Campus Pride Jobs

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 8:00am – 05:00PM or it can be a 4 10-hour shifts — must be 40 hours a week. It may be necessary, given the business need, to work occasional overtime and weekends. Our office is located at 909 Hidden Ridge Irving, TX.

We offer 3 weeks of on-the-job training. The hours of training will be 8:00am to 5:00pm CST, Monday – Friday.

If you are located in Irving, TX, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Act as a Subject Matter Expert for other team members

• Manage the intake of members or the admission/discharge information post notification

• Work with hospitals, clinics, facilities and the clinical team to manage requests for services

• Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles

• Resolve inquiries from members and/or providers

Part of the challenge here is dealing positively with members and providers in sometimes challenging circumstances. As a subject matter expert, you'll also be the “go-to” resource for information. The flexibility to work evening hours will also be required.

Positions in this function includes those responsible for initial triage of members, administrative intake of members or managing the admission/discharge information post-notification, working with hospitals and the clinical team. Includes managing incoming calls, managing requests for services from providers/members, providing information on available network services and transferring members as appropriate to clinical staff. Manages the referrals process, processes incoming and outgoing referrals, and prior authorizations. This function includes intake, notification and census roles. *Employees in jobs labeled with ‘SCA’ must support a government Service Contract Act (SCA) agreement.

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:

• 2+ years of experience analyzing and solving customer problems

• 1+ years of experience working in the health care industry

• 1+ years of experience working with medical terminology

• Ability to pick up equipment onsite before first day

• Must be 18 years of age OR older

• Ability to work full-time, Monday - Friday between 8:00am - 5:00pm OR it can be a 4 10-hour shift - must be 40 hours a week including the flexibility to work occasional overtime given the business need

Preferred Qualifications:

• Experience working with health care insurance

• Experience in a hospital, physician's office or medical clinic setting

• Clerical or administrative support background or experience working in a call center environment

• Experience working with Medicare and/or Medicaid Services

Telecommuting Requirements:

• Reside within 30 miles within Irving, TX

• 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  

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.

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.

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

#RPO