Behavioral Health Escalation Specialist - National Remote

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
The Behavioral Health Escalation Specialist is an individual contributor role responsible for an exciting variety of responsibilities in Specialty Networks of OptumHealth. We are looking for someone who is detail - oriented, yet can see the big picture. We are in need of that rare person who balances strong analytical skills with a positive, team - focused personality.
This position is full - time, Monday - Friday. Employees are required to work any 8-hour shift between the hours of 10:30 AM - 7:00 PM CST including the flexibility to work occasional overtime based on business need.

• All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Primary Responsibilities

• Achieve timely resolution to urgent and non - urgent issues
• Act as a resource for others
• Work independently
• Mentor others
• Analyze and communicate complex information in understandable terms both verbally and written
• Support issue resolution for a variety of internal and external customers
• Extensive work experience, possibly in multiple functions
• Work in a fast - paced, high stress environment
• Coordinate others activities

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)
• 2+ years of Healthcare Insurance experience
• Ability to work any 8-hour shift between the hours of 10:30 AM - 7:00 PM CST from Monday - Friday including the flexibility to work occasional overtime based on business need
• Experience with using Microsoft Word (create and edit correspondence), Microsoft Excel (ability to create, edit, and sort spreadsheets, basic analytical formulas, VLOOKUP, if), and Microsoft Outlook (email and calendar management)
• 2+ years of Telephonic Customer Service experience
• Experience with Medical terminology
• 1+ years of Optum behavioral health experience

Preferred Qualifications

• Bachelor's Degree (or higher)
• 1+ years of appeals OR claims experience in any of the following areas: Processing, Operations, Appeal Levels, Letter Writing, etc.
• Experience in a professional Leadership role

Telecommuting Requirements

• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Ability to keep all company sensitive documents secure (if applicable)
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

California, Colorado, Connecticut, Nevada, New Jersey, New York, Washington, or Rhode Island Residents Only: The salary range for California / Colorado / Connecticut / Nevada / New Jersey / New York / Washington / Rhode Island residents is $18.80 - $36.78. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.
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.
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