Case Management Assistant

About the role

This position is Onsite. Our office is located at 4747 Arapahoe Ave Boulder, CO 80303. Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth.

Responsibilities

• Complies with confidentiality policies, HIPAA regulations and organizational standards when transmitting protected patient information to external agencies and vendors as needed for placement, payment or referral.
• Provides administrative support for the department by performing assigned tasks or activities that do not require a clinical license.
• Schedules, arranges and facilitates post-acute care referrals, Durable Medical Equipment, or follow-up appointments under the supervision of licensed staff.
• Prioritizes and forwards communications relating to insurance requests, denials and Physician Advisor status recommendations to the appropriate Care Manager and documents any related authorizations, denials or status determinations in the designated EMR or software program.
• Ensures office supplies and department equipment are available, current and functional.
• May obtain patient or family signatures on required documentation under the supervision of the clinical staff and maintains such documents in accordance with hospital policy.
• Works independently as needed with a high degree of detail orientation and manages multiple tasks or projects effectively.
• Works efficiently in a fast-paced environment with changing priorities.

Requirements

• High School Diploma / GED
• Must be 18 years of age OR older
• Experience working in the healthcare or medical insurance industry
• Proficiency in Microsoft Office applications, including Microsoft Word (create/edit documents), Microsoft Outlook (send/receive emails) and Microsoft Excel (data entry, manipulation of spreadsheets)
• Ability to work onsite in Boulder, CO
• Ability to work Sunday to Thursday
• Ability to work full-time between 8:00am - 5:00pm including the flexibility to work occasional overtime given the business need

Qualifications

• 1+ years of experience in an office or medical environment
• 1+ years of customer service experience
• Epic experience

Skills

• Excellent customer service and presentation skills
• Strong interpersonal and written communication skills
• Demonstrated ability to apply analytical and problem-solving skills
• Demonstrated ability to manage multiple tasks or projects effectively
• Ability to work independently as needed with a high degree of detail orientation
• Ability to work efficiently in a fast-paced environment with changing priorities

Benefits

• A comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (all benefits are subject to eligibility requirements)

Pay

The hourly pay for this role will range from $20 - $36 per hour based on full-time employment. We comply with all minimum wage laws as applicable.