Job Description

Youll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Lets face it, no industry is moving faster than health care. And no organization is better positioned to move health care forward than UnitedHealth Group. Were 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 work any of our 8-hour shift schedules during business hours 7am-7pm CST. It may be necessary, given the business need, to work occasional overtime.
* All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.

Primary Responsibilities

Act as a Subject Matter Expert for other team members
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
Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles
Resolve inquiries from members and/or providers

Part of the challenge here is dealing positively with members and providers in sometimes challenging circumstances. As a subject matter expert, youll also be the &ldquogo-to&rdquo resource for information. The flexibility to work evening hours will also be required.
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)
2 years of experience analyzing and solving customer problems
2 years of experience working in the health care industry
2 years of experience working with medical terminology
Ability to work any 8 hours shift from 7am -7pm, Monday – Friday with the possibility of mandatory overtime to include Saturdays
If you need to enter a work site for any reason, you will be

requiredto screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking ordersTelecommuting requirements

Dedicated work area established that is separated from other living areas that provides information privacy
Ability to keep all company sensitive documents secure (if applicable)
Residing in a location that can receive a high-speed internet connection (additional information on UnitedHealth Group approved internet providers and restrictions will be provided)Preferred Qualifications

Experience working with health care insurance
Experience in a hospital, physicians office or medical clinic setting
Clerical or administrative support background or experience working in a call center environment
Experience working with Medicare and/or Medicaid ServicesUnitedHealth 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. At this time, 90 of our non-clinical workforce transitioned to a work at home (remote) status. 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.
You can learn more about all we are doing to fight COVID-19 and support impacted communities athttps://www.unitedhealthgroup.com/newsroom/addressing-covid.html

Careers with Optum. Heres the idea. We built an entire organization around one giant objective make the health system work better for everyone. So when it comes to how we use the worlds large accumulation of health – related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do

your lifes best work.SM

Colorado Residents Only:The hourly range for Colorado residents is $17.12 – $30.34.Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirementsHealth, dental, and vision plans wellness program flexible spending accounts paid parking or public transportation costs 401(k) retirement plan employee stock purchase plan life insurance, short-term disability insurance, and long-term disability insurance business travel accident insurance Employee Assistance Program PTO and employee-paid critical illness and accident insurance.
Diversity creates a healthier atmosphereUnitedHealth 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.
KeywordsOptumRx, UHG, UnitedHealth Group, Senior Clinical Administrative Coordinator, Clinical Coordinator, Clinical Administrator, CAC, Medical Terminology, Insurance, Benefits, Medical Insurance, work at home, work from home, WAH, WFH, remote, telecommute, hiring immediately, #RPO

Requisition Number:936402

Business Segment:OptumRx

Employee Status:Regular

Job Level:Individual Contributor

Travel:No
Additional Locations

Phoenix, AZ, US
Hartford, CT, US
Tampa, FL, US
Overland Park, KS, US
Minneapolis, MN, US

Overtime Status:Non-exempt

Schedule:Full-time

Shift:Day Job

Telecommuter Position:Yes