At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life’s best work.SM 

Schedule: Monday through Friday, from 8:00 am to 5:00 pm Central Standard Time. No nights, weekends, or holidays. Must reside in the State of Texas.

If you are located within a commutable distance of Sugarland, TX, you’ll enjoy the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

• Work with hospitals, clinics, facilities, and the clinical team to manage requests for services from members and/or providers
• Manage administrative intake of members
• Process incoming and outgoing referrals, including intake, notification, and census roles
• Assist the clinical staff with setting up documents/triage cases for Clinical Coverage Review
• Handle resolution/inquiries from members and/or providers
• Navigate and document multiple clinical applications and SharePoint sites

This is high volume, customer service environment. You’ll need to be efficient, productive, and thorough dealing with our members and contracted providers. You also must be able to work a flexible schedule only during required overtime (when applicable) 

What are the reasons to consider working for UnitedHealth Group? Put it all together – competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
• More information can be downloaded at: http://uhg.hr/uhgbenefits

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 (or higher) OR 3 years equivalent experience working within the health care Industry or with health care insurance
• 2 years of experience working within the health care industry, or with health care insurance
• 2 years of customer service experience
• Intermediate proficiency with MS Word, Excel (create, edit, save documents) and Outlook (email and calendar management)
• Reside in the state of Texas with the ability to travel up to 10% of the time for office meetings within Texas
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)

Preferred Qualifications:

• Prior work at home experience
• 2 years of experience working in a hospital, physician's office, or medical clinic setting
• A clerical or administrative support background

Soft Skills:

• Strong oral and written communication skills — specifically telephone skills
• Demonstrated effective organizational skills and scheduling skills as observed in day-to-day work
• Excellent customer service skills
• Excellent interpersonal and problem-solving skills
• Attention to detail, as observed in day-to-day work
• Excellent time management and prioritization skills
• Must demonstrate flexibility, ability to follow through on all tasks in a timely fashion, good attention to detail and a willingness to learn
• Strong team player, initiative in achieving individual and team goals, and team building skills
• Able to handle sensitive issues with members and providers in a confidential manner
• Demonstrates initiative in achieving individual, team, and organizational goals and objectives

Careers with UnitedHealthcare. Work with a Fortune 5 organization that’s serving millions of people as we transform health care with bold ideas. Bring your energy for driving change for the better. Help us improve health access and outcomes for everyone, as we work to advance health equity, connecting people with the care they need to feel their best. As an industry leader, our commitment to improving lives is second to none. 

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

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, #green