Healthcare Operations Coordinator

7 days ago


Honolulu, Hawaii, United States UnitedHealth Group Full time

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.

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. It may be necessary, given the business need, to work occasional overtime. Our office location is in Honolulu.

We offer 8 weeks of paid training. The hours during training will be 8:00 am to 4:30 pm HST, Monday-Friday.

Primary 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 calls, 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

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 equivalent years of experience
  • 18 Years of Age or Older
  • 2+ years of customer service experience
  • Experience with Microsoft Word (ability to edit, create, and save documents), Microsoft Excel (ability to edit, create, and save spreadsheets), and Microsoft Outlook (sending/receiving emails and calendar invites)
  • Able to work an 8-hour shift during the hours of operation: 8:00 am-4:30 pm Monday-Friday HST.

Preferred Qualifications:

  • Experience working within the healthcare industry and with healthcare insurance
  • Experience working in a hospital, physician's office, or medical clinic setting
  • Clerical or administrative support background
  • Knowledge of ICD-9 and CPT codes
  • Experience working in a call center

The estimated hourly range for this position is $16.54-$32.55 per hour. UnitedHealth Group offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-deserves the opportunity to live their healthiest life.

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.


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