FAQs
What is the role of a Pre Authorization Representative at Optum?
The Pre Authorization Representative is responsible for completing the financial clearance process, securing authorizations for patient services, and ensuring a positive first impression of Optum services to patients and their families.
What are the primary responsibilities of this position?
Primary responsibilities include reviewing patient visit information to determine authorization needs, obtaining timely authorizations, mentoring less experienced team members, meeting department productivity and quality expectations, and complying with company policies.
What qualifications are required for this position?
Required qualifications include being 18 years or older, having a High School Diploma or GED (or equivalent experience), previous customer service experience in an office setting, and familiarity with Microsoft Office products.
Are there any preferred qualifications for this role?
Preferred qualifications include an Associate or Vocational degree in Business Administration or related fields, experience with insurance and benefit verification, prior authorization activities, and working with clinical staff and documentation.
What soft skills are important for the Pre Authorization Representative?
Important soft skills include excellent customer service skills, strong written and verbal communication skills, and the ability to work efficiently in fast-paced environments.
Is prior healthcare experience necessary for this role?
While not required, having experience with insurance verification, prior authorization, or working in a healthcare office setting is preferred.
What kind of training will be provided to new team members?
New team members may receive mentoring from more experienced colleagues on various aspects of the revenue cycle and payer issues as part of their initial training.
How does Optum support diversity and inclusion in the workplace?
Optum fosters a culture of diversity and inclusion, believing that everyone deserves the opportunity to live their healthiest life, and is committed to addressing health disparities and improving health outcomes.
What is the company’s mission?
The company's mission is to help people live healthier lives and make the health system work better for everyone, with a focus on equity and reducing barriers to healthcare access.
What is the expected work environment for this position?
The work environment can vary and may include remote work options in a hybrid format, as well as collaboration with medical staff and other departments in a healthcare setting.