Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.There may be easier administrative jobs out there, but few offer the satisfaction of truly helping people manage their personal health and well - being. Our customer service teams have a serious responsibility to make every contact informative, productive, positive, and memorable. If you’re the kind of person who wants to bring your contribution to a new level every day, a job with UnitedHealth Group and our family of businesses may just be for you.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 9:00 AM - 6:00 PM CST. It may be necessary, given the business need, to work occasional overtime. Our office is located at 15529 College Blvd., Lenexa, KS.We offer weeks of paid training. The hours of the training will be based on schedule or will be discussed on your first day of employment.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
The challenge here lies in managing a full range of tasks, many of them routine in nature, without sacrificing quality. You should also be flexible to work evenings and weekends.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
2+ years of customer service experience
Experience with Microsoft Word (create and edit correspondence), Microsoft Excel (ability to create, edit, and sort spreadsheets, basic analytical formulas (v-lookup, if)), and Microsoft Outlook (email and calendar management)
Ability to work any full-time (40 hours / week), 8-hour shift between the hours of 9:00 AM - 6:00 PM CST from Monday - Friday including the flexibility to work occasional overtime based on business need
Must be 18 years of age OR older
Preferred Qualifications:
Experience with working in a call center
Knowledge of ICD - 9 and CPT codes
A clerical OR administrative support background
Experience with working in a hospital, physician's office, OR medical clinic setting
Experience with working within the health care Industry and with health care insurance
Soft Skills:
Must be able to type and talk at the same time and navigate through multiple screens
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.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.#RPO #RED