Global Health Solutions Specialist

1 week ago

Pagadian, Zamboanga Peninsula, Philippines beBeeCare Full time $36,000 - $54,000

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.

We strive for inclusion, foster talented peers, provide comprehensive benefits, and offer career development opportunities. Our culture enables collaboration, creativity, and growth among our teams. By joining us, you'll contribute to advancing health optimization on a global scale.

As part of our clinical support team, you'll play a key role in customer satisfaction. You'll be responsible for ensuring every contact is informative, productive, and positive for our members and providers. Your efforts will positively impact our members' experiences.

Key Responsibilities:

  • Manage intake of member information or admission/discharge notifications.
  • Collaborate with hospitals, clinics, facilities, and the clinical team to manage requests from members and/or providers.
  • Process incoming and outgoing referrals and prior authorizations, including intake, notification, and census roles.
  • Provide triage and care coordination for non-clinical assessment/intervention cases.
  • Handle resolution/inquiries from members and/or providers.

Our environment is fast-paced and requires efficiency, productivity, and thoroughness when interacting with members over the phone. Flexibility in scheduling, including evening hours, is also required.

Required Qualifications:

  • High School Diploma or equivalent.
  • At least one year of customer service experience analyzing and solving customer problems.
  • Ability to create, edit, save, and send documents using Microsoft Word and Excel.
  • Ability to type and talk simultaneously while navigating multiple screens.

Preferred Qualifications:

  • Experience working in the healthcare industry and with healthcare insurance.
  • Knowledge of ICD-9 and CPT codes.
  • Call center experience.

Our mission at UnitedHealth Group is to improve health outcomes and make the health system work better for everyone. We believe that everyone deserves the opportunity to live their healthiest life.

Optum is an equal-opportunity employer.

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