Associate Clinical Admin

Telecommuting Ancillary Referral Manager

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 make 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 (40 hours / week), Monday - Friday. Employees are required to work an 8-hour shift schedules during our normal business hours of 11 : 00am - 8 : 00pm EST. It may be necessary, given the business need, to work occasional overtime and weekends.

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

Primary Responsibilities :

• 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 supplies / durable medical equipment requested through the appropriate vendor
• Ensures the order is entered correctly to submit to billing
• Provisioners complete 6 orders per day - Intake associates complete 45 phone calls / DMS line items per day

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 :

Preferred Qualifications :

Telecommuting Requirements :

Soft Skills :

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). The salary for this role will range from $16.00 - $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

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.