Description

This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

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.

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.

In this role, you'll spend your day conducting outbound calls to insurance providers to verify and obtain member benefit information, researching and updating records across multiple systems, and ensuring medical request data is accurately documented. You'll review case notes and member files, scan and attach documents to the appropriate records, and follow established procedures to route requests correctly. Working with internal resources as needed, you'll help resolve questions, stay current on system updates, and collaborate with colleagues through team meetings to support efficient and accurate operations.

This position is full time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00 am - 7:00 pm CST (flexible) with a rotating Saturday shift every three months. It may be necessary, given the business need, to work occasional overtime.

We offer 2 - 4 weeks of training. The hours during training will be 8:00 am - 5:00 pm, Monday - Friday.

Primary Responsibilities:

• Perform outbound calls to insurance providers to obtain member benefit details.
• Access electronic member files using policy or id number and attach to the appropriate location
• Follow protocols to task requests appropriately
• Reference job aid tools via the computer to identify appropriate procedures when needed
• Review and interpret call history documentation (e.g., case notes)
• Navigate between computer screens and platforms to research information (e.g., medical, clinical, or benefits information)
• Learn computer system and process changes and updates and incorporate into daily work
• Contact internal resources if necessary to clarify information
• Document call history information into relevant computer system
• Enter medical request data into relevant computer system
• Scan documents and attach them to the correct patient
• Participate in team and branch meetings
• Add other duties as assigned

You'll need to be efficient, productive and thorough dealing with our providers 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:

• High School Diploma / GED
• Must be 18 years of age OR older
• 1+ years of experience in customer service
• Experience with Microsoft Word, Microsoft Excel and Microsoft Outlook
• Ability to work full time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00 am - 7:00 pm CST (flexible) with a rotating Saturday shift every three months. It may be necessary, given the business need, to work occasional overtime.

Preferred Qualifications:

• Clerical OR administrative support background
• Experience working in a hospital, physician's office OR medical clinic setting
• Knowledge of ICD-10 and CPT codes
• Experience with Prior Authorization and Benefit Verification
• Experience working within the health care Industry and with health care insurance

Telecommuting Requirements:

• 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 Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $18.00 - $32.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.