As part of our Center for Service Coordination department, you will be a key stakeholder in supporting our members. Your primary role will be outreaching to our members post-discharge to ensure all of their healthcare needs are met. Identification of the appropriate programs and services available is critical to the success of our members.

***This is an IN-OFFICE position located at 20414 NORTH 27TH AVE, Phoenix, AZ.***

This is a high volume customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone.

Primary Responsibilities:

• 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.
• Outreach calls to our members / beneficiaries post facility discharge
• Support the enrolled members / beneficiaries of our community partners
• Collaborating with our PCP Network, physician offices and hospital facilities within Maricopa County
• Support members with coordinating healthcare services
• Arranging post-discharge appointments, transportation, and transition of our members across the continuum of care
• Make appropriate referrals to the Customer Care team to support benefit, billing / payment and eligibility of our members
• Assist with referrals / calls received by the Center for Service Coordination department, and complete community outreach and documentation

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:

• High school diploma or GED
• 1+ years of customer service experience analyzing and solving customer problems with great communications skills
• Experience working within the healthcare industry
• Professional experience in a clerical or administrative support related role
• Working knowledge of medical terminology to communicate with members / beneficiaries and providers
• Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive VoiceResponse (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained
• You will be asked to perform this role in an office setting or other company location, however, may be required to work from home temporarily due to space limitations

Preferred Qualifications:

• Some college / undergraduate education
• Medical Assistant (MA) certification
• Experience working with Centers for Medicare and Medicaid Services, especially Medicare and Medicare Advantage programs
• Knowledge of community resources

Careers with Optum.Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to doyour life's best work.(sm)

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment

Job Keywords: Clinical Administrative Coordinator, customer service, Phoenix, Glendale, Peoria, Scottsdale, Tempe, AZ, Arizona