Central Outreach Specialist - Memphis, TN

Company: UnitedHealth Group
Location: Drummonds
Posted on: March 18, 2023

Job Description:

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

Like you, UnitedHealth Group is strong on innovation. And like you, we'll go the distance to deliver high-quality care. As part of our clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive and positive for our members and providers. You'll have the opportunity to do live outreach, educating members about program benefits and services while also helping to manage member cases. Bring your skills and talents to a role where you'll have a chance to make an impact.

This position is full-time, Monday - Friday. Employees are required to work our normal business hours of 10:00am - 7:00pm CST. It may be necessary, given the business need, to work occasional overtime or weekends. Our office is located at 50 S B.B. King Blvd Memphis, TN.

Primary Responsibilities:

• Manage administrative intake of members
• Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers
• Process incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles
• Assist the clinical staff with setting up documents/triage cases for Clinical Coverage Review
• Handle resolution/inquiries from members and/or providers
  This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. You also must be able to work a flexible schedule that includes evening hours.
  
  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 higher)
  • Ability to work any 8-hour shift between onsite in Memphis, TN 10am - 7pm CST
  • 1+ years of call center and / or telephonic customer service experience
  • 1+ years of professional experience in an office setting using the telephone and computer as the primary instruments to perform the job duties
  • Experience using Microsoft Word (edit, create & save documents), Microsoft Excel (sorting & filtering data), and Microsoft Outlook (email, folders, attachments and calendaring)
  • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation
    Preferred Qualifications:
    • Knowledge of ICD-9 an CPT codes
    • Medicaid and / or Medicare experience
    • Experience working with medical terminology
    • Experience in Healthcare setting
      Soft Skills:
      • Must be able and comfortable with maintaining metrics and goals within the department
      • Must be comfortable working on the phone and multiple systems on the computer simultaneously while assisting members
      • Experience analyzing and solving customer problems
        UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.
        
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        Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
        
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Keywords: UnitedHealth Group, Memphis , Central Outreach Specialist - Memphis, TN, Other , Drummonds, Tennessee