Care Coordinator

3 weeks ago


Sun City Center, Florida, United States Optum Full time

Optum Job Description

At Optum, we strive to deliver care and services that improve the health and well-being of our members. As a Care Coordinator, you will play a vital role in connecting people with the care, pharmacy benefits, data, and resources they need to feel their best.

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, 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

Requirements:

  • High School Diploma / GED
  • Must be 18 years or older
  • 2+ years of customer service experience
  • 1+ years experience working within the healthcare industry and with healthcare insurance
  • Experience with Microsoft Word, Excel, and Outlook
  • Knowledge of ICD-9 and CPT codes
  • Ability to travel up to 10% of the time

Preferred Qualifications:

  • Experience working in a hospital, physician's office, or medical clinic setting
  • Clerical or administrative support background
  • Experience working in a call center

Why Work at Optum?

At Optum, we believe that everyone deserves the opportunity to live their healthiest life. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes. We are an Equal Employment Opportunity / Affirmative Action employer and welcome applicants from diverse backgrounds.


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