You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

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.

Responsible for providing administrative support to the inpatient care management team and ensuring timely and accurate patient discharges by arranging and processing of high-volume internal and external referrals. Maintains accuracy of acute hospital and SNF bed days to ensure the integrity of the monthly bed day and census report.

This is a full-time position (40 hours/week). Employees are required to work our normal business hours of 5:00pm - 1:30am PST. This is a rotating days position to include weekends and holidays. 3 weeks of the month will include 3 weekdays plus the weekend, 1 week of the month will be Monday - Friday, weekend off. 

We offer 4 weeks of paid training. The hours during training will be 5:00pm-1:30am PST, Monday - Friday. Training will be conducted virtually from your home.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Primary Responsibilities:

• Consistently exhibits behavior and communication skills that demonstrate Optum’s commitment to superior customer service, including quality, care and concern with each and every internal and external customer.
• Ensures proper input of inpatient and outpatient authorizations for acute care and skilled nursing facilities
• Informs care managers of admission, eligibility and benefits issues.
• Enters, updates and close acute, observation, day surgery and SNF admission referrals within designated timeframes.
• Prints, sends mails or faxes or verbally provides authorizations / referrals to providers and facilities.
• Monitors fax queues for new admission notifications
• Consistently and accurately completes data entry and documentation
• Processes referrals for DME and coordinates home health services according to established policies, procedures, guidelines and timeframes.
• Redirects referrals to utilization management or medical director.
• Prioritizes and independently handles incoming referrals without supervision.
• Directs providers and patients to contracted provider networks and facilities and updates patient information as needed
• Provides length of stay for exhaustion of SNF benefits.
• Arranges post discharge appointments.
• Facilitates exchange of information between all levels of care managers to ensure continuity of care.
• Performs high-level critical thinking for re-directing phone calls, referrals and other issues that may arise.
• Assists with answering telephones and maintaining files, logs or other reports.
• Acts as a resource for team members.
• Expected to participate in flexible weekday scheduling and weekend/ holiday coverage rotation per business needs
• Seeks and identifies opportunities for process improvement
• Meets or exceeds productivity targets
• Uses, protects, and discloses Optum patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
• Performs additional duties as assigned.

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 / GED
• Must be 18 years of age OR older
• 1 years experience in a healthcare setting (doctor’s office or acute care setting)
• Knowledge of medical terminology
• Familiarity with computer and Windows PC applications, which includes the ability to learn new and complex computer system application
• Ability to work with multiple computer platforms simultaneously
• Ability to work our normal business hours of 5:00pm - 1:30am PST. This is a rotating days position to include weekends and holidays. 3 weeks of the month will include 3 weekdays plus the weekend, 1 week of the month will be Monday - Friday, weekend off. 

Preferred Qualifications:

• Knowledge of CPT and ICD-10 coding
• Basic understanding of managed care principles

Telecommuting Requirements:

• 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.