About the Company
Optum, a part of UnitedHealth Group, is a leading health services innovation company committed to helping people live healthier lives and making the health system work better for everyone. We combine technology, data, and expertise to improve the delivery, quality, and efficiency of healthcare. Join our team and contribute to a healthier future.
Job Description
Are you detail-oriented, organized, and passionate about ensuring patients receive the care they need? Optum is seeking a dedicated Prior Authorization Coordinator to join our remote team. In this critical role, you will manage the prior authorization process for various medical services, ensuring timely approvals and effective communication with healthcare providers, patients, and insurance companies. This is a fantastic opportunity to work from the comfort of your home, with all necessary equipment provided, while making a tangible impact on patient access to care.
Key Responsibilities
- Process prior authorization requests accurately and efficiently according to established guidelines and payer requirements.
- Communicate professionally with insurance companies to verify benefits, obtain authorizations, and follow up on pending requests.
- Liaise with healthcare providers, clinics, and patients to gather necessary clinical documentation for authorization submissions.
- Maintain precise and confidential patient records within the electronic health record (EHR) system.
- Troubleshoot and resolve authorization denials or delays, escalating complex issues when necessary.
- Stay updated on changes in insurance policies, medical necessity criteria, and regulatory guidelines.
- Educate providers and office staff on prior authorization requirements to minimize denials and streamline processes.
Required Skills
- 1+ years of experience in medical administration, patient services, or a related healthcare role.
- Strong understanding of medical terminology, CPT codes, and ICD-10 codes.
- Proficiency in navigating various insurance payer portals and systems.
- Exceptional organizational skills and attention to detail.
- Excellent written and verbal communication skills.
- Ability to work independently in a fast-paced, remote environment.
- High school diploma or equivalent.
Preferred Qualifications
- Associate's or Bachelor's degree in healthcare administration or a related field.
- Prior experience specifically in prior authorizations or referrals.
- Experience with Epic or other major EHR systems.
- Certification in medical billing and coding.
Perks & Benefits
- Competitive annual salary.
- Comprehensive health, dental, and vision insurance.
- Paid time off and holidays.
- 401(k) retirement plan with company match.
- Company-provided laptop and necessary remote work equipment.
- Opportunities for professional development and career growth.
- Remote work flexibility, saving commute time and costs.
- Employee assistance programs.
How to Apply
If you are interested in this position, please click the "Apply Now" button below. To ensure your application is properly considered, please prepare the following:
- An up-to-date Resume or CV
- A brief cover letter summarizing your experience and motivation
Applications are reviewed on a rolling basis. Only shortlisted candidates will be contacted for an interview.
⚠️ Important Disclaimer
Welcome to Westford Trust. We publish job opportunities aggregated from public sources, employers, and job portals. We never charge any fees to access or use our website; all information is provided entirely for free.
Westford Trust does not directly offer or manage these positions, nor are we directly involved in the hiring process for the vacancies published on https://job.westfordtrust.com.
If you suspect a fraudulent listing or have any questions, please contact us at techturna@gmail.com.