CORE Coordinator - Louisville, KY Office

Optum; Louisville (KY); On-site; USD 32,000 - 42,000; Full time

Job summary

UnitedHealth Group in Louisville, KY is seeking a CORE Coordinator to support members and providers through high-volume, phone-based care coordination and service referrals. The role focuses on intake management, referrals, prior authorizations, and non-clinical triage, with a requirement for evening hours and strong Word/Excel skills.

Ideal candidates will have a HS Diploma and 1+ year of customer service experience, and be capable of handling multiple screens while typing and talking.

Qualifications

• HS Diploma or GED required.
• 1+ year of customer service experience.
• Proficient with Word and Excel.

Responsibilities

• Manage the intake of members or the admission/discharge information post notification.
• Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers.
• Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles.
• Provide appropriate triage and care coordination notification cases for non-clinical assessment/intervention.
• Handle resolution/inquiries from members and/or providers.

Skills

Customer service

Typing while talking

Multitasking

Education

HS Diploma or GED

Tools

Microsoft Word

Microsoft Excel

Job description

Improve the lives of others while Caring. Connecting. Growing together.

Job Description - CORE Coordinator - Louisville, KY Office (2392717)

CORE Coordinator - Louisville, KY Office - 2392717

Like you, UnitedHealth Group 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 do live outreach, educating members about program benefits and services while also helping to manage member cases. Bring your skills and talents to a role where you'll have a chance to make an impact.

Primary Responsibilities

• Manage the intake of members or the admission/discharge information post notification
• Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers
• Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles
• Provide appropriate triage and care coordination notification cases for non-clinical assessment/intervention
• 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 members over the phone. You also must be able to work a flexible schedule that includes evening hours.

Required Qualifications

• HS Diploma or GED
• 1+ year of customer service experience analyzing and solving customer problems
• Must be able to create, edit, save and send documents utilizing Microsoft Word and Excel
• Must be able to type and talk at the same time and navigate through multiple screens

Preferred Qualifications

• Experience working within the health care Industry and with health care insurance
• A clerical or administrative support background
• Knowledge of ICD-9 and CPT codes
• Experience working with Medicare and/or Medicaid Services
• Call center experience
• Experience working in a metric-driven work environment

UnitedHealth Group is working to create the health care system of tomorrow.

Already Fortune 6, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.

Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed.

Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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.

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

UnitedHealth Group is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or accommodation for any part of the application process, please call 1-866-566-8715 to be connected to Recruitment Services. Recruitment Services hours of operation are 7 a.m. to 7 p.m. CT, Monday through Friday.

UnitedHealth Group is a registered service mark of UnitedHealth Group, Inc. The UnitedHealth Group name with the dimensional logo, as well as the dimensional logo alone, are both service marks for the UnitedHealth Group, Inc.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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.

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