Hiring for Philippine Registered Nurses
UnitedHealth Group
Quezon City, Philippines
6d ago

Position Description

Like you, Optum, part of the UnitedHealth Group family of businesses, is strong on innovation. And like you, we'll 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.

You'll 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 you'll 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. You'll 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 :

  • Active Philippine Registered Nurse
  • 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, physician's office or medical clinic setting
  • Experience working in the BPO industry
  • Clerical or administrative support background
  • Knowledge of ICD-9 and CPT codes
  • Join us today and we can provide you with meaningful challenge that can result in a strong sense of impact and fulfillment.

    It's truly an opportunity to do your life's best work.(sm)

    Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone.

    So when it comes to how we use the world's 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 life's best work.(sm)

    Diversity creates a healthier atmosphere : Optum is an Equal Employment Opportunity 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.

    Optum is a drug-free workplace. 2019 Optum Global Solutions (Philippines) Inc. All rights reserved.

    Job Keywords : Hiring for Philippine Registered Nurses, RN, PHRN, Local RN, Philippine Registered Nurse, Clinical Case Review, Quezon City, QC, NCR, National Capital Region

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