You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
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 assigned 8-hour shift during our normal business hours of 7:00 AM – 8:00 PM CST. It may be necessary, given the business need, to work occasional overtime.
We offer 2 weeks of paid training led by trainer and will pair with SME for more on-the-job training afterwards. The hours during training may vary between 7:00 AM – 5:30 PM CST. Training will be conducted virtually from your home.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
- Manage inbound and outbound telephone communication in a professional manner and according to productivity and quality standards.
- Process inbound and outbound data and communication (i.e., faxes, emails and electronic communication) according to productivity and quality standards.
- Enter, review and or verify member information in the nH Coordinate care management platform and communicate approved pertinent information with healthcare providers and / or naviHealth team as needed.
- Enter the required data into the naviHealth database accurately and in a timely manner.
- Complete administrative documentation for member records including but not limited to disenrollment, transitioning, creating authorization shells, attaching documents (i.e., medical records), and logging therapy information.
- Assist in a smooth coordination of members care between health providers and the health plan.
- Establish relationships and communicate, when appropriate, to providers, clients and / or naviHealth field / care management staff as defined by departmental policy and process.
- Run and / or review reports to monitor assigned team duties are completed.
- Follow chain of command as appropriate when reporting issues or concerns.
- Attend naviHealth meetings as requested.
- Adhere to organizational, departmental, compliance and regulatory policies and procedures.
- Promote a positive attitude and work environment.
- Perform other duties and responsibilities as required, assigned, or requested.
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 / GED OR equivalent work experience
- Experience with computers, which includes navigating through various systems and / or applications in an office OR customer service setting
- Flexibility to work any assigned 8-hour shift during our normal business hours of 7:00 AM – 8:00 PM CST from Monday – Friday
- Must be 18 years of age OR older
Preferred Qualifications:
- Experience in healthcare setting
- Familiarity with medical terminology and HIPAA laws
- Experience with working in a call center environment
Telecommuting Requirements:
- 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
Soft Skills:
- Excellent written and oral communications skills
- Must be organized and able to prioritize, plan, and handle multiple tasks / demands simultaneously
- Demonstrated critical thinking skills
- Ability to verbally articulate and communicate with manager, team members, and customers
- Detail – oriented and able to interpret data and information in the nH Coordinate system
Physical and Work Environment:
- Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard time period
- Ability to communicate with Clients and team members including use of cellular phone or comparable communication device
- Ability to remain stationary for an extended time period (1 – 2 hours)
- Experience using various office equipment, such as copier, fax machine, telephone and scanner
California, Colorado, Connecticut, Nevada, New Jersey, New York, Washington, or Rhode Island Residents Only: The hourly range for California / Colorado / Connecticut / Nevada / New York / New Jersey / Washington / Rhode Island residents is $16.00 – $27.31 per hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.