Remote: Prior Authorization Resolution Coordinator (No Degree RQD/Entry Level) U

Opportunities with Genoa Healthcare.A career with Genoa Healthcare means you’re part of a collaborative effort to serve behavioral health and addiction treatment communities. We do more than just provide medicine: we change lives for the better. People with serious mental or chronic illness – and those who care for them – have moving stories, and at Genoa we become their voice, their partner. Working as part of a coordinated care team, we partner with community-based providers and others to ensure that people with complex health conditions get the right medications and are able to follow their treatment plans. Our personalized services – in-clinic pharmacies, medication management and more – are leading the way to a new level of care.Genoa is a pharmacy care services company that is part of Optum and UnitedHealth Group’s family of businesses. We are part of a leading information and technology-enabled health services business dedicated to making the health system work better for everyone. Join us to start caring. connecting. growing together.Prior Authorization Resolution Coordinator Responsible for preparation, review and completion of requests for prescription prior resolution support. Coordinator prepares documents related to prior authorization and/or appeal requests, verifying and updating patient/member profile information. This role also compiles medical notes (disease state, drug treatment history and current drug plan) in support of the request, performs outreach for additional information as needed to support the request, and submits prior authorization(s) for approval as an agent of the physician. Update approved requests in claims systems and inform healthcare team of outcome. When applicable, the coordinator forwards applicable requests through additional review path(s) and research financial assistance programs, as needed.Hours:Monday-Friday 10:30am to 7:00pm CTYou will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Primary ResponsibilitiesSupport prior authorization resolution in collaboration with Genoa Healthcare Pharmacy locationsInitiate review and appeal process, when neededAids in co-pay assistance set-up, when neededManage reports to ensure all Prior Authorization requests are completed for Genoa Healthcare Pharmacy locationsGenerate reporting to monitor timely completion of prior authorizations resolutionCompletes administrative duties, which include processing mail and faxes, to aid in prior authorization resolutionResearch and stay up to date on insurance plan eligibility and prior authorization criteriaWork independently to complete prior authorization needs from beginning to end and communicate with key stakeholders during the processPerforms other projects, work, and activities as assigned to ensure continuous service to our patients and clientsBenefitsPaid Time Off which you start to accrue with your first pay period plus 8 Paid HolidaysMedical Plan options along with participation in a Health Spending Account or a Health Saving accountDental, Vision, Life & AD&D Insurance along with Short-term disability and Long-Term Disability coverage401(k) Savings Plan, Employee Stock Purchase PlanEducation ReimbursementEmployee DiscountsEmployee Assistance ProgramEmployee Referral Bonus ProgramVoluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)More information can be downloaded at: QualificationsHigh School Diploma/GED (or higher)Preferred Qualifications2+ years of pharmacy operations experience2+ years of experience with prior authorization resolution and ability to navigate associated technology and platformsExceptional interpersonal and communication (verbal, listening) skills*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.74 to $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.Application Deadline:This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.UnitedHealth Group is a drug‑free workplace. Candidates are required to pass a drug test before beginning employment.#RPO #GREEN#J-18808-Ljbffr Apply tot his job