Associate Clinical Admin

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.

About the role

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 8:00 am - 8:00 pm EST. It may be necessary, given the business need, to work occasional overtime.

Primary Responsibilities

• Manages the ancillary referral process by handling incoming and outgoing orders and prior authorizations
• Serves as primary point of contact regarding referrals, by engaging in (telephonic and electronic) client and vendor communications
• Fulfills eligibility determinations and task requests appropriately
• Learns computer system and navigate between computer applications and platforms to research information
• Determines whether authorizations are required for requested medical services
• References automated job aid tools via computer to research relevant rules, regulations, or procedures
• Identifies and contacts appropriate resources if necessary to clarify information and respond to medical requests
• Schedules appointments, provides information regarding appointments and medical services to patients
• Orders supplies/durable medical equipment requested through the appropriate vendor
• Ensures the order is entered correctly to submit to billing
• Completes 6 orders per day
• Handles 45 orders per day

Required Qualifications

• High School Diploma / GED OR equivalent work experience
• Must be 18 years of age OR older
• 1+ years of experience in an office, claims or customer service environment
• Experience working in a metric-driven work environment
• Proficiency with Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
• Ability to work 11:00 am - 8:00 pm EST
• Ability to work 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 8:00 am - 8:00 pm EST. It may be necessary, given the business need, to work occasional overtime

Preferred Qualifications

• Call center experience
• Knowledge of ICD-10 and CPT codes
• Durable medical equipment (DME) understanding

Telecommuting Requirements

• Ability to keep all company sensitive documents secure (if applicable)
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Soft Skills

• Ability to manage and prioritize multiple tasks in a challenging environment with focused diligence
• Excellent verbal and written communication skills
• Strong organizational skills
• Possess time management skills; exhibits solid ability to prioritize work and perform multi-tasks

Pay and Benefits

The hourly pay for this role will range from $16.00 to $29.00 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.

We offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

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.