Position Description:
What makes your clinical career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You can work with in an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.
Positions in this function includes those responsible for initial triage of members, administrative intake of members or managing the admission/discharge information post-notification, working with hospitals and the clinical team. Includes managing incoming calls, managing requests for services from providers/members, providing information on available network services and transferring members as appropriate to clinical staff. Manages the referrals process, processes incoming and outgoing referrals, and prior authorizations. This function includes intake, notification and census roles.
Current UHC0455 will need to load data into PSHUP, rather than creating a file that is sent to Payroll Operations for manual upload
Primary Responsibilities:
- Administrative intake of members or managing the admission/discharge information post-notification.
- Working with hospitals and the clinical team, including managing incoming calls, managing requests for services from providers/members, providing information on available network services.
- Transferring members as appropriate to clinical staff.
- Manage the referrals process, processing incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles.
- Medical Terminology
- Limited work experience.
- Works on simple tasks using established procedures.
Depends on others for guidance.
- Work is typically reviewed by others.
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