nevada / New York / New Jersey / Washington / Rhode Island residents is $16.54 - $32.55 per hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.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.Diversity creates a healthier atmosphere: UnitedHealth Group 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.UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.#RPO #GREEN
