Customer Service Representative

Optum; Aberdeen (WA); On-site; USD 45,847,000 - 83,097,000; Full time

Benefits offered by this job

Comprehensive benefits package

Stock options

401k contribution

Job summary

Optum Insight is seeking a full-time onsite specialist to perform insurance eligibility checks, obtain pre-authorizations, and coordinate with hospital departments to ensure smooth prior authorization workflows. The role involves patient interactions to resolve account issues and requires strong computer and Windows PC skills.

Candidates should have a High School Diploma or GED and at least 1 year in healthcare authorizations, with willingness to work full-time on-site at 915 Anderson Dr,

Qualifications

• High School Diploma / GED or equivalent work experience.
• 1+ years of authorizations experience within healthcare.
• Experience with patient registration and insurance verification in healthcare.
• Ability to work full-time onsite at 915 Anderson Dr, Aberdeen, WA 98520.
• Ability to work full-time, Monday - Friday between 8:00am - 5:00pm PST including occasional overtime.

Responsibilities

• Performing insurance eligibility checks and obtaining pre-authorizations with Carriers, and researching and resolving issues to maximize profitability for clients.
• Daily coordination with Hospital department contacts as part of Prior Authorization workflow.
• Intermittent interaction with patients to resolve account issues.
• Other duties as assigned.

Skills

Insurance eligibility checks

Prior Authorization workflow

Customer service

Microsoft Excel

Windows PC experience

Education

High School Diploma / GED

Tools

Microsoft Excel

Job description

This position is Onsite. Our office is located at 915 Anderson Drive Aberdeen, Washington 98520.

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? 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 8-hour shift schedules during our normal business hours of 8:00am - 5:00pm PST. It may be necessary, given the business need, to work occasional overtime.

We offer 2 weeks of on-the-job training. The hours of training will be aligned with your schedule.

Primary Responsibilities

• Performing insurance eligibility checks and obtaining pre-authorizations with Carriers, and researching and resolving issues in order to receive maximum profitability for clients
• Daily coordination with Hospital department contacts as part of Prior Authorization workflow
• Intermittent interaction with patients to resolve account issues
• Other duties as assigned

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
• Must be 18 years of age OR older
• 1+ years of authorizations experience within healthcare
• Experience with patient registration and insurance verification experience in healthcare
• Ability using computer and Windows PC applications, which includes keyboard and navigation skills and ability to learn new computer programs
• Ability to work full time onsite at 915 Anderson Dr, Aberdeen, WA 98520
• Ability to work full-time, Monday - Friday between 8:00am - 5:00pm PST including the flexibility to work occasional overtime given the business need

Preferred Qualifications

• Healthcare and/or insurance billing or processing experience
• Experience working with insurance websites
• Customer service experience
• Ability to perform functions in Microsoft Excel (edit, filter, sort)

Soft Skills

• Demonstrated ability to communicate effectively through both written and verbal channels.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16 - $29 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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

#RPO #RED