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Job title: Contract Assistant – US Remote
Company: UnitedHealth Group
Job description: Energize your career with one of Healthcare’s fastest growing companies.
You dream of a great career with a great company – where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.
This opportunity is with one of our most exciting business areas: Optum – a growing part of our family of companies that make UnitedHealth Group a Fortune 6 leader.
Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.
The Contract Assistant role will report to the teams Non-Clinical Supervisor and partner with the OrthoCare Managers to provide administrative non-clinical support with determination of benefit eligibility and case preparation for clinical review involved in the contracts between OrthoNet and managed care payers. Working closely with OrthoNet’s OrthoCare Managers, payer representatives and physician offices, the Contract Assistant will be responsible for assuring that the administrative terms of the contract are handled in an efficient and timely manner. We are looking for a team player who is goal oriented, self-motivated, takes initiative and is willing to learn in a fast paced environment.
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 (40 hours/week) Monday – Friday. Employees are required to have flexibility to work any of our 8 hour shift schedules during our normal business hours of (9:00am – 5:30pm). It may be necessary, given the business need, to work occasional overtime. This is a remote/work from home role.
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
We offer 3 weeks of paid training. The hours during training will be 9:00am to 5:30pm EST Monday-Friday.
Training will be conducted virtually from your home.
Primary Responsibilities:
- Develop a professional relationship with member physician office, and managed care payer personnel.
- Educate providers on client’s processes for treatment review.
- Coordinate selected registration, scheduling, faxing, billing and reporting for OrthoNet contracts may include, maintaining logs, faxing, verifying information, entering data, generating reports, etc.
- Research appropriate benefit documents to provide preparation for OrthoCare Case Managers.
- Work with OrthoCare Case Managers to assure that information and compliance expectations are communicated to providers and/or members to meet the state regulations timeframe.
- Develop and maintain medical records to assure that all information is received, legible, recorded and filed in the appropriate manner.
- Meet daily departmental productivity goals.
- All other 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 or GED
- 2+ years of customer service experience
- Experience with MS Word (create, edit, save documents)
- Experience with Excel (create, edit, save spreadsheets)
- Experience with Outlook (email and calendar management)
- If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders
Preferred Qualifications:
- Bachelor’s degree or higher
- Experience working within the health care Industry and with health care insurance
- Experience working in a hospital, physician’s office or medical clinic setting
- A clerical or administrative support background
- Knowledge of ICD-9 and CPT codes
- Experience working in a call center
Soft skills:
- Strong communication and customer service skills
UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. At this time, 90% of our non-clinical workforce transitioned to a work at home (remote) status. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us.
You can learn more about all we are doing to fight COVID-19 and support impacted communities at:
Careers with Optum. Here’s the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world?s large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life’s best work.
Colorado Residents Only: The hourly range for Colorado residents is $15.00 to $25.19. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.
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.
Keywords: customer service, call center, intake, prior authorization, medical assistant, administrative, clerical, coordinator, claims, work at home, work from home, WAH, WFH, remote, telecommute, hiring immediately
Expected salary: $15 – 25.19 per hour
Location: New York City, NY
Job date: Wed, 27 Jan 2021 23:33:17 GMT
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