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 CT

You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities

Support prior authorization resolution in collaboration with Genoa Healthcare Pharmacy locations

Initiate review and appeal process, when needed

Aids in co-pay assistance set-up, when needed

Manage reports to ensure all Prior Authorization requests are completed for Genoa Healthcare Pharmacy locations

Generate reporting to monitor timely completion of prior authorizations resolution

Completes administrative duties, which include processing mail and faxes, to aid in prior authorization resolution

Research and stay up to date on insurance plan eligibility and prior authorization criteria

Work independently to complete prior authorization needs from beginning to end and communicate with key stakeholders during the process

Performs other projects, work, and activities as assigned to ensure continuous service to our patients and clients

Benefits

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 :

Required Qualifications

High School Diploma / GED (or higher)

Preferred Qualifications

2+ years of pharmacy operations experience

2+ years of experience with prior authorization resolution and ability to navigate associated technology and platforms

Exceptional 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

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