Description

This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

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 Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00am - 7:00pm CST. It may be necessary, given the business need, to work occasional overtime or weekends.

We offer 3 weeks of on-the-job training. The hours of the training will be from 8:30am - 5:00pm CST.

Primary Responsibilities:

• Act as a Subject Matter Expert for other team members
• Manage the intake of members with benefit reviews and infusion's servicing capabilities
• Work with sales and the clinical team to manage requests for services
• Resolve inquiries from internal partners
• Deal positively with sales partners in sometimes challenging circumstances serving as a subject matter expert, you'll also be the "go-to" resource for information.

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
• Knowledge of ICD-9/10 and CPT codes
• 2+ years of Pharmacy/Healthcare experience
• Understanding of health care insurance: deductibles, copays, coinsurance, out of pocket
• Proficiency with computer and Windows PC applications with the ability to use multiple computer systems/applications including Microsoft Excel (create spreadsheets, sort/filter), Microsoft Outlook (compose/send email, basic navigation/function), and Microsoft Word (basic navigation/function, formatting.
• Ability to work full-time Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00am - 7:00pm CST. It may be necessary, given the business need, to work occasional overtime or weekends.

Preferred Qualifications:

• 1+ years of experience working in a call center
• 1+ years of experience working with Medicare and/or Medicaid Services
• 1+ years of experience with determining patient responsibility, payment plans, setting financial expectations
• 1+ years of experience with benefit verification
• 1+ years of medical or pharmacy billing experience
• Interpersonal and communication (verbal and written) skills
• Ability to operate with a Growth Mindset and Vision and Strategy Formulation
• Understanding of intake workflows, benefits verification, prior authorization, and patient navigation processes.
• Data-driven mindset with the ability to interpret operational metrics and translate them into actionable strategies.

Telecommuting Requirements:

• 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

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $20.00 - $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.