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.

If you want to achieve more in your mission of health care, you have to be really smart about the business of health care.

This position is full-time, Tuesday - Saturday. Employees are required to work our normal business hours of 8:00am – 5:00pm PST. It may be necessary, given the business need, to work occasional overtime or weekends. Our office is located at 2716 N Tenaya Way, Las Vegas, NV.

We offer 4-6 weeks of paid training. The hours during training will be 8am to 5pm, Tuesday - Saturday. Training will be conducted onsite.

Primary Responsibilities:

• Manage the intake of members or the admission/discharge information post notification.

• Work with hospitals, clinics, facilities and the clinical team to manage request for services from members and/or providers.

• Manage the referrals process, processing 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 that may include:

• Responsible for initial screening of members.

• Administrative intake of members or managing the admission / discharge information post-notification.

• Work with hospitals and the clinical team. Includes managing incoming calls.

• Manage requests for services from providers / members, provide information on available network services and transfer members as appropriate to clinical staff.

• Manage the referrals process, processes incoming and outgoing referrals, and prior authorizations.

• Intake, notification and census roles.

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 years of experience.

• Must be 18+ years of age or older.

• 1+ years of customer service experience analyzing and solving customer problems.

• 1+ years of experience working in a clerical/customer facing environment.

• Experience navigating a PC to open applications, send emails, and conduct data entry including Windows based programs.

• Ability to work our normal business hours of 8:00am – 5:00pm PST. It may be necessary, given the business need, to work occasional overtime or weekends.

Preferred Qualifications:

• Working knowledge of medical terminology to communicate with members and providers.

• 1+ years of experience working with healthcare insurance.

• Experience working with Medicare and/or Medicaid Services.

• Experience working in a call center environment.

• Ability to create, edit, save and send documents utilizing Microsoft Word and Excel.

Nevada Residents Only: The hourly range for this is $16.54 - $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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