UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
Description
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:
The position is responsible for the coordination and processing Treatment Authorization Requests (TARS) submitted by the community and private medical providers for prior authorization of specialty services and procedures for certified patients.
Primary Responsibilities:
- Receive record and complete the first level of review in accordance with Medical Policy and approved protocols and track and complete TARS referred for professional review
- Provide program and patient information to physician offices and primary care clinics to facilitate appropriate requested medical services
- Work closely with other staff including a Medical Director, Nurse Care Managers, and Patient Services Representatives to ensure compliance with program policy, procedures, objectives and understanding
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:
- Experience using Medical Terminology
- Professional computer experience
- Typing Skills
- Customer Service experience
- Call Center experience
- Experience with Community Based Programs
- Government Program experience
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. All candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
