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. 

This position is full-time. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 11:30pm to 8:00am PST. This is a rotating days position to include weekends and holidays. 3 weeks of the month will include 3 weekdays plus the weekend, 1 week of the month will be Monday - Friday, weekend off. It may be necessary, given the business need, to work occasional overtime.

We offer 4 weeks of paid training. The hours during training will be 11:30pm to 8:00am PST, Monday - Friday.  Training will be conducted virtually from your home.

If you are located in 19191 S. Vermont Avenue Torrance, CA, you will have the flexibility to work remotely* as you take on some tough challenges.  

 

Primary Responsibilities:

Consistently exhibits behavior and communication skills that demonstrate Optum’s commitment to superior customer service, including quality, care and concern with each and every internal and external customer. Ensures proper input of inpatient and outpatient authorizations for acute care and skilled nursing facilities Informs care managers of admission, eligibility and benefits issues. Enters, updates and close acute, observation, day surgery and SNF admission referrals within designated timeframes. Prints, sends mails or faxes or verbally provides authorizations / referrals to providers and facilities. Monitors fax queues for new admission notifications Consistently and accurately completes data entry and documentation Processes referrals for DME and coordinates home health services according to established policies, procedures, guidelines and timeframes. Redirects referrals to utilization management or medical director. Prioritizes and independently handles incoming referrals without supervision. Directs providers and patients to contracted provider networks and facilities and updates patient information as needed Provides length of stay for exhaustion of SNF benefits. Arranges post discharge appointments. Facilitates exchange of information between all levels of care managers to ensure continuity of care. Performs high-level critical thinking for re-directing phone calls, referrals and other issues that may arise. Assists with answering telephones and maintaining files, logs or other reports. Acts as a resource for team members. Expected to participate in flexible weekday scheduling and weekend/ holiday coverage rotation per business needs Seeks and identifies opportunities for process improvement Meets or exceeds productivity targets Uses, protects, and discloses Optum patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards. Performs additional 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 Must be 18 years of age OR older 1+ years of experience in a healthcare setting (doctor’s office or acute care setting) Knowledge of medical terminology Familiarity with computer and Windows PC applications, which includes the ability to learn new and complex computer system application Ability to work with multiple computer platforms simultaneously Ability to work our normal business hours of 11:30pm - 8:00am PST. This is a rotating days position to include weekends and holidays. 3 weeks of the month will include 3 weekdays plus the weekend, 1 week of the month will be Monday - Friday, weekend off. 

  

Preferred Qualifications:

Knowledge of CPT and ICD-10 coding Basic understanding of managed care principles

  

Telecommuting Requirements: 

Reside within 19191 S. Vermont Avenue Torrance, CA 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   

  

California Residents Only: The hourly range for this role is $16.00 to $28.27 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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. 

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for 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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