Opportunities with Optum in the Tri-State region (formerly CareMount Medical, ProHEALTH New York, Crystal Run Healthcare and Riverside Medical Group). Come make a difference in the lives of people who turn to us for care at one of our hundreds of locations across New York, New Jersey, and Connecticut. Work with state-of-the-art technology and brilliant co-workers who share your passion for helping people feel their best. Join a dynamic health care organization and discover the meaning behind Caring. Connecting. Growing together.

Optum Pain Medicine, part of Optum, has an immediate opening for a friendly, patient focused and detailed oriented Authorization Specialist to join our team. Authorization Specialist is responsible for the completion of set processes and protocols. Works cooperatively with all members of the care team to support the vision and mission of the organization, deliver excellent customer service and adhere to Lean processes. Supports the teams in meeting financial, clinical and service goals.

Location: 2 OHIO DRIVE, Suite 102, LAKE SUCCESS, NY 11042

Schedule: Monday through Thursday 8:00 am to 5:00pm, Friday 9:00 to 4:00 pm. Shift to be determined by the hiring manager upon hire.

Primary Responsibilities:

• Verify eligibility and obtain authorization from insurance companies
• Ability to obtain authorizations for in office procedural injections
• Ability to obtain authorizations for MRI and Ct scans
• Ability to obtain authorizations for visco supplementations
• Follow up on authorizations submitted
• Ability to follow up with patient messaging
• Load or update insurance information as needed
• Schedule peer to peers for denied authorizations
• Schedule appointments using approved scheduling guidelines
• Monitor daily work queue lists, follow up on daily tasks; conduct outreach to patients requiring appointments; contact patients who, "no show," for follow up appointments for surgical procedures
• Monitor administrative tasks in the EHR and respond timely
• Scan and index documents into the EHR; ensure that necessary documents, lab results, etc. are available in advance of patient visits
• Assist coworkers as needed to assure smooth office operation and delivery of excellent service through teamwork
• Demonstrate respect for patients and Optum staff by presenting a friendly, courteous manner at all times and maintaining patient confidentiality
• Planning and building the procedure schedules, and confirming the patients on the schedules
• Perform other duties as assigned

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
• More information can be downloaded at:

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School Diploma/GED (or higher)

Preferred Qualifications:

• 6+ months of scheduling and obtaining authorizations for surgical procedures
• 1+ years of experience working in medical front office position performing duties such as scheduling appointments, checking patients in/out, insurance verification, collecting co-pays, and maintaining medical records
• Intermediate level of computer proficiency (multi-task through multiple applications including Microsoft Outlook, Excel, and Word)
• Experience working with an electronic health record

Soft Skills:

• Ability to work independently and maintain good judgment and accountability
• Demonstrated ability to work well with health care providers
• Strong organizational and time management skills
• Ability to multi-task and prioritize tasks to meet all deadlines
• Ability to work well under pressure in a fast-paced environment
• Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others

New York Residents Only: The salary range for New York residents is $16.00 to $28.27 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

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