Optum
Caring. Connecting. Growing Together.
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. 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 7:00am - 5:30pm MST. It may be necessary, given the business need, to work occasional overtime. We offer 90 days of paid training. The hours of the training will be aligned with your schedule. Training will be conducted virtually from your home. Youll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities:
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 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 Youll 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 customer service experience analyzing and solving customer problems 1+ years of medical referral processing experience Intermediate level of proficiency with Windows based programs including Microsoft Word (ability to create, edit, save and send documents) and Excel (create, edit, sort), Outlook and Teams Ability to work 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 7:00am - 5:30pm MST. It may be necessary, given the business need, to work occasional overtime Must be 18 years of age OR older Preferred Qualifications:
Experience working with Medicare and/or Medicaid Services Call center experience Experience working in a metric-driven work environment Knowledge of ICD-10 and CPT codes 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 Telecommuters will be required to adhere to UnitedHealth Groups 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, youll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.74 to $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. 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. #RPO #GREEN
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. 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 7:00am - 5:30pm MST. It may be necessary, given the business need, to work occasional overtime. We offer 90 days of paid training. The hours of the training will be aligned with your schedule. Training will be conducted virtually from your home. Youll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities:
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 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 Youll 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 customer service experience analyzing and solving customer problems 1+ years of medical referral processing experience Intermediate level of proficiency with Windows based programs including Microsoft Word (ability to create, edit, save and send documents) and Excel (create, edit, sort), Outlook and Teams Ability to work 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 7:00am - 5:30pm MST. It may be necessary, given the business need, to work occasional overtime Must be 18 years of age OR older Preferred Qualifications:
Experience working with Medicare and/or Medicaid Services Call center experience Experience working in a metric-driven work environment Knowledge of ICD-10 and CPT codes 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 Telecommuters will be required to adhere to UnitedHealth Groups 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, youll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.74 to $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. 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. #RPO #GREEN