Medical Assistant, Verification Team - OB Homecare

UnitedHealth Group • Franklin, TN • 2h ago

Requisition number: 2339841

Job category: Healthcare Delivery

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

Primary 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

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:

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

Preferred Qualifications:

Office experience

Bi-lingual

Personal Relationships: The person selected for this position must establish and maintain effective communication with staff and community partners. This person must have an empathetic understanding of client population and be able to relate to them in a positive and supportive manner

Physical Demand:

The physical demands described herein are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

Work Environment:

Work environment characteristics described herein are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

Disclaimer:

The preceding job description was developed to outline the general nature and level of duties the entitled employee classification will perform. It is not intended to be a comprehensive listing of all duties, responsibilities, qualifications, or duties that are, or may be, required of employees assigned to this job.

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. 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. The hourly pay for this role will range from $17.98 to $32.12 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.

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.

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.

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