Energize your career with one of Healthcare’s fastest growing companies.You dream of a great career with a great company – where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.
This opportunity is with one of our most exciting business areas: Optum – a growing part of our family of companies that make UnitedHealth Group a Fortune 6 leader.Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.
Our Customer Service teams have a serious responsibility to make every contact informative, productive, positive, and memorable for what it says about how much we care.Employees in this position include those responsible for initial Triage of members, Administrative Intake of members or managing the Admission/discharge information post-notification, and working with hospitals and the Clinical team. Function 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. Also manages the Referrals process, processes Incoming and Outgoing Referrals, and Prior Authorizations. This function also includes Intake, Notification and Census roles.
If you are located in the state of Florida you will have the flexibility to telecommute* as you take on some tough challenges.
ning will be conducted virtually from your home.
What we do defines who we are. Take a deeper look at how we’re providing support during this global health crisis and search for a way you can get involved. View our Covid-19 Resources Page at: https://info.uhg.com/
Primary Responsibilities:
Meet established productivity, schedule adherence, and quality standards while maintaining good attendance.
Draft NOA / NOE letters for government and Commercial Specific clients.
Ensure the letter documentation meets client, regulatory and accreditation requirements.
Understand the State and Federal regulations concerning the services and benefits.
Demonstrate understanding of the program by selecting the correct letter template
Other duties as assigned by manager and/or director
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)
2+ years of professional experience in an office / customer service environment
2+ years of professional experience in Clerical or Administrator work
1+ year of experience with Medical Terminology
Intermediate level of proficiency with Microsoft Excel (edit / save spreadsheets, basic navigation between tabs, data entry, sort / filer, pivot tables)
Intermediate level of proficiency with Microsoft Word (edit / save documents, basic navigation, work within templates)
Intermediate level of proficiency with Microsoft Outlook (manage / organize email and calendar, create folders, schedule meetings)
Computer proficiency including, but not limited to, ability to learn new computer system applications.
Ability to work outside standard hours of operations due to changing business needs. Monday – Saturday 9am – 6pm HST; Shifts will include weekend hours / schedule
You will be required to adhere to UnitedHealth Group’s US Telecommuting Policy
If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders
Preferred Qualifications:
Bachelor’s Degree (or higher)
2+ years of professional experience in an office setting using the telephone and computer as the primary instruments to perform the job duties OR 2+ years of Customer Service experience analyzing and solving customer problems.
Experience working within the Healthcare Industry, Hospital, Physician’s Office, or Medical Clinical setting, Medical Terminology, ICD and CPT codes, Medicare and/or Medicaid Services, call center environment.
Professional experience in a Clerical or Administrative support related role.
Healthcare or Insurance Benefits experience.
Experience in a Medical office billing or Medical Assistant/clerk.
Experience with production of NOA/NOE Letters
Knowledge of Medicare, Medicaid, and Commercial programs.
UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. At this time, 90% of our non-clinical workforce transitioned to a work at home (remote) status. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us.
Some of the steps we’ve taken to ensure employee well-being include:
Transitioned our new hire training classes to be conducted virtually
Launched our ProtectWell app and UnitedCARES program to help ease the burden and stress for our UnitedHealth Group team members and their immediate family affected by COVID-19
Daily updates from our CEO Dave Wichmann to support and inspire team members during this challenging time
Onsite social distancing and increased sanitization measures for employees who have been welcomed back to our offices
Fully cover the COVID-19 healthcare costs for our employees
Employees who self-identify as high risk or who live with someone who is high risk have been asked to remain working from home
You can learn more about all we are doing to fight COVID-19 and support impacted communities at: https://www.unitedhealthgroup.com/newsroom/addressing-covid.html
Careers with Optum. Here’s the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world’s large accumulation of health – related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life’s best work. SM
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.
Keywords: customer service, call center, intake, prior authorization, medical assistant, administrative, clerical, coordinator, claims, work at home, work from home, WAH, WFH, remote, telecommute, hiring immediately
To apply for this job please visit www.uhc.com.
