• Perform outbound calls to obtain appropriate information and document accurately • Responsible for answering in-bound calls and assisting customers with pharmacy related services • Maintain strict professionalism in all communication methods while providing efficient, courteous, and friendly service • Contact insurance companies for benefit investigation and coverage eligibility • Provide prior authorizations and appeals support • Assist patients with the enrollment process for manufacturer and non-profit organization copay assistance programs • Update job knowledge by participating in educational opportunities and training activities • Work efficiently both individually and within a team to accomplish required tasks • Maintain and improve quality results by adhering to standards and guidelines by meeting quality standards set forth by program KPI’s • Report ADE’s according to program policy and guidelines • Adhere to all HIPAA guidelines • May assist with onboarding new employees

• Make outbound calls to book appointments • Take inbound calls from members • Update scheduling systems (accurate + fast) • Follow up on missed visits • Escalate urgent needs

Optum WA, is seeking a RN Call Assist to join our team in Everett, WA. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better for everyone. At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together. Position in this function is under general supervision the Staff RN/Consulting Nurse is responsible for providing telephone triage assessment to Primary Care patients by using state of the art telecommunications, information technology and approved protocols; to clients ensuring the efficient use of medical and nursing, facilities and equipment and to provide excellent customer service. Schedule: Week 1: Sun Off, Mon Off, Tues Off, Wed 1:30pm-9:30pm, Thurs 1:30pm-9:30pm, Fri 1:30pm-9:30pm, Sat 8am-8pm = 32 hours Week 2: Sun 8am-8pm, Mon Off, Tues Off, Wed 1:30pm-9:30pm, Thurs 1:30pm-9:30pm, Fri 1:30pm-9:30pm, Sat Off = 32 hours If you are located in the PST time zone, you’ll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. Position Highlights & Primary Responsibilities: - Utilizes clinical expertise and approved protocols to provide health advice to consumers with clinical questions and makes referrals for health services as appropriate via telephone - Be able to document calls in applicable system in a timely manner and exhibits a willingness to master new work routines and methods - Documents all inquiries according to department standards for legal/statistical purposes - Excellent written and verbal communication skills - Be able to problem solve issues independently as well as work with teams collaboratively situations require assessment, decision-making within the framework of established protocols, excellent listening and communication skills, knowledge of computers, critical thinking skills and the nursing process - Speaks with a pleasant, professional phone voice and provides superior customer service to internal and external customers - Ensures performance standards are met and accepts constructive feedback 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: - Unrestricted WA State or Compact RN license - 3+ years of experience in a clinical setting (Med/Surg, critical care, ER, etc.), disease management, home health, discharge planning, utilization review, patient education and telephonic nursing - Reside in PST time zone and ability to work PST work schedule to include: Week 1: Sun Off, Mon Off, Tues Off, Wed 1:30pm-9:30pm, Thurs 1:30pm-9:30pm, Fri 1:30pm-9:30pm, Sat 8am-8pm = 32 hours, Week 2: Sun 8am-8pm, Mon Off, Tues Off, Wed 1:30pm-9:30pm, Thurs 1:30pm-9:30pm, Fri 1:30pm-9:30pm, Sat Off = 32 hours Preferred Qualifications: - Bachelor of Science in Nursing - American Academy of Ambulatory Care Nursing (AAACN) - 1+ years of Call Center Nursing experience - Case Management experience *All employees working remotely 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 $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable OptumCare 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. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Our healthcare system is the leading cause of personal bankruptcy in the U.S. Every year, over 50 million Americans suffer adverse financial consequences as a result of seeking care, from lower credit scores to garnished wages. The challenge is only getting worse, as high deductible health plans are the fastest growing plan design in the U.S. Cedar’s mission is to leverage data science, smart product design and personalization to make healthcare more affordable and accessible. Today, healthcare providers still engage with its consumers in a “one-size-fits-all” approach; and Cedar is excited to leverage consumer best practices to deliver a superior experience. The Role The Part-Time Patient Advocate position serves as the liaison between the patient and healthcare provider supporting our patients through the following channels: live chat, phone, and email communications. In addition, patient advocates act as account managers to holistically manage the medical billing process and anticipate potential billing issues. We believe that all patients deserve to have a pleasant and efficient healthcare billing experience. This is a part-time role, expected to work approximately 20 hours per week - 10 AM - 2 PM ET M-F. We expect this engagement will last 3-5 months, with the opportunity to extend. Responsibilities - Manage on average 60-80 incoming and outgoing patient calls daily regarding medical bills - Utilize the Cedar platform to handle all patient questions via inbound chats, phone calls and perform appropriate outbound call campaign - Run and follow through on escalations to the healthcare provider - Lead the payment posting process and follow up on defaulted payments - Appropriately follow up with insurance and other third parties - Meet assigned team and individual metrics related to satisfaction and collections performance Qualifications - 2-3 years of customer service experience via phone or call center - 1-2 years of medical billing, insurance or related healthcare experience - Ability to work part-time; approximately 20 hours weekly - Experience navigating electronic medical record systems (preferably Athena (Centricity Business), eClinicalWorks, Medik, CareVoyant, Nextgen, and Epic) - Proficiency in Google Suite - Ability to toggle between multiple systems and efficient typing skills - Excellent verbal and written communication skills - Self motivated individual with exceptional attention to detail - Ability to show empathy and passion for outstanding customer service - Excellent problem solving and critical thinking skills - Open to ambiguity and ever changing environment - We’re looking for someone willing to be flexible with their schedule from time to time This is a fully remote position, and as a result will require access to a nice private space. Compensation Range: - Hourly Rate Range in CA, NY, NJ, CT: $22.64 - Hourly Rate Range NOT in CA, NY, NJ, CT: $19.47 #LI-REMOTE What do we offer to the ideal candidate? - A chance to improve the U.S. healthcare system at a high-growth company! Our leading healthcare financial platform is scaling rapidly, helping millions of patients per year - Unless stated otherwise, most roles have flexibility to work from home or in the office, depending on what works best for you - For exempt employees: Unlimited PTO for vacation, sick and mental health days–we encourage everyone to take at least 20 days of vacation per year to ensure dedicated time to spend with loved ones, explore, rest and recharge - 16 weeks paid parental leave with health benefits for all parents, plus flexible re-entry schedules for returning to work - Diversity initiatives that encourage Cedarians to bring their whole selves to work, including three employee resource groups: be@cedar (for BIPOC-identifying Cedarians and their allies), Pridecones (for LGBTQIA+ Cedarians and their allies) and Cedar Women+ (for female-identifying Cedarians) - Competitive pay, equity (for qualifying roles), and health benefits, including fertility & adoption assistance, that start on the first of the month following your start date (or on your start date if your start date coincides with the first of the month) - Cedar matches 100% of your 401(k) contributions, up to 3% of your annual compensation - Access to hands-on mentorship, employee and management coaching, and a team discretionary budget for learning and development resources to help you grow both professionally and personally About us Cedar was co-founded by Florian Otto and Arel Lidow in 2016 after a negative medical billing experience inspired them to help improve our healthcare system. With a commitment to solving billing and patient experience issues, Cedar has become a leading healthcare technology company fueled by remarkable growth. "Over the past several years, we've raised more than $350 million in funding & have the active support of Thrive and Andreessen Horowitz (a16z). As of November 2024, Cedar is engaging with 26 million patients annually and is on target to process $3.5 billion in patient payments annually. Cedar partners with more than 55 leading healthcare providers and payers including Highmark Inc., Allegheny Health Network, Novant Health, Allina Health and Providence.