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Process Associate

2.00 to 5.00 Years   Chennai (Tamil Nadu)   21 Feb, 2025
unitedhealth group information services
Job LocationChennai (Tamil Nadu)
EducationME/ M.Tech./ MS (Engg/ Sciences)BA (Arts)
SalaryAs per Industry Standards
IndustryHealthcare
Functional AreaOperations/Customer Service/Telecalling/Backend
EmploymentTypeFull-time

Job Description

Like you, UnitedHealth Group is strong on innovation. And like you, well 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. Youll 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 youll have a chance to make an impact.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 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
This is high volume, customer service environment. Youll need to be efficient, productive and thorough dealing with our members over the phone. You also must be able to work a flexible schedule that includes evening hours.Required Qualifications
  • HS Diploma or GED
  • 2 years of customer service experience
  • Experience 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, physicians office or medical clinic setting
  • A clerical or administrative support background
  • Knowledge of ICD-9 and CPT codes
  • Experience working in a call center
Join us today and we can provide you with meaningful challenge that can result in a strong sense of impact and fulfillment. Its truly an opportunity to do your lifes best work.SMCareers with OptumHeres 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 worlds 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 lifes best work.SMDiversity creates a healthier atmosphereUnitedHealth 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.Apply Internal Employee ApplicationLocations - Primary Location: Chennai, Tamil Nadu, IN

Keyskills :
customer service administrative support case management referral processing ms office proficiency health icd clinical support pharmacy physician

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