Utilization Management Representative - San Diego, CA
Optum
San Diego, CA
8 days ago
$16.00 - $28.85
This Job Position Has Expired
This job listing is no longer available for applications. The position may have been filled or the posting period has ended.
Job Description
Join Optum as a Utilization Management Representative and become part of a team dedicated to improving healthcare management. You will perform critical data entry tasks and engage with health plans and physician offices, ensuring quality care for patients. Enjoy comprehensive training and a range of benefits in a supportive work environment.
Key Responsibilities
Perform data entry of prior authorization requests accurately to meet turnaround time standards
Contact Health Plans for medical policies or benefit interpretations
Contact physician offices for additional clinical information as directed
Sort and distribute faxed images into designated folders
Other duties as assigned
Required Qualifications
High School Diploma / GED or equivalent experience
Must be 18 years of age or older
Experience in a healthcare environment, physician's office, or insurance company
Knowledge of medical terminology, ICD and CPT coding
Experience with computers and Windows-based programs including Microsoft Word and Outlook
Ability to work any of the 10-hour shift schedules during business hours (6:30 - 5:00 PM PST) and occasional overtime
Preferred Qualifications
Experience in working with prior authorizations
Benefits & Perks
3 - 4 months of paid on-the-job trainingComprehensive benefits packageIncentive and recognition programsEquity stock purchase401k contribution