Opportunities at Owensboro Health, in strategic partnership with Optum. Our team of over 4,900 talented people works to improve the health outcomes of our communities in Kentucky and Indiana. Our nonprofit system is comprised of over 200 providers at more than 20 locations, 3 outpatient facilities, a certified medical fitness facility, a surgical weight loss center and the Mitchell Memorial Cancer Center. We are continually searching for people like you to help us provide the most innovative health care service in the region. Join an organization that will make you feel valued and discover the meaning behind: Caring. Connecting. Growing together. 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 8am – 4:30pm. It may be necessary, given the business need, to work occasional overtime. Employees are required to work every other week from home.We offer 3 months of on-the-job training. The hours of training will be aligned with your schedule. Training will be conducted onsite.If you are within commutable distance to the office at 910 Wallace Ave., Leitchfield, KY 42754, you will have the flexibility to work from home and the office in this hybrid role as you take on some tough challenges.Primary Responsibilities:
Manage administrative intake of members
Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers
Process incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles
Assist the clinical staff with setting up documents/triage cases for Clinical Coverage Review
Handle resolution/inquiries from members and/or providers
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
Must be 18 years of age OR older
2+ years of customer service experience
Basic experience with Microsoft Word & Microsoft Excel
After training completes, ability to work every other week from home
Ability to train full time onsite for the first three months at 910 Wallace Ave., Leitchfield, KY 42754
Ability to work Monday- Friday, 08:00AM – 04:30PM
Preferred Qualifications:
RHIT or RHIA certification
Experience working within the health care Industry and with health care insurance
Experience working in a hospital, physician's office or medical clinic setting
A clerical or administrative support background
Knowledge of ICD-9 and CPT codes
Experience working in a call center
Experience working with Microsoft Outlook (email and calendar management)
Telecommuting Requirements:
Reside within commutable distance to the office at 910 Wallace Ave., Leitchfield, KY 42754
Ability to keep all company sensitive documents secure (if applicable)
Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter PolicyAt 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