CORE Coordinator - Louisville, KY Office

UnitedHealth Group•Louisville, KY

2d•Onsite

About The Position

Like you, UnitedHealth Group is strong on innovation. And like you, we'll go the distance to deliver high-quality care. As part of our clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive and positive for our members and providers. You'll have the opportunity to do live outreach, educating members about program benefits and services while also helping to manage member cases. Bring your skills and talents to a role where you'll have a chance to make an impact. This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. You also must be able to work a flexible schedule that includes evening hours.

Requirements

HS Diploma or GED
1+ year of customer service experience analyzing and solving customer problems
Must be able to create, edit, save and send documents utilizing Microsoft Word and Excel
Must be able to type and talk at the same time and navigate through multiple screens

Nice To Haves

Experience working within the health care Industry and with health care insurance
A clerical or administrative support background
Knowledge of ICD-9 and CPT codes
Experience working with Medicare and/or Medicaid Services
Call center experience
Experience working in a metric-driven work environment

Responsibilities

Manage the intake of members or the admission/discharge information post notification
Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers
Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles
Provide appropriate triage and care coordination notification cases for non-clinical assessment/intervention
Handle resolution/inquiries from members and/or providers