Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.
Positions in this function include more traditional administrative / clerical support roles including: answering the telephone, typing / word processing of documents, maintaining calendars and setting up meetings, making travel arrangements, copying, faxing, greeting visitors, setting up files, tracking expenses, coordinating building and equipment maintenance. You will learn to assist with the onboarding of new staff. As well as supporting the Managers and the Clinical Care Managers in the field. This includes ordering supplies, Data Entry and troubleshooting computer issues. At senior levels, function may include supervision of other clerical / administrative staff.
Administrative intake of members in the facility and managing the care manager assignments.
Manage the referrals process, processes incoming and outgoing referrals, and prior authorizations.
Provide excellent Customer Service to both Providers and Enrollees
Extract and review fax requests for medical or clinical services
Access electronic member files using policy or id number
Determine member eligibility
Follow protocols to task requests appropriately
Check procedure codes against notification requirements and benefit coverage to determine next steps
Reference automated job aid tools via the computer to identify appropriate procedures when needed
Constantly meet established productivity, schedule adherence, and quality standards while maintaining good attendance
Maintain Confidentiality and adhere to HIPAA Requirements
Open, sort and distribute incoming correspondence via hard copy or email
Process reports for in facility members and format, organize, and assign according to members who do not have a care manager.
High School Diploma / GED (or higher)
2 years of customer service experience analyzing and solving customer problems
1 years of experience in an office setting using the telephone and computer as the primary instruments to perform the job duties
Ability to create, edit, save and send documents using Microsoft Word, Microsoft Excel, and Microsoft Outlook
Ability to navigate a PC to open applications, send emails, and conduct data entry
25 WPM typing / data entry skills
Knowledge of Medicare and Medicaid
Working Knowledge of Medical Terminology to communicate with members and providers
Ability to maintain professionalism and a positive service attitude at all times
Ability to sustain concentration to enter waivers for extended periods of time
Excellent communication skills - written and verbal
Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in healthcare here. We serve the healthcare needs of low income adults and children with debilitating illnesses such as Cardiovascular Disease, Diabetes, HIV / AIDS and High - risk Pregnancy. Our holistic, outcomes - based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive Healthcare, Community, and Government partners to heal healthcare and create positive change for those who need it most. This is the place to do your life's best work.SM
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.
Keywords: UHG, Dublin, OH, customer service, healthcare, administrative, clerical
Unitedhealth Group Inc.