At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? 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. This is a telecommute position, however, you will be required to come into the office periodically.If you live near Houston, TX , you’ll enjoy the flexibility to telecommute as you take on some tough challenges.Primary Responsibilities:
Provide Administrative Support to the Service Coordinators for two markets
Submit authorization request to HCBS, work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers
Conduct member research and PCP calls for unable to reach members
Complete daily BCRT reports
Complete daily member mailout requests
Complete bi-weekly CP FOS Audits to ensure TIA accuracies
Complete monthly new enrollee and caseload reports
Request language translations for documents
Notify Service Coordinators of member admits and discharges from and to the hospital and / or nursing facility
Assist the clinical staff with setting up documents/triage cases for Clinical Coverage Review
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 customer service experience
1+ years of clerical / administrative experience
Intermediate level of proficiency with MS Word, Excel (create, edit, save documents) and Outlook (email and calendar management)
Access to high-speed internet at residence
Commutable distance to Houston, TX
Preferred Qualifications:
1+ years medical background in a hospital, physician’s office or medical clinic
Medicare and / or Medicaid experience
Bilingual in English & Spanish
Healthcare or Insurance Benefits experience
Soft Skills:
Excellent interpersonal skills - oral and written communication skills
Ability to multi-task, this includes the ability to understand multiple products and multiple levels of benefits within each product
Ability to work in an ambiguous environment and collaborate across multiple areas in order to achieve a common business objective
Ability to prioritize and balance multiple demands and competing deadlines
All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.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