Refill Authorization Representative

UnitedHealth Group • Everett, WA

3d • $18 - $32 • Hybrid

About The Position

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. Optum's Pacific West region is redefining health care with a focus on health equity, affordability, quality, and convenience. From California to Oregon and Washington, we are focused on helping more than 2.5 million patients live healthier lives and helping the health system work better for everyone. At Optum Pacific West, we care. We care for our team members, our patients, and our communities. Join our culture of caring and make a positive and lasting impact on health care for millions. The Refill Authorization Representative is responsible for reviewing and processing prescription refill requests in a centralized environment serving multiple Primary Care providers. Acting as a key liaison between patients, providers, and pharmacies, this role ensures that refill requests are handled promptly and accurately, maintaining high levels of customer service and patient satisfaction. Location: Onsite training required at 7600 Evergreen Way, Everett, WA. Role will become remote following training period. If you reside near Everett, WA, you will enjoy the flexibility to telecommute as you take on some tough challenges. Schedule: One of two shifts- The shift will be determined by the supervisor upon hire. Shift One: Monday -Friday, 8am-5pm, Shift Two: Tuesday through Saturday 8am-5pm PST. Schedule is subject to change based on business need. If you reside within the Everett, WA , you will enjoy the flexibility to telecommute as you take on some tough challenges.

Requirements

• High School Diploma/GED or higher
• Current certification from WA State Department of Health as a Certified Medical Assistant or WA State Pharmacy Technician License
• 1+ years of experience with basic computer software and keyboarding
• 1+ years of customer service experience
• Ability to work: Shift One: Monday -Friday, 8am-5pm, Shift Two: Tuesday through Saturday 8am-5pm PST
• Reside within a commutable distance to Everett and surrounding communities in Washington
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
• Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Nice To Haves

• 2+ years of related healthcare experience (clinic, hospital, or call center)
• EMR experience
• Ability to work independently and maintain good judgment and accountability
• Demonstrated ability to work well with health care team
• Strong organizational and time management skills
• Ability to multi-task and prioritize tasks to meet all deadlines
• Ability to work well under pressure in a fast-paced environment
• Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others
• All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Responsibilities

• Process Prescription Refills Review, prepare, and submit medication refill requests to providers for approval, following established protocols
• Accurately enter patient and prescription information into the Electronic Health Record (EHR) system
• Patient & Provider Communication Respond to patient inquiries both verbally and in writing regarding refill status, dosage instructions, and general medication-related questions within the scope of the role
• Communicate patient needs and concerns to providers or nursing staff, both verbally and in writing, to ensure timely resolution of refill-related issues
• Coordination & Collaboration Serve as a central point of contact for physicians, nurses, and pharmacies, maintaining open lines of communication regarding patient refills
• Collaborate with clinical staff to clarify prescriptions, confirm dosages, or address any potential medication conflicts
• Documentation & Compliance Maintain accurate and timely documentation in the EHR, adhering to clinic policies and HIPAA regulations
• Protect patient privacy by safeguarding sensitive information and following confidentiality guidelines
• Complete annual compliance training
• Customer Service & Core Values Provide professional, courteous, and empathetic support to patients, even under high-volume or challenging circumstances
• Foster a positive and respectful work environment, demonstrating dependability through consistent attendance and punctuality
• Attend department and organization-wide training sessions as required
• Perform other duties assigned to support departmental operations

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 ReimbursementA 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