Intake Coordinator

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.
Come make an impact on the communities we serve as we help advance health equity on a global scale.
Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life’s best work.
SM Under the supervision of the UM Operations Supervisor, this position is responsible for the daily coordination of UM processes in the Intake Call Center.
This position serves as the initial intake of pre - service requests, claim reviews and inpatient hospital coordination and diabetic supplies.
Coordinates UM processes with Medical Directors, UM Nurses, hospitals, physicians and other various departments.
Provides clerical support to clinical staff in their medical necessity review process.
UM Coordinator is expected to maintain production and quality standards.
Hours: This position is full-time (40 hours/week) Monday - Friday.
Employees are required to work 8-hour shifts between the hours of 8:00am to 8:00pm CST.
It may be necessary, given the business need, to work occasional overtime or weekends.
Training will be conducted virtually from your home.
You’ll enjoy the flexibility to telecommute* from anywhere within the U.
S.
as you take on some tough challenges.
Primary Responsibilities: Managing authorizations / notifications and other service requests received via incoming phone calls, faxes and portal submission Providing excellent customer service, including the ability to handle escalated callers Determining authorization or notification requirements Preparing authorization cases for Medical Directors, UM Nurses and Case Managers Providing administrative approvals (depends on line of business) Handling expedited authorizations, authorization updates and status checks Confirming member eligibility Outreaches to providers and/or Patient to complete authorization requests and prescriptions Maintaining knowledge of various health plan partner benefits, networks, CMS regulations and health plan partner policies Utilizing experience and judgement to plan, accomplish goals and effectively resolve each assigned task Non-Clinical staff is not responsible for conducting any UM activity that requires interpretation of clinical information Performs all other related duties as assigned 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 combined or related experience in a healthcare, call center, and/or customer service setting using the telephone and computer as the primary instrument to perform job duties Intermediate proficiency with Microsoft Office products, including Excel, Word, and Outlook Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service Dedicated work area established that is separated from other living areas and provides information privacy Ability to work an 8-hour shift between the hours 8:00am – 8:00pm CST Preferred Qualifications: Associate degree (or higher) in a healthcare related field 3+ years of health care call center experience Advanced proficiency with Microsoft Office products, including Excel, Word, and Outlook Medical Terminology experience Knowledge of ICD-9/ICD-10 and CPT codes Experience working in a call center or call center within medical environment California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, Hawaii or Washington Residents Only: The hourly range for California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island or Washington residents is $16.
54 to $32.
55 per hour.
Pay is based on several factors including but not limited to education, work experience, certifications, etc.
In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
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.
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