Opportunities with Optum in the Tri-State region (formerly CareMount Medical, ProHEALTH New York and Riverside Medical Group). Come make a difference in the lives of people who turn to us for care at one of our hundreds of locations across New York, New Jersey and Connecticut. Work with state-of-the-art technology and brilliant co-workers who share your passion for helping people feel their best. Join a dynamic health care organization and discover the meaning behind Caring. Connecting. Growing together. 

This position is full time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:30am - 5:00pm. It may be necessary, given the business need, to work occasional overtime. 

We offer 4 - 6 weeks of on-the-job training. The hours of the training will be aligned with your schedule. 

If you are located within Eastern Time Zone, you will have the flexibility to work remotely* as you take on some tough challenges.  

         

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

This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. You also must be able to work a flexible schedule that includes evening hours.

             

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 equivalent work experience Must be 18 years of age OR older 2+ years of customer service experience Experience with Microsoft Word, Microsoft Excel and Microsoft Outlook
Ability to work full-time, Monday - Friday between 8:30am - 5:00pm including the flexibility to work occasional overtime given the business need

    

Preferred Qualifications:

Experience working within the health care Industry and with health care insurance Experience 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

           

Telecommuting Requirements: 

Reside within Eastern Time Zone 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   

            

Connecticut, New Jersey, New York, Rhode Island, Washington, D.C., Maryland Residents Only: The hourly range for this role is $16.54 to $32.55 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 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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