Per Diem Care Management Assistant

UnitedHealth Group • Dallas, TX

263d • $16 - $20 • Remote

About The Position

Opportunities at Northern Light Health, in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the place for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits, and discover the meaning behind: Caring. Connecting. Growing together. This position is per diem (as needed). Employees are required to work at least three shifts per month during the hours of 07:30AM - 06:00PM EST. It may be necessary, given the business need, to work occasional overtime which includes rotating holidays & weekend shifts. We offer 4 weeks of on-the-job training. The hours during training will be 8:00am to 4:30pm EST, Monday - Friday. You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.

Requirements

• High School Diploma/GED
• Must be 18 years of age or older
• 1+ years of healthcare customer service experience analyzing and solving customer problems.
• Experience working with Cerner (Electronic Medical Records)
• Experience working with medical terminology
• Proficiency with Microsoft Word and Excel (ability to create, edit, save, and send documents and spreadsheets)
• Ability to work a per diem schedule (as needed), which includes rotating holidays & weekend shifts.
• Ability to work at least three shifts per month during the hours of 07:30AM - 06:00PM EST.
• Ability to train full time for the first four weeks between, Monday - Friday, 08:00AM - 04:30PM EST.

Nice To Haves

• Experience working within the health care Industry and with health care insurance.
• Clerical or administrative support background
• Knowledge of ICD-9 and CPT codes
• Experience working with Medicare and/or Medicaid Services
• Medical Assistant
• Call center experience.

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.

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

What This Job Offers

• Job Type: Part-time
• Career Level: Entry Level
• Industry: Insurance Carriers and Related Activities
• Education Level: High school or GED