Clinical Administrative Coordinator – US Telecommute

Position Description

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life’s best work.

Talk about meaningful work. Talk about an important role. Let’s talk about your next career move. Due to our expanding business, UnitedHealth Group is seeking Clinical Administrative Coordinators who share our passion for helping others live healthier lives. As one of the world’s leading health care companies, UnitedHealth Group is pursuing innovative new ways to operate our service centers and improve on our ability to deliver high – quality care. As part of our clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive and positive for our members and providers. You’ll have the opportunity to do live outreach, educating members about program benefits and services while also helping to manage member cases. Bring your skills and talents to a role where you’ll have the opportunity to make an impact on a huge scale. Take this opportunity and begin doing your life’s best work. (sm)

What makes your clinical career greater with UnitedHealth Group? You’ll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you’ll open doors for yourself that simply do not exist in any other organization, anywhere.

Primary Responsibilities:

• Respond to Incoming Provider and Enrollee calls
• Resolve Customer Service inquiries
• Provide high quality Customer Service to both Providers and Enrollees
• Constantly meet established productivity, schedule adherence, and quality standards while maintaining good attendance
• Receive prior authorizations requests non – clinical assessment / intervention and provides appropriate triage
• Process out of network requests for consideration of in network level of benefits
• Process notification requirements for outpatient procedures, home health, DME, transition of care, and network gap issues
• Determine benefit coverage issues
• Set up / documents / triages cases for clinical or medical director review
• Verify appropriate ICD – 10 and CPT coding usage
• Communicate to providers and members benefit determinations within time frames
• Some work is completed without established procedures
• Basic tasks are completed without review by others
• Supervision / guidance is required for higher – level tasks
• Other duties as assigned by manager and / or director

Required Qualifications:

• High School Diploma / GED (or higher)
• 1+ years of professional experience in an office / customer service environment
• Experience in an office setting using the telephone and computer as the primary instruments to perform the job duties, OR Customer Service experience analyzing and solving customer’s problems
• Experience in a Clerical or Administrative support related role
• Experience working with Microsoft Office including Microsoft Outlook (ability to create, edit, save, and send emails), Microsoft Word (ability to create, edit, save, and send documents), and Microsoft Excel (ability to create, edit, save, and send spreadsheets)
• Computer experience including, but not limited to, ability to learn new computer system applications
• Flexibility to work outside standard hours of operations due to changing business needs
• Must have a quiet designated work space established that is separated from other living areas and provides information privacy
• Must have access to install secure high speed internet (minimum speed 1.5 download mps and 1 upload mps) via cable / DSL in home (NOTE: wireless / cell phone provider, satellite, microwave, etc. does NOT meet this requirement)
• Live in a location within 60 miles of a UnitedHealth Group office
• Ability to work a full time schedule with Saturdays (schedules may include split days off)

Preferred Qualifications:

• Bachelor’s Degree (or higher)
• Experience working within the Healthcare Industry, Hospital, Physician’s Office, or Medical Clinical setting, Medical Terminology, ICD – 10 and CPT codes, Medicare and / or Medicaid Services, Call Center environment

Soft Skills:

• Strong communication skills; Written and verbal
• Excellent critical thinking and problem – solving skills
• Candidate need to be highly organized with effective and exceptional communication skills
• Strong analytical, problem solving and decision – making skills; ability to exercise good judgment
• Ability to prioritize work, handle multiple tasks and work independently
• Ability to trouble shoot and setup computer equipment independently
• Ability to focus and learn in a remote setting as an independent worker

Careers with UnitedHealthcare. Let’s talk about opportunity. Start with a Fortune 5 organization that’s serving more than 85 million people already and building the industry’s singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near – obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they’re found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that’s second to none. This is no small opportunity. It’s where you can do your life’s best work.^SM

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.

Keywords: UHG, Clinical, Healthcare, Administrator, UnitedHealthcare, Administrative

Job Details

• Requisition Number827343
• Job TitleClinical Administrative Coordinator – US Telecommute
• Job FamilyMedical and Clinical Operations
• Business SegmentUHC Clinical Services

Job Location Information

• Dallas, TX
  United States
  North America
• Other LocationsShelton, CT
  Minneapolis, MN
  Houston, TX
  Chicago, IL
  Atlanta, GA

Additional Job Detail Information

• Employee StatusRegular
• ScheduleFull-time
• Job LevelIndividual Contributor
• ShiftDay Job
• TravelNo
• Telecommuter PositionYes
• Overtime StatusNon-exempt