Patient Service Advisor - Redlands, CA
Company: Optum
Location: Redlands
Posted on: May 12, 2025
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Job Description:
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. -
This position is full time, Monday - Friday. Employees are required
to have flexibility to work any of our 8-hour shift schedules
during our normal business hours of 7:30am-4:30pm PST. It may be
necessary, given the business need, to work occasional overtime.
Our office is located at 2 West Fern Ave, Redlands, 92373.
We offer on-the-job training. The hours of the training will be
aligned with your schedule.
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Primary Responsibilities:
Manage administrative intake of members
Work with hospitals, clinics, facilities and the clinical team to
manage requests for services from members and/or providers
Process incoming and outgoing referrals, and prior authorizations,
including intake, notification and census roles
Assist the clinical staff with setting up documents/triage cases
for Clinical Coverage Review
Handle resolution/inquiries from members and/or providers
Work with marketing to identify and implement growth
opportunities
Other duties as assigned
This is high volume, customer service environment. You'll need to
be efficient, productive and thorough dealing with our members over
the phone. You also must be able to work a flexible schedule that
includes evening hours.
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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 equivalent work experience
Must be 18+ yrs of age or older
2+ years of customer service experience in office setting
Experience with computers and Windows based programs including MS
Word, Excel and Outlook
Ability to work full time, Monday - Friday. Employees are required
to have flexibility to work any of our 8-hour shift schedules
during our normal business hours of 7:30am-4:30pm PST. It may be
necessary, given the business need, to work occasional
overtime.
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Preferred Qualifications:
Experience working within the health care Industry and with health
care insurance or in a hospital, physician's office or medical
clinic setting
Bilingual fluency in English and Spanish
Experience working in a call center
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The hourly range for this role is $16.88 to $33.22 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.
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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.
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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.
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UnitedHealth Group is a drug - free workplace. Candidates are
required to pass a drug test before beginning employment. -
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#RPO #RED -
Keywords: Optum, East Los Angeles , Patient Service Advisor - Redlands, CA, Other , Redlands, California
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