Energize your career with one of Healthcares fastest growing companies.
You dream of a great career with a great company - where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, its a dream that definitely can come true. Already one of the worlds leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our Service Centers, improve our Service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.
This opportunity is with one of our most exciting business areas: Optum - a growing part of our family of companies that make UnitedHealth Group a Fortune 6 leader.
Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions, and treatments; helping them to navigate the system, finance their Healthcare needs, and stay on track with their Health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation, and Performance.
Must be in Pacific or Mountain Time Zone Telecommute; Must be within 60 miles of an Optum Office.
Applies knowledge / skills to activities that often vary from day to day.
Demonstrates a moderate level of knowledge and skills in own function.
Requires little assistance with standard and non - standard requests.
Solves routine problems on own.
Works with supervisor to solve more complex problems.
Prioritizes and organizes own work to
Determine member eligibility
Follow protocols to task requests appropriately
Checks level of benefit codes to determine eligibility for program enrollment to determine next steps
Reference automated job aid tools via the computer to identify appropriate procedures when needed
Access claims information
Review and interpret call history documentation (e.g., case notes)
Navigate between computer screens and platforms to research information (e.g., medical, clinical, or benefits information)
Take calls and questions from members regarding case status
Reference automated job aid tools via computer to research relevant rules, regulations, or procedures
Learn computer system and process changes and updates and incorporate into daily work
Contact internal resources if necessary to clarify information
Identify appropriate resource (e.g., care management consultant, case manager, supervisor) to respond to member questions
UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.
We are committed to introducing innovative approaches, products and services that can improve personal health and promote healthier populations in local communities. Our core capabilities... in clinical care resources, information and technology uniquely enable us to meet the evolving needs of a changing health care environment as millions more Americans enter a structured system of health benefits and we help build a stronger, higher quality health system that is sustainable for the long term.
We serve our clients and consumers through two distinct platforms:
?UnitedHealthcare, which provides health care coverage and benefits services.
?Optum, which provides information and technology-enabled health services.