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Optum Prior Authorization information

What are the typical daily responsibilities of an Optum Prior Authorization specialist?

As an Optum Prior Authorization specialist, your daily tasks include reviewing and processing prior authorization requests for various medical services, verifying insurance coverage, and ensuring all required clinical documentation is complete. You will regularly communicate with healthcare providers, insurance representatives, and patients to clarify requests and resolve any questions. Attention to compliance with health plan guidelines and accurate data entry are vital. The role is fast-paced and highly collaborative, providing opportunities to develop expertise in healthcare administration while supporting the delivery of timely patient care.

What is an Optum Prior Authorization job?

An Optum Prior Authorization job involves reviewing and processing requests from healthcare providers to ensure that medical treatments, procedures, or medications meet insurance coverage guidelines. Employees in this role assess clinical documentation, verify patient eligibility, and communicate approval or denial decisions based on established criteria. The job requires attention to detail, knowledge of medical terminology, and compliance with healthcare regulations. It may also involve interacting with providers or patients to clarify authorization requirements.

Does Optum do prior authorization?

Optum handles prior authorization processes for healthcare providers and insurance plans, requiring review of medical necessity before approving certain services or medications. Employees in related roles may use electronic health record systems and adhere to specific guidelines to facilitate this process.

Is prior authorization a stressful job?

Optum Prior Authorization roles can be stressful due to the need to review complex medical documentation and meet strict deadlines. The job requires attention to detail, strong organizational skills, and the ability to handle high volumes of cases, which can contribute to work-related stress.

Is it hard to get hired by Optum?

Optum Prior Authorization roles can be competitive, often requiring relevant healthcare experience, strong communication skills, and familiarity with medical policies. The hiring process typically involves multiple interview stages and background checks, but candidates with relevant qualifications and certifications may have a better chance of success.

What are the key skills and qualifications needed to thrive in the Optum Prior Authorization position, and why are they important?

To thrive as an Optum Prior Authorization specialist, you need knowledge of medical terminology, health insurance processes, and prior authorization procedures, often supported by a background in healthcare administration or related fields. Familiarity with claims management software, electronic health records (EHRs), and payer-specific authorization platforms is essential. Strong organizational skills, attention to detail, and effective communication abilities help you excel in interacting with providers, insurers, and patients. These skills ensure timely, accurate processing of authorizations, reducing delays in patient care and fostering positive relationships with healthcare partners.

Is Optum laying off employees?

There are no publicly available reports indicating that Optum, including roles related to prior authorization, is currently conducting widespread layoffs. Employment stability can vary by department and location, so it is advisable to check official company communications or job boards for the most recent updates.
What are the most commonly searched types of Optum Prior Authorization jobs in Indiana? The most popular types of Optum Prior Authorization jobs in Indiana are:
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What job categories do people searching Optum Prior Authorization jobs in Indiana look for? The top searched job categories for Optum Prior Authorization jobs in Indiana are:
What cities in Indiana are hiring for Optum Prior Authorization jobs? Cities in Indiana with the most Optum Prior Authorization job openings:
Optum Prior Authorization jobs near you
Infographic showing various Optum Prior Authorization job openings in Indiana as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution.
Medical Assistant AHN/Optum Primary Care Marsh Road

Medical Assistant AHN/Optum Primary Care Marsh Road

UnitedHealth Group

Indianapolis, IN • On-site

$16.15 - $28.80/hr

Full-time

Retirement

Posted 12 days ago

UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 146 frontline employees who took The Breakroom Quiz

189th of 890 rated healthcare providers

Job description

Eligible for sign-on bonus for external candidates!
Opportunities with American Health Network (AHN), part of the Optum family of businesses. Here, you'll be part of a team that offers quality, affordable care that's backed by a global organization, committed to improving the lives of those we serve. We operate in over 70 medical offices in Indiana and Ohio with 1,200 employees. Our markets are continuing to grow and we're looking for talented individuals who share our passion for quality care to join our team in provider or office positions. As a health-focused organization, we will empower you with resources that support your work-life flexibility as well as your physical, emotional and financial well-being. This is an opportunity to join a team that helps people feel their best and a chance to discover the meaning behind Caring. Connecting. Growing together.
It is time to take your career to the next level. In this Medical Assistant role, you will learn from healthcare experts as you work side by side to provide care for patients in a clinic setting. At OptumCare, part of the UnitedHealth Group family of business, you will build meaningful relationships with patients, their family members, health care providers and office staff while providing high quality direct patient care.
Position Details:
  • Location: American Health Network, a Part of Optum: 7151 Marsh Road, Indianapolis, IN 46278
  • Schedule: Monday - Friday, 8am-5pm; No evenings, weekends, or holidays!
  • Specialty: Family Practice

Primary Responsibilities:
  • Prepare examination rooms and sterilize medical equipment & instruments
  • Room patients, obtain health history and check vital signs
  • Document patient care using electronic medical record software
  • Administer medications and perform injections/immunizations
  • Assist providers with minor, in-office procedures and perform point-of-care testing
  • Schedule appointments, complete prior authorizations, process medication refills, handle referrals and answer patient calls as needed

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 education or GED equivalent
  • Medical Assistant Certification (CMA or RMA) or you must be willing to attain that certification within 9 months of the start date

Preferred Qualifications:
  • EMR/EHR experience
  • Experience with Epic medical records software
  • Experience with medical front office and back-office duties including vitals, injections, administering medications, referrals, prior authorizations, and insurance verifications
  • 1+ years of MA experience
  • Graduated from an accredited MA program
  • CPR Certified

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 $16.15 to $28.80 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.

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