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Care Team Associate - National Remote

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Optum

24d ago

  • Job
    Full-time
    Junior Level
  • People, HR & Administration
    Healthcare
  • Dallas
    Remote

AI generated summary

  • You must have a high school diploma, 2+ years in admin support and prior authorization, medical terminology knowledge, and excellent communication skills. Certification and a dedicated workspace are needed.
  • You will handle inquiries, assist with prior authorizations, support clinical staff, report data trends, provide customer service, participate in meetings, and help train new team members.

Requirements

  • High School Diploma / GED
  • Must be 18 years of age OR Older
  • Working knowledge of Microsoft Office Suite, Internet and e-mail
  • Ability to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00am - 7:00pm CST, Sunday - Saturday. It may be necessary, given the business need, to work occasional overtime or weekends
  • Certified Medical Assistant training or certification
  • 2+ years of experience with prior authorization or claims
  • 2+ years of administrative support experience
  • Medical terminology experience
  • General knowledge of CPT, and ICD-10
  • Smartsheet and Excel preferred
  • 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
  • Able to work independently, with some supervision and direction from manager
  • Possess and demonstrate excellent organizational skills, customer service skills, and verbal and written communication skills to include but not limited to patients, physicians, clinical staff, contracted providers and managers
  • Maintain and demonstrate a high degree of professionalism to include both personal conduct and appearance at all times
  • Maintain strict confidentiality at all times to include but limited to patients and coworkers
  • Comply with all organizational policies regarding ethical business practices
  • Adhere to all department policies and procedures
  • All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Responsibilities

  • Receives and responds to inquiries from all communication venues: e.g. phone, queue, department e-mail box or fax
  • Coordinates and assists initial screening of concurrent authorization requests via all communication venues; as well as administrative preparation for clinical staff
  • Exhibits excellent phone and communication skills while providing complete and accurate information to customers
  • Requests additional or supplemental information via correspondence in order to complete prior authorization requests
  • Completes prior authorizations in the WellMed prior authorization system according to approved policies and procedures
  • Compiles and reports data for ongoing key performance indicators and summarizes and presents findings to departmental leadership. Notifies manager of trends they observe
  • Adheres to assigned schedule and quality metrics
  • Provides clerical and/or administrative support to clinical staff and managers for special studies, projects and reports
  • Provides excellent customer service by serving as a resource to all internal and external customers
  • Attends required meetings and participates in special committees as needed
  • Assists with training and onboarding of Utilization Management / CM Care Team Associates
  • May act as a team lead for projects and departmental initiatives as assigned
  • Performs other duties as assigned

FAQs

Do we support remote work?

Yes, this position allows for full remote work from anywhere within the U.S.

What is the primary responsibility of the Care Team Associate?

The primary responsibility of the Care Team Associate is to support the implementation and execution of Utilization Management programs by preparing authorizations, seeking medical records, and troubleshooting authorization-related issues.

What are the required qualifications for this role?

The required qualifications include a High School Diploma or GED, being 18 years or older, working knowledge of Microsoft Office Suite, and flexibility to work various 8-hour shifts during business hours.

Is any prior experience necessary for this position?

While not required, preferred qualifications include 2+ years of experience with prior authorization or claims and 2+ years of administrative support experience.

What hours will I be expected to work?

Employees must have the flexibility to work any of the 8-hour shifts scheduled during normal business hours of 7:00 am - 7:00 pm CST, Sunday - Saturday, with possible occasional overtime or weekend work.

What benefits does UnitedHealth Group offer?

UnitedHealth Group offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase options, and 401k contributions, among other benefits.

Will I be trained for this position?

Yes, the position includes assistance with training and onboarding of new staff, as well as being a resource for existing staff.

Are there any specific telecommuting requirements?

Yes, employees need to ensure company sensitive documents are secure, have a dedicated work area for privacy, and maintain a high-speed internet connection as approved by UnitedHealth Group.

What skills are considered soft skills for this role?

Soft skills for this role include excellent organizational skills, customer service skills, verbal and written communication skills, professionalism, confidentiality, and compliance with organizational policies.

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Optum

Science & Healthcare
Industry
10,001+
Employees

Mission & Purpose

Optum is a health services and technology company that provides a wide range of solutions to improve healthcare delivery and outcomes. They offer services in healthcare management, data analytics, pharmacy benefit management, and technology solutions to healthcare providers, payers, employers, and government agencies. Optum's ultimate mission is to improve the health system's efficiency and effectiveness, creating a healthier world for everyone. Their purpose lies in collaborating with healthcare partners to address complex challenges, such as improving care coordination, reducing healthcare costs, and enhancing patient experiences. By leveraging data-driven insights and innovative technology, Optum aims to empower healthcare professionals and organisations to deliver high-quality, patient-centered care and drive positive healthcare outcomes for individuals and communities worldwide.

Culture & Values

  • Integrity

    Honour commitments. Never compromise ethics.

  • Compassion

    Walk in the shoes of people we serve and those with whom we work.

  • Relationships

    Build trust through collaboration.

  • Innovation

    Invent the future, learn from the past.

  • Performance

    Demonstrate excellence in everything we do.