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Prior Authorization Representative - Phoenix, AZ job in Scottsdale at UnitedHealth Group

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Prior Authorization Representative - Phoenix, AZ at UnitedHealth Group

Prior Authorization Representative - Phoenix, AZ

UnitedHealth Group Scottsdale, AZ Full Time
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Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

 Like you, OptumCare is strong on innovation. And like you, we'll go the distance to deliver high-quality care. As part of our clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive and positive for our members and providers. You'll have the opportunity to provide live support to providers and members for prior authorization and referrals. Bring your skills and talents to a role where you'll have a chance to make an impact.  

*This is an office based role in the Phoenix, AZ office.*

Primary Responsibilities:  

  • Manage administrative intake of members 
  • Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers 
  • Process incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles 
  • Assist the clinical staff with setting up documents/triage cases for Clinical Coverage Review 
  • Handle resolution/inquiries from members and/or providers 
  • This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our providers over the phone. You also must be able to work a flexible schedule that includes evening hours

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:  

  • HS Diploma or GED 
  • 2+ years of customer service experience or related type of experience
  • Experience with MS Word and Outlook 
  • Computer savvy (able to navigate folders, documents, internet-based applications, etc.) 
  • Good phone etiquette
  • Must be flexible to work Monday through Friday between the hours of 7 am and 6 pm CST (40 hours per week), with the possibility of occasional weekend work as needed
  • You will be asked to perform this role in an office setting or other company location
  • Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained

Preferred Qualifications:  

  • Experience working within the health care Industry and with health care insurance 
  • Experience working in a hospital, physician's office or medical clinic setting 
  • A clerical or administrative support background 
  • Knowledge of ICD-10 and CPT codes 
  • Experience working in a call center 


 
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

OptumCare is committed to creating an environment where physicians focus on what they do best: care for their patients. To do so, OptumCare provides administrative and business support services to both owned and affiliated medical practices which are part of OptumCare. Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. OptumCare’s support services do not interfere with or control the practice of medicine by the medical practices or any of their physicians.

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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. 

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

Job Keywords:  Clinical Admin coordinator, Prior Authorization, Call Center, healthcare, customer service, clinic, hospital, physicians office, Phoenix, Tempe, Scottsdale, Gilbert, Mesa, Glendale, AZ, Arizona

 

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