Positions in this function includes those responsible for initial triage of members, administrative intake of members or managing the admission/discharge information post-notification, working with hospitals and the clinical team. 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. Manages the referrals process, processes incoming and outgoing referrals, and prior authorizations. This function includes intake, notification and census roles.
What makes your clinical career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You can work with in an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.
Â· This is an Inbound Call Center. Answer inbound calls all day and respond to questions on the phone related to benefits, authorization and eligibility.
Working with hospitals and the clinical team, including managing incoming calls, managing requests for services from providers/members, providing information on available network services
Transferring members as appropriate to clinical staff
Manage the referrals process, processing incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles
Applicants will be taking some 60-80 calls daily from members and providers asking for information on their benefits; available providers in the network and obtaining authorizations as needed. The job is highly structured with preplanned breaks and lunches based. Good attendance is very important. Requirements:
High School Diploma/GED.
6+ months experience in an office setting using the telephone and computer as the primary instruments to perform the job.
Basic MS Office skills, as well as the ability to toggle between windows.
Strong Data Entry skills required.
Must be able to talk & type at the same time.
Must be dependable/ reliable and able to work within a structure environment.
1+ year Call Center experience with high volume is a plus.
6+ months experience in Clerical or Administrator work is preferred.
Healthcare or Insurance Benefits experience is preferred.
Medical terminology/Coding (ICD-9 and CPT) is preferred.Â·
Hospital, physician, or medical / clinical experience is preferred
Medicare and/or Medicaid experience is preferred
Take the next step, online at: www.yourlifesbestwork.comUnitedHealth Group is working to create the health care system of tomorrow. Already Fortune 25, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed.Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/VUnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
When you work to better people’s lives, one of those lives will always be yours.
We have modest goals: Improve the lives of...