Position Description:

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.

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.

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.
  

Requirements:

• High School Diploma or GED
• 1+ years of telephonic customer service experience 
• Basic  MS/Office (Word, Excel & Outlook)
• 6+ months professional experience do you have in an office setting using the telephone and computer as the primary instruments to perform the job duties
• 6+ months professional experience do you have in clerical or administrator work
• Must be willing and able to work Monday - Saturday 7am - 7pm (30 hours per week)

Assets:

•  Healthcare or insurance benefits is preferred
• Medical Terminology/Coding (ICD-9 and CPT) is preferred
• Call Center with high volume is strongly desired
• Hospital, physician, or medical clinical experience is preferred
• Medicare and/or Medicaid is a plus
  

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.