About the position
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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.
Schedule: Monday - Friday 9:00 a.m. - 5:30 p.m. in your time zone but hours are subject to change due to business needs
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.
Responsibilities
• Positively represent the Company to both internal and external customers; always maintain a professional and courteous manner
• Uphold the Optum core values in the conduct of work
• Adhere to Company privacy guidelines; ensure compliance with local, state, and federal regulations
• Follow Optum policies and procedures and adhere to state-specific regulatory requirements
• Collaborate with Corporate departments to resolve operational issues
• Act as a Subject Matter Expert for other Team Members
• Work with Hospital providers, CM’s, clinics, facilities, and clinical team to manage requests for services
• Process authorizations, prior authorizations for commercial and Medicaid
• Work Eligibility report for Medicaid & Review 40-day auth report
• Resolve inquiries from members and/or providers
• Participate in staff meetings
• Ability to maintain a courteous, competent, and professional image when communicating over the telephone
• Additional duties as assigned
Requirements
• High school diploma or equivalent
• Demonstrated exceptional telephone etiquette and customer service skills
• Basic computer proficiency; experience with Microsoft Office, Outlook (internet and email). Attend in-services on applicable technology enhancements
Nice-to-haves
• Office experience
• Bi-lingual
Benefits
• 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.
Apply Now
Apply Now