Preauthorization Analyst

UnitedHealth Group • Worcester, MA

60d • $18 - $32 • Remote

About The Position

REMOTE IN MASSACHUSETTS 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Reliant Medical Group has an immediate opening for a Preauthorization Analyst . This is a high-volume, customer service environment. You'll need to be efficient, productive and thoroughly dealing with our members over the phone. This individual will be responsible for processing surgical prior authorizations for multiple specialties including Ortho, Podiatry, Gen Surgery, Urology, and Plastic surgery for Reliant Medical Group surgeons. Schedule (38.75 hours): Monday-Friday, 8am-4:30pm EST If you reside within the state of Massachusetts , you will enjoy the flexibility to telecommute as you take on some tough challenges. Please note you may be required to come into the office for onsite training if needed. What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. 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. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Requirements

• High School Diploma/GED (or higher)
• 2+ years of medical office or healthcare support-related experience
• Intermediate level of proficiency with Microsoft Word, Excel, and Outlook
• Ability to work remotely in the state of Massachusetts

Nice To Haves

• Experience working within the health care Industry and with healthcare insurance
• Experience working in a hospital, physician's office or medical clinic setting
• A clerical or administrative support background
• Knowledge of ICD-9 and CPT codes
• Knowledge of medical terminology

Responsibilities

• Processes surgical authorizations and denials per specific payor's guidelines
• Screen for member eligibility
• Retrieve clinical notes to complete our electronic medical record, and accurately enter information into the computer system

Benefits

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan
• Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees