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.Positions in this function are responsible for checking in, scheduling appointments, answering billing questions and managing patient medical records for a clinic. Roles may vary based on the size of the clinic(s).Hours: Monday - Friday, 8:00AM - 5:00PMLocation: Remote within the Seattle area. Office location: 904 7th Avenue, Seattle, WAPrimary Responsibilities:
Manage and submit daily request for referrals/authorizations
Maintains on-going and consistent tracking of all referrals/authorizations
Work with providers and staff to ensure completeness of documentation to facilitate the referral/authorization process.
Assist physicians, as required in coordination of care for patients
Contact IPA and Health Plans to ensure prior approval requirements are met
Assemble information concerning patient’s clinical background and referral needs, per referral guidelines and provide appropriate clinical information to specialists
Ensure referral/authorizations are addressed in a timely manner
Review details and expectations about referrals with the patients
Point of contact for patients who raise questions and concerns about referrals/authorizations
Works collaboratively with Centralized Services to support patient needs
Establish and maintain relationships with service providers for patient’s coordination of care
Ensures work is being performed according to company policies, procedures, and standards
Provides high quality care and service excellence to our patients
Performs other administrative and clerical duties as assigned
Participates in a variety of department initiatives
Ensures all OSHA, HIPAA, and other regulations are followed
Follows proper reporting protocols for any compliance or incident reporting as needed
Maintains strict patient and employee confidentiality
Other duties and responsibilities, not specifically described, maybe defined or assigned from time to time, consistent with knowledge, skills and abilities of the incumbent by management
Physical and Mental Demands: The physical and mental demands described here are representative of those that must be met by employees to successfully perform the essential functions of this job.Physical Demands:While performing the duties of this job, employees are regularly required to sit, walk and stand; talk or hear, both in person and by telephone; use hands repetitively to finger, handle, feel or operate standard office equipment; reach with hands and arms; and lift up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision and the ability to adjust focus.Mental Demands:While performing the duties of this job, employees are regularly required to use written and oral communication skills; read and interpret data, information and documents; analyze and solve non-routine and complex office administrative problems; may use math and mathematical reasoning; observe and interpret situations; learn and apply new information or skills; perform highly detailed work on multiple, concurrent tasks; work under intensive deadlines with frequent interruptions; and interact with managers, staff, customers, patients, the public and others encountered in the course of work, some of whom may be dissatisfied or abusive individuals.Typical Working Conditions: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Typical office conditions and noise level is usually quiet. Interaction with others is busy, constant, and occasionally interruptive. Work may be demanding at times. May require ability to work irregular hours
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 higher)
1+ years of medical front desk experience
1+ years of experience in customer service within a call center setting
1+ years of Microsoft Office experience
Preferred Qualifications:
Experience with data analysis software
1+ years of customer service experience
1+ years of electronic medical record experience
1+ years of health plan insurance knowledge
Bilingual (English / Spanish)
All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.Washington Residents Only: The hourly range for Washington residents is $16.54 to $32.55 per hour. 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.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 #RED
