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Prior Authorization Coordinator - Lenexa, KS

UnitedHealth Group

Lenexa, KS
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Job Details

744210 Prior Authorization Coordinator Lenexa KS

Prior Authorization Coordinator - Lenexa, KS (744210)

Position Description

Position Description:

Energize your career with one of Healthcare’s fastest growing companies.  


You dream of a great career with a great company – where you can make an impact and help people.  We dream of giving you the opportunity to do just this.  And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives.  We live for the opportunity to make a difference and right now, we are living it up.


This opportunity is with one of our most exciting business areas: Optum –a growing part of our family of companies that make UnitedHealth Group a Fortune 6 leader.


Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.

There may be easier administrative jobs out there, but few offer the satisfaction of truly helping people manage their personal health and well-being. UnitedHealthcare, part of the UnitedHealth Group family of businesses, is serving employers and individuals, states and communities, military families and veterans wherever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. Our customer service teams have a serious responsibility to make every contact informative, productive, positive and memorable. If you're the kind of person who wants to bring your contribution to a new level every day, find out more.

Primary Responsibilities:
  • Obtain prior authorization or pre-certification of services to be rendered as required by each individual payor
  • Answer incoming telephone calls and triage to appropriate personnel as indicated
  • Complete and manage all paperwork or supportive documentation required for performing effective billing
  • Re-verify patient eligibility, monitor insurance lifetime caps and prior authorization periods
  • Resolve patient / payor issues in a timely manner
  • Work with Managed Care to identify contracting opportunities
  • Participate in Departmental, Clinical and Company meetings as requested
  • Demonstrates interpersonal skills among co-workers, internal departments, and referral sources
  • Participate in required Quality Improvement Program including, but not limited to in-services and educational programs
  • Follow Current Referral Intake Process Flow
  • May assist with training of other team members, as needed
  • Any other duties as assigned
Required Qualifications:
  • High School Diploma/GED
  • 1+ year of experience working in an office setting using the telephone and computer as the primary instruments to perform job duties
  • Previous experience working with Microsoft Office including Microsoft Outlook (ability to create, edit, save, and send documents), Microsoft Word (ability to create, edit, save, and send documents), and Microsoft Excel (ability to create, edit, save, and send documents)   
  • Prior authorization knowledge/experience
  • Ability to maintain confidentiality and adhere to HIPAA requirements
  • Comfortable working Monday-Friday from 8am-5pm with possible OT and Saturdays as needed
Preferred Qualifications:
  • Home infusion, DME, or Pharmacy experience
  • Intake / Insurance experience 
  • Experience with Medicaid and Medicare
  • Medical billing or coding experience 

Careers with AxelaCare. Discover a health services career that encourages your professional growth while delivering steadfast commitment to exceptional patient care. That's what you discover at AxelaCare. We were founded by a close group of medical professionals in Lenexa, KS to provide patient-focused, state of the art home infusion services for acute, hemophilia and Intravenous Immune Globulin (IVIG) therapies. Today we collaborate with leading doctors to develop breakthrough technologies for patient outcomes assessment; and we recently joined Optum, part of the UnitedHealth Group family of companies. It all reinforces our commitment to empowering people in the pursuit and delivery of exceptional patient care, and creating personalized career paths to discovering your life's best work.SM

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action 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.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Keywords: UHG, Prior Authorizations, Clinical, Administrative, Kansas, Lenexa

Job Details

  • Contest Number744210
  • Job TitlePrior Authorization Coordinator - Lenexa, KS
  • Job FamilyMedical and Clinical Operations
  • Business SegmentOptumRx

Job Location Information

  • Lenexa, KS
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionNo
  • Overtime StatusNon-exempt

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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