Payment Navigator - Remote in Colorado

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

This position will field incoming requests for BHASO (Behavioral Health Administrative Services Organization services) through the RMHP (Rocky Mountain Health Plans) phone line and email. As a representative of RMHP, the Payment Navigator will provide excellent customer service to inquiring Individuals and Providers and will expertly articulate the services and supports available through the BHASO. The position requires knowledge of behavioral health services and will support navigation of an Individual's benefits to assess for BHASO eligibility. The position will support transitions to Regional Accountable Entities and commercial insurance as needed. The position requires multicultural sensitivity and effective communication skills with Individuals accessing BHASO services.

Schedule: Monday through Friday between the hours of 8:00 am to 5:00 pm Mountain Standard time

If you reside in the state of Colorado, you will enjoy the flexibility of a remote role as you take on some tough challenges.

Primary Responsibilities:

• Work collaboratively across the Colorado C&S and BHASO departments
• Respect confidentiality as described in the UHG Employee Handbook and acknowledged through signature by all employees. The ability to maintain confidentiality is a critical and essential component of this position
• Participate in Interdisciplinary care team meetings as indicated
• Knowledge of behavioral health resources and services and facilitates linkage to needed care
• Knowledge of BHASO services and contract. Knowledge of Medicaid and commercial insurance related to behavioral health benefits
• Communicates the mission and role of the organization to community associations and stakeholder groups as needed
• Serves as the front-line contact for Individuals accessing care. Provides excellent customer service and follows up promptly
• Supports with screening and triage. Connects Individuals to internal and external services
• Educate and assist identified Individuals about behaviors that can enhance their health and assist with navigating the behavioral health system
• Communicate member issues requiring interventions to appropriate departments and providers
• Maintain confidentiality and use only the minimum amount of protected health information (PHI) necessary to accomplish job related responsibilities
• Participate in staff meetings, case conferences and in-services. Maintain familiarity with all policies and procedures that impact decisions and care
• Complete all duties in accordance with company safety policies and practices
• Other functions may be assigned and management retains the right to add or change the duties at any time

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: http://uhg.hr/uhgbenefits

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) OR 4+ years of community outreach work experience
• 1+ years of experience working with diverse populations, community, or faith-based organizations
• 1+ years of experience with knowledge of Colorado Medicaid and the Colorado Behavioral Health Administration
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
• Reside in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
• Reside in the state of Colorado

Preferred Qualifications:

• Experience with customer service
• Healthcare setting experience
• Knowledge of health education, motivational strategies, and an empathetic manner working with the underserved
• Knowledge of behavioral healthcare
• Knowledge of local area
• Bilingual in English and Spanish

Physical & Mental Requirements:

• Ability to execute regular, reliable, and predictable performance of the essential functions of this job through a consistent ability to be physically and mentally present at the assigned work location, at the prescribed time, with the prescribed tools and with the availability necessary to successfully complete the essential duties described herein
• Ability to handle and manage stress associated with the performance of job duties
• Ability to appropriately interact with, and get along with others including supervisors, coworkers, customers and other stakeholders
• Ability to work collaboratively with others as set forth in the job description
• Ability to accurately and timely follow directions of supervisors
• Ability to perform the essential functions of this job at the assigned primary work location for this job, which is in one of the RMHP office locations
• Ability to perform the essential functions of the job at the assigned primary work location for this job, which is in the employee's home
• Ability to effectively speak, understand and be understood, and communicate in English
• Ability to hear adequately on the phone, in person and in group settings
• Ability to travel primarily within the State of Colorado daily
• Ability to be exposed to changing weather conditions
• Ability to travel between various locations and to timely arrive and depart from various locations
• Ability to provide independent, reliable, flexible, and on-demand, transportation at the employee's expense. If the employee chooses to satisfy this requirement by driving a vehicle, requires ability to meet the requirements for Colorado licensure and company requirements for liability insurance coverage
• Ability to work a flexible schedule including before and after core business hours and occasional evenings and weekends
• Ability to work in front of a computer screen and keyboard, sitting and/or standing up to 8-10 hours per day (possibly longer if required)
• Ability to work in home settings that include varying physical, social, and cultural environments
• Ability to work in environments that may have exposure to communicable disease while performing patient care activities
• Ability to see adequately to visually evaluate and assess the member's or potential member's physical condition and living environment
• Ability to see computer screen and work papers
• Ability to access, research and interpret information from a variety of media (e.g., computer screen, projected images, printed material) and individuals
• Ability to work in normal office environment conditions and with various office equipment (e.g., computer, keyboard, mouse, calculator, copier, printer, fax, scanner, telephone)
• Ability to move to access various offices and a wide variety of meeting settings
• Ability to perform a variety of tasks that involve standing, walking, sitting, stooping, kneeling, bending and twisting, occasionally climbing stairs or using an elevator, possibly reaching chest high and overhead for materials

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

The salary range for this role is $19.86 to $38.85 per hour based on full-time employment. 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.

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.

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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