Prior Authorization Resolution Coordinator

UnitedHealth Group • Saint Paul, MN

286d • $16 - $33 • Remote

About The Position

Opportunities with Genoa Healthcare. A career with Genoa Healthcare means you're part of a collaborative effort to serve behavioral health and addiction treatment communities. We do more than just provide medicine: we change lives for the better. People with serious mental or chronic illness - and those who care for them - have moving stories, and at Genoa we become their voice, their partner. Working as part of a coordinated care team, we partner with community-based providers and others to ensure that people with complex health conditions get the right medications and are able to follow their treatment plans. Our personalized services - in-clinic pharmacies, medication management and more - are leading the way to a new level of care. Genoa is a pharmacy care services company that is part of Optum and UnitedHealth Group's family of businesses. We are part of a leading information and technology-enabled health services business dedicated to making the health system work better for everyone. Join us to start Caring. Connecting. Growing together.

Requirements

• High School Diploma/GED (or higher)

Nice To Haves

• 2+ years of pharmacy operations experience
• 2+ years experience with prior authorization resolution and ability to navigate associated technology and platforms
• Exceptional interpersonal and communication (verbal, listening) skills

Responsibilities

• Support prior authorization resolution in collaboration with Genoa Healthcare Pharmacy locations
• Initiate review and appeal process, when needed
• Aids in co-pay assistance set-up, when needed
• Manage reports to ensure all Prior Authorization requests are completed for Genoa Healthcare Pharmacy locations
• Generate reporting to monitor timely completion of prior authorizations resolution
• Completes administrative duties, which include processing mail and faxes, to aid in prior authorization resolution
• Research and stay up to date on insurance plan eligibility and prior authorization criteria
• Work independently to complete prior authorization needs from beginning to end and communicate with key stakeholders during the process
• Performs other projects, work, and activities as assigned to ensure continuous service to our patients and clients

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
• Industry: Insurance Carriers and Related Activities
• Education Level: High school or GED