Position Description: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 high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone.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
Requirements:High School Diploma / GED or higher 2+ years of customer service experience Experience with MS Word, Excel and Outlook ( Word - Create Correspondence and work within templates. Excel - Data Entry, Sort / filter, and work within tables. Outlook - email and calendar management.)1+ years of Medical Terminology Experience working within the health care Industry Preferred QualificationsExperience 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 Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, Military families and Veterans wherever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.SMDiversity 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:UHG, Telecommute, customer service, healthcare, telephonic, patient interaction, field based, advocacy
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.