Clerk

This position is Remote in Las Vegas, NV. If you are located within commutable distance to the office at 2720 N TENAYA WAY LAS VEGAS, NV, you will have the flexibility to work remotely* as you take on some tough challenges.

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.

Energize your career with one of Healthcare’s fastest growing companies.

You dream of a great career with a great company – where you can make an impact and help people. We dream of giving you the opportunity to do just this, and with the incredible growth of our business, it’s a dream that can come true. Already one of the world’s leading Healthcare companies, UnitedHealth Group is relentlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives.  We live for the opportunity to make a difference and right now, we are living it up.

This opportunity is with one of our most exciting business areas: Optum – a growing part of our family of companies that make UnitedHealth Group a Fortune 5 leader. Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions, and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way, and we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.

The Office Clerk plays a vital role in supporting clinical operations through timely and accurate handling of documentation and communications. This position requires strong attention to detail, the ability to work independently, and flexibility in scheduling.

This position is full-time. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:30am – 5:00pm PST Tues – Sat, or a 10-hour shift 6:30am – 5:00pm PST Wed – Sat. It may be necessary, given the business need, to work occasional overtime.

We offer 2-4 weeks of paid training. The hours of training will be Monday – Friday, 8:30am – 5:00pm PST.

                                                 

Primary Responsibilities:

Failed Fax Management:

• Review failed faxes, identify failure reasons, and reprocess as needed

Correspondence & Mail Handling:

• Print and package member and provider prior authorization letters
• Deliver member and provider letters to UPS and USPS office

Member & Provider Communication:

• Make outbound calls to members to provide verbal notification of expedited approvals
• Submit faxed requests to home health providers to obtain signed NOMNC (Notice of Medicare Non-Coverage) forms

Inbox Monitoring:

• Monitor the department inbox and process incoming emails appropriately

Reporting:

• Curo High Risk Log: Monitor and track requests that are at risk of missing deadlines to ensure timely follow-up and resolution
• TAT Pending NOD Detail Report: Research cases with completed decisions that are pending member verbal notifications or letter confirmations, ensuring timely and compliant communication

Additional Expectations:

• Partner with intake and clinical for various reasons such as missing letters or missed turnaround times
• Maintaining compliance with turnaround times based on member’s product, the type of request and the specific regulatory agency
• Other duties as assigned

                                                 

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.

Required Qualifications:

• High School Diploma / GED or equivalent work experience
• Must have a valid Driver’s License
• Must be 18 years of age or older
• 1+ years of customer service experience
• Experience using a computer and Microsoft Office including Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort / filter, and work within tables), and Microsoft Outlook (email and calendar management)
• Ability to type 30+ WPM
• Ability to operate standard office equipment such as multiple monitors, copier, fax and printer
• Ability to work 40 hours a week including a Saturday shift. Training will be 2-4 weeks and will be hosted Monday – Friday 8:30am – 5:00pm PST. Shift options after training will be Tuesday – Saturday 8:30am – 5:00pm PST or Wednesday – Saturday 6:30am – 5:00pm PST

                                                 

Preferred Qualifications:

• Healthcare experience
• Authorization experience

                                                 

Telecommuting Requirements:

• Reside within commutable distance to the office at 2720 N TENAYA WAY LAS VEGAS, NV
• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

                                                 

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

                                                 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 – $24.23 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

                                                 

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.

                                                 

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