Job Description

Combine two of the fastest - growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making Healthcare data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.SM

Let's face it, no industry is moving faster than health care. And no organization is better positioned to move health care forward than UnitedHealth Group. We're out to use data, technology and people in ways that help drive change and make the health care system work better for everyone.

As part of our clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive and positive. Take this opportunity to work with a Fortune 10 industry leader.

This position is full - time (40 hours / week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (9:00am - 5:30pm). It may be necessary, given the business need, to work occasional overtime. Our office is located at 5003 Commercial Circle, Concord, CA 94520.

Primary Responsibilities:

* Core Competencies are streamlined across the organization. All staff - level employees have the same four Core Competencies which address key behaviors that help John Muir Health fulfill our mission, demonstrate our values, and deliver on our brand promise of We Listen, We Explain, and We Work Together as a Team
* Knows and / or anticipates the needs of the patient / customer and matches those needs to available JMH resources and services. Encourages colleagues to take the patient's / customer's point of view in meeting needs, responding to requests, resolving problems, and initiating new services
* Protects the patient / customer's interests by quickly alerting them to potential problems when there may be alternative solutions
* Asks a series of clarifying questions to get to the root of a need, situation, problem, or opportunity. Calls on others to get their perspective, background knowledge, information, and experience
* Anticipates and prepares for questions, reactions, objections, or misunderstanding when key assumptions are not shared
* Adapts communication style and medium to suit both the message and the audience
* Exhibits broad - based thinking by considering the impact that decisions or projects in one area can have on other areas of the organization. Actively seeks to learn about the customer's business priorities and how to support those priorities with interventions and / or solutions
* Demonstrates an open, personal and team commitment to safety and fosters highly reliable performance
* Consistently uses professional, accurate, clear and timely verbal. written, and electronic communication to the patient or customer and other team members
* Creates and / or participates in improvement activities to improve the patient / customer experience, quality of care. customer service, and efficient departmental operations
* Publicly credits others who have performed well, and communicates that team members have made important and valued contributions
* Schedules patient appointments obtaining all patient demographic, insurance diagnosis and procedure information and Verifies accurate insurance plan code assignment
* Informs patients and providers that a necessary authorization has not been obtained or that a procedure is being flagged as not medically necessary and that the patient may need to sign a non - covered services waiver on arrival
* Utilize clinical knowledge to determine if the doctor's order is consistent with the diagnosis provided
* Coordinates appointments for patients with multiple procedures

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 healthcare industry experience
* Ability to pass Epic - Proficiency within 90 days of start date
* Ability to work Full Time, Monday - Friday, 9:00 am - 5:30 pm
* You will be provisioned with appropriate Personal Protective Equipment (PPE) and are required to perform this role with patients and members on site, as this is an essential function of this role
* Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained

Preferred Qualifications:

* 1+ years of Registration - Admitting experience
* 1+ years of Health Information Management - ICD - 10 Diagnosis / CPT coding
* Previous experience in hospital, surgery or specialty procedure scheduling
* Knowledge of insurance health plans, coverage and authorization process

UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us.

Some of the steps we've taken to ensure employee well-being include:

* Launched our ProtectWell app and UnitedCARES program to help ease the burden and stress for our UnitedHealth Group team members and their immediate family affected by COVID-19
* Daily updates from our CEO Dave Wichmann to support and inspire team members during this challenging time
* Onsite social distancing and increased sanitization measures for employees who have been welcomed back to our offices
* Fully cover the COVID-19 healthcare costs for our employees

You can learn more about all we are doing to fight COVID-19 and support impacted communities at: https://www.unitedhealthgroup.com/newsroom/addressing-covid.html

Careers with OptumInsight. Information and technology have amazing power to transform the Healthcare industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to do your life's best work.SM

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

Keywords: electronic health records, Medical Insurance, Healthcare Industry, Authorization, Concord, CA, California, hiring immediately