Associate Clinical Admin

This position is National Remote. 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 makes 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 of our shift schedules during our normal business hours of 11:00 am - 8:00 pm. It may be necessary, given the business need, to work occasional overtime.

We offer 6 - 8 weeks of paid training. The hours during training will be 8:00 am - 5:00 pm EST, Monday - Friday. Training will be conducted virtually from your home.

• Manages the ancillary referral process by handling incoming and outgoing orders and prior authorizations
• Serves as primary point of contact regarding referrals, by engaging in (telephonic and electronic) client and vendor communications
• Follows protocols to determine patient eligibility and task requests appropriately
• Learns computer system and navigate between computer applications and platforms to research information
• Determine whether authorizations are required for requested medical services
• Reference automated job aid tools via computer to research relevant rules, regulations, or procedures
• Identifies and contacts appropriate resources if necessary to clarify information and respond to medical requests
• Schedules appointments, provides information regarding appointments and medical services to patients
• Orders supply/durable medical equipment requested through the appropriate vendor
• Ensures the order is entered correctly to submit to billing
• Provisioners complete 6 orders per day/Home Health Provisioners complete 4 orders per day/Intake associates handles 45 a day
• Makes 10-30 outbound calls a day as well takes any inbound calls

• High School Diploma / GED OR equivalent work experience
• Must be 18 years of age OR older
• 1+ years of experience in an office, claims OR customer service environment
• Experience working in a metric-driven work environment
• Proficiency with Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
• Ability to work full-time, Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 11:00 am - 8:00 pm. It may be necessary, given the business need, to work occasional overtime.

• Knowledge of ICD-10 and CPT codes
• Call center experience
• Durable Medical Equipment (DME) OR Home Health (HH) knowledge/experience.
• Experience working remotely

• 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 where can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

• Ability to manage and prioritize multiple tasks in a challenging environment with focused diligence
• Excellent verbal and written communication skills
• Strong organizational skills
• Possess time management skills; exhibits solid ability to prioritize work and perform multi-tasks