This position follows a hybrid schedule with some in-office days per business need. Our office is located at 2720 North Tenaya Way, Las Vegas, NV 89128. 

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

This position is full-time (40 hours / week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm PST. It may be necessary, given the business need, to work some overtime and weekends.

Primary Responsibilities:

• Manage administrative intake of provider / facility
• Work with hospitals, clinics, facilities and the clinical team to manage requests for services from 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 providers and facilities
• This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our providers and facility staff over the phone.
• Will require in office rotations based on business need

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 year of work experience
• Must be 18 years of age OR older
• 1+ years of customer service experience in a healthcare environment, including hospitals, physician offices, OR medical clinic settings
• Experience with Microsoft Word (create documents), Microsoft Excel (create, edit, save documents and spreadsheets) and Microsoft Outlook (email and calendar management)
• Based on business needs may be required to come on-site at the office located at 2720 North Tenaya Way, Las Vegas, NV 89128
• Ability to work any of our full-time (40 hours / week), 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm PST from Monday - Friday, including the flexibility to work some overtime and weekends given the business need

Preferred Qualifications:

• Clerical OR administrative support background
• Knowledge of ICD-10 and CPT codes
• Experience with working in a high-volume customer contact environment

Telecommuting Requirements:

• Reside within commutable distance to the office at 2720 North Tenaya Way, Las Vegas, NV 89128
• 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:

• Strong attention to detail
• Ability to manage multiple tasks and prioritize effectively
• Willingness to learn new systems and procedures
• Willingness to support team goals and adapt to changing needs
• Clear and professional verbal and written communication

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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 $17.98 - $32.12 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.

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