About the position
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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. This position is full-time (40 hours/week), Monday - Friday. Employees are required to work an 8-hour shift schedule during our normal business hours of 7:00am - 7:00pm CST. It may be necessary, given the business need, to work occasional overtime and will have to rotate all major holidays (New Year's Day, MLK Day, Memorial Day, July 4th, Labor Day, Thanksgiving and Christmas). We offer 2 weeks of paid training. The hours during training will be 8:30am - 5:00pm CST, Monday - Friday. Training will be conducted virtually from your home.
Responsibilities
- Initiates prior authorizations for outpatient medication injectables so members can receive medication in a timely manner
- Take calls from providers regarding chemotherapy and specialty medication injectables as well as verifying HIPAA
- Take calls from providers and enter services that they are requesting into the system
- Must have accurate documentation and meet weekly metrics
- Other duties as assigned
Requirements
- High School Diploma / GED OR equivalent work experience
- Must be 18 years of age OR older
- 1+ years of experience in health insurance OR medical billing
- 1+ years of experience taking 40+ calls in a high-volume call center environment
- Experience with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
- Ability to work Monday - Friday, in an 8-hour shift schedule during our normal business hours of 7:00am - 7:00pm CST. It may be necessary, given the business need, to work occasional overtime and will have to rotate all major holidays (New Year's Day, MLK Day, Memorial Day, July 4th, Labor Day, Thanksgiving and Christmas)
Nice-to-haves
- 1+ years of experience working with ICD-9 / 10 and CPT codes
- Professional experience in a clerical OR administrative support related role
- Pharmacy experience including working knowledge of prescription drug names
- Experience working with Microsoft Word (creating, editing, saving documents)
- Experience working with Microsoft Excel (creating, editing, saving spreadsheets)
- Knowledge of medical terminology
Benefits
- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution
