Refill Authorization Representative

Refill Authorization Representative

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.

Optum's Pacific West region is redefining health care with a focus on health equity, affordability, quality, and convenience. From California to Oregon and Washington, we are focused on helping more than 2.5 million patients live healthier lives and helping the health system work better for everyone. At Optum Pacific West, we care. We care for our team members, our patients, and our communities. Join our culture of caring and make a positive and lasting impact on health care for millions.

The Refill Authorization Representative is responsible for reviewing and processing prescription refill requests in a centralized environment serving multiple Primary Care providers. Acting as a key liaison between patients, providers, and pharmacies, this role ensures that refill requests are handled promptly and accurately, maintaining high levels of customer service and patient satisfaction.

Location: Onsite training required at 7600 Evergreen Way, Everett, WA. Role will become remote following training period. If you reside near Everett, WA, you will enjoy the flexibility to telecommute as you take on some tough challenges.

Schedule: 40-hour work week, Monday -Friday, 8am-5pm. Schedule is subject to change based on business need.

Primary Responsibilities:

• Process Prescription Refills
  • Review, prepare, and submit medication refill requests to providers for approval, following established protocols
  • Accurately enter patient and prescription information into the Electronic Health Record (EHR) system
• Patient & Provider Communication
  • Respond to patient inquiries both verbally and in writing regarding refill status, dosage instructions, and general medication-related questions within the scope of the role
  • Communicate patient needs and concerns to providers or nursing staff, both verbally and in writing, to ensure timely resolution of refill-related issues
• Coordination & Collaboration
  • Serve as a central point of contact for physicians, nurses, and pharmacies, maintaining open lines of communication regarding patient refills
  • Collaborate with clinical staff to clarify prescriptions, confirm dosages, or address any potential medication conflicts
• Documentation & Compliance
  • Maintain accurate and timely documentation in the EHR, adhering to clinic policies and HIPAA regulations
  • Protect patient privacy by safeguarding sensitive information and following confidentiality guidelines
  • Complete annual compliance training
• Customer Service & Core Values
  • Provide professional, courteous, and empathetic support to patients, even under high-volume or challenging circumstances
  • Foster a positive and respectful work environment, demonstrating dependability through consistent attendance and punctuality
  • Attend department and organization-wide training sessions as required
• Perform other duties assigned to support departmental operations

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.)

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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
• Current certification from WA State Department of Health as a Certified Medical Assistant or WA State Pharmacy Technician License
• 1+ years of experience with basic computer software and keyboarding
• 1+ years of customer service experience
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
• Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
• Reside within a commutable distance to Everett and surrounding communities in Washington

Preferred Qualifications:

• 2+ years of related healthcare experience (clinic, hospital, or call center)
• EMR experience

Soft Skills:

• Ability to work independently and maintain good judgment and accountability
• Demonstrated ability to work well with health care providers
• Strong organizational and time management skills
• Ability to multi-task and prioritize tasks to meet all deadlines
• Ability to work well under pressure in a fast-paced environment
• Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others

*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 $17.98 to $32.12 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

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.

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.