Position Description:

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 position also includes intake, notification and census roles as well as managing calls and resolution of claims/customer service issues, and benefits inquiries.

Do you want meaning in your career as a clinician or a business professional? If so, OptumHealth Behavioral Solutions is looking for individuals willing to help people live healthier lives by providing them with information, tools and solutions to achieve their health and well-being goals!

Our Call Operations center is seeking individuals who are interested in providing expertise and support to our members, providers and customers on a part-time basis.  This is a great opportunity for individuals who are looking to return to the workforce and make a commitment to a part-time position or looking for a position that fits within their current schedules.  This position offers great work-life balance and a competitive hourly wage.

Training will be full time for 3 or 5 weeks from 8:00 AM – 4:30 PM, Monday – Friday.

Primary Responsibilities:

• Initial triage of members, administrative intake of members or managing the admission/discharge information post-notification, working with hospitals and the clinical team.
• Manage incoming calls, managing requests for services from providers/members, providing information on available network services and transferring members as appropriate to clinical staff.
• Manage the referrals process, processes incoming and outgoing referrals, and prior authorizations.
• Includes intake, notification and census roles.
• Resolve provider/member inquiries which could include:
• Benefit and Eligibility information
• Billing and Payment issues
• Customer material requests
• Physician assignments
• Authorization for treatment
• Explanation of Benefits (EOB)

Requirements:

• High School diploma/GED is required
• 1+ year of experience with MS Word 
• 1+ year of customer service experience
• Must be proficient with a computer

Additional Assets:

• Call center experience
• Bilingual (Spanish / English) skills
• Claims processing experience is a plus
• Experience with MS Outlook

OptumHealth is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.

OptumHealth helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their health care needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.

At OptumHealth, you will perform within an innovative culture that's focused on transformational change in the health care system. You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact that's greater than you've ever imagined.

Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.