Join Optum as a Referral Coordinator and play a vital role in connecting members with essential healthcare services. Your contributions will enhance health outcomes while working in a supportive environment that values inclusion and offers career growth.
Key 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
Assist the clinical staff with setting up documents/triage cases for Clinical Coverage Review
Handle resolution/inquiries from members and/or providers
Other duties as assigned
Required Qualifications
HS Diploma / GED (or higher)
2+ years of customer service experience
2+ years of medical office experience
1+ years of experience processing referrals
Intermediate level of proficiency with MS Word, Excel and Outlook
Preferred Qualifications
Experience working within the health care Industry and with health care insurance
Experience working in a hospital, physician's office or medical clinic setting
Experience working in a call center
A clerical or administrative support background
Knowledge of ICD-9 and CPT codes
Benefits & Perks
Comprehensive benefits packageIncentive and recognition programsEquity stock purchase401k contribution