UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.

Ovations is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.   Imagine joining a group of professionals and clinicians who are working to improve health care for people over 50. Consider the influence you can have on the quality of care for millions of people. Now, enhance that success with enthusiasm you can really feel.   That's how it is at Ovations. Every day, we're collaborating to improve the health and well being of the fastest growing segment of our nation's population. And we're doing it with an intense amount of dedication.   Position Description: Positions in this function includes those responsible for initial triage of members, administrative intake of members or managing the admission/discharge information post-notification, working with hospitals and the clinical team. Includes managing incoming calls, managing requests for services from providers/members, providing information on available network services and transferring members as appropriate to clinical staff. Manages the referrals process, processes incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles.   Primary Responsibilities: Initial triage of members, administrative intake of members or managing the admission/discharge information post-notification, working with hospitals and the clinical team, including managing incoming calls, managing requests for services from providers/members, providing information on available network services and transferring members as appropriate to clinical staff
Manage the referrals process, processes incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles
Moderate work experience within own function
Some work is completed without established procedures
Basic tasks are completed without review by others
Supervision/guidance is required for higher level tasks
Must have ability to prioritize work and be a team player
Must take direction and work toward the common goals of the department as well as the company
Here, you will discover a culture that grows through challenge. That evolves by being flexible. That succeeds by staying true to our mission to make health care work effectively and efficiently for seniors. Put your best to work for us, and discover extraordinary opportunities for growth.

Qualifications: 1 year + of professional PC experience is required
1 year + of customer service experience is required
Knowledge of or experience with Medical Terminology is preferred
Call center experience is preferred
Experience with MS Word and Excel
Associates Degree or higher preferred
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V   UnitedHealth Group is a drug-free workplace.  Candidates are required to pass a drug test before beginning employment.  In addition, employees in certain positions are subject to random drug testing.


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