Job 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 to start Caring. Connecting. Growing together. 

Like you, UnitedHealth Group is strong on innovation. And like you, we’ll go the distance to deliver high-quality care. 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 for our members and providers. You’ll have the opportunity to do live outreach, educating members about program benefits and services while also helping to manage member cases. Bring your skills and talents to a role where you’ll have a chance to make an impact.

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. *Employees in jobs labeled with ‘SCA’ must support a government Service Contract Act (SCA) agreement.

This position will be working from our campus at Medical Center Point.

Primary Responsibilities:

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 from members and/or providers
Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles
Provide appropriate triage and care coordination notification cases for non – clinical assessment / intervention
Handle resolution / inquiries from members and/or providers
Limited work experience
Works on simple tasks using established procedures
Depends on others for guidance
Work is typically reviewed by others

This is high volume, customer service environment. You’ll need to be efficient, productive, and thorough dealing with our members over the phone. You also must be able to work a flexible schedule that includes evening hours.

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:

HS Diploma or GED
1+ years of customer service experience analyzing and solving customer problems
Able to create, edit, save and send documents utilizing Microsoft Word and Excel
Able to type and talk at the same time and navigate through multiple screens

Preferred Qualifications:

Experience working within the health care Industry and with health care insurance
Experience working with Medicare and/or Medicaid Services
Experience working in a metric – driven work environment
Call center experience
Clerical or administrative support background
Knowledge of ICD – 9 and CPT codes