Referral Coordinator - Remote in Irving, TX

If you are located within commutable distance of our office location at 909 Hidden Ridge Suite 300 Irving, TX 75038, you will have the flexibility to telecommute* (work from home) 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 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.

This position is full time (40-hours/week). Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00am - 6:00pm, Monday - Friday. It may be necessary, given the business need, to work occasional overtime or weekends.

We offer 2- 4 weeks of on-the-job training. The hours of the training will be aligned with your schedule.

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Primary Responsibilities:

• Manage the internal/ external referral process and daily referral reconciliation gathering required information and documents needed, working them accordingly in compliance with established timelines.
• Answers telephone and assists caller through the phone queue with scheduling and other needs based on the call type.
• Participate in clinic and market education, training, and meetings as needed and/or required.
• Maintains knowledge and ensures procedures are followed including referral guidelines and policies, privacy, and confidentiality.
• Deliver quality customer service, managing the referral process professionally and in a timely manner maintaining professionalism and a positive attitude with all internal and external customers/peers.
• Ability to work independently.
• Obtain and update prior authorizations and referral authorizations for both internal and external specialty offices.
• Being a patient advocate for quality healthcare in external facilities, maintaining the strictest confidentiality.
• Retain and utilize knowledge of insurance policies and procedures.
• Performs all other related 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
• Must be 18 years of age OR older
• 1+ years in healthcare
• Effective verbal and written communication skills
• Customer Service Skills
• Detail oriented with organizational and time management skills
• Proficiency in Microsoft Office applications including: Excel, Word and Outlook
• Able to navigate through multiple software and computer technology
• Knowledge of medical terminology
• Ability to travel to clinics about once a month
• Ability to work any of our 8-hour shift schedules during our normal business hours of 7:00am - 6:00pm, Monday - Friday. It may be necessary, given the business need, to work occasional overtime or weekends

Preferred Qualifications:

• 1+ years of Referral management experience
• 1+ years of Medical Insurance experience
• 1+ years of Customer Service experience
• Bilingual

Telecommuting Requirements:

• Reside within commutable distance of our office location at 909 Hidden Ridge Suite 300, Irving TX 75038
• 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

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.

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.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO

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