Roi Specialist - Cooperstown, United States - Optum

Optum
Optum
Verified Company
Cooperstown, United States

3 days ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter
Description

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.
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 position is full - time, Monday - Friday. Employees are required to work an 8 hour shift between the hours of 8:00am - 4:30pm. It may be necessary, given the business need, to work occasional overtime. Our office is located at 4773 State HWY 28 Cooperstown, NY 13326.

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


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
  • Must be 18 years of age OR older.
  • Ability to work fulltime, Monday
  • Friday between 8:00am 4:30pm

Preferred Qualifications:


  • 1+ years of customer service experience
  • Experience working within the health care Industry.
  • Experience with Microsoft Word, Microsoft Excel, and Microsoft Outlook
  • At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location, and incomedeserves 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._
**#RPO #RED
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