AmeriChoice is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
If you're ready to help make health care work better for more people, you can make a historic impact on the future of health care at AmeriChoice.
We contract with states and other government agencies to provide care for over two million individuals. Working with physicians and other care providers, we ensure that our members obtain the care they need with a coordinated approach.
This enables us to break down barriers, which makes health care easier for our customers to manage. That takes a lot of time. It takes a lot of good ideas. Most of all - it takes an entire team of talent. Individuals with the tenacity and the dedication to make things work better for millions of people all over our country.
Position Description:
Positions in this function includes those responsible for initial triage of members, administrative intake of members or managing the admission/discharge information post-notification, working with hospitals and the clinical team. Includes managing incoming calls, managing requests for services from providers/members, providing information on available network services and transferring members as appropriate to clinical staff. Manages the referrals process, processes incoming and outgoing referrals, and prior authorizations.
Primary Responsibilities:
- Supporting the case management team
- Sending correspondences to physicians' offices
- Answering the phones and checking voicemail
- Referring callers to appropriate resources
- Gathering and reviewing healthcare data for state reports
- Assisting with special projects as needed
You can be a part of this team. You can put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered.
Qualifications
Qualifications:
- High School Diploma or GED is required.
- 1 + year experience working in an Administrative Support position is required.
- Intermediate skills using MS/Office (Word, Excel & Outlook) is required.
- 1 + year experience working Telephonic Customer Service environment is required.
- Knowledge of Medical Terminology is preferred.
- Healthcare experience is preferred.
- MS/PowerPoint & MS/Access is a plus.
- Experience with Electronic Medical Records is desired.
- College degree is preferred.
- Tenncare or Medicaid experience is preferred.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
Job Overview
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