22 days old

Clinical Administrative Coordinator - US Remote - 896773

Shelton, CT 06484 Work Remotely
  • Job Code
    896773

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 doingyour 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 Groupis seekingClinical Administrative Coordinatorswho share our passion for helping others live healthier lives. As one of the world's leading health care companies,UnitedHealth Groupis 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 doingyour life's best work.SM


What makes your clinical career greater withUnitedHealth 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.


You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Training will be conducted virtually from your home.


*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.


What we do defines who we are. Take a deeper look at how we're providing support during this global health crisis and search for a way you can get involved. View our Covid-19 Resources Page at:https://info.uhg.com/

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

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 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
  • Ability to workMonday - Friday between 8am-6pm
  • You will be required to adhere to UnitedHealth Group's US Telecommuting Policy
  • If you need to enter a work site for any reason, you will berequiredto screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders

Telecommuting Requirements:

  • Live in a location within 60 miles of a UnitedHealth Group office
  • Required to have a dedicated work area established that is separated from other living areas and provides information privacy

  • Ability to keep all company sensitive documents secure (if applicable)
  • 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)

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

UnitedHealth Group is an essential business.The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us.

Some of the steps we've taken to ensure employee well-being include:

  • Transitioned our new hire training classes to be conducted virtually
  • Launched our ProtectWell app and UnitedCARES program to help ease the burden and stress for our UnitedHealth Group team members and their immediate family affected by COVID-19
  • Daily updates from our CEO Dave Wichmann to support and inspire team members during this challenging time
  • Onsite social distancing and increased sanitization measures for employees who have been welcomed back to our offices
  • Fully cover the COVID-19 healthcare costs for our employees
  • Employees who self-identify as high risk or who live with someone who is high risk have been asked to remain working from home

You can learn more about all we are doing to fight COVID-19 and support impacted communities at:https://www.unitedhealthgroup.com/newsroom/addressing-covid.html

Careers with Optum.Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health - related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to doyour life's best work.SM

Diversity creates a healthier atmosphere:UnitedHealth Groupis 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 Groupis a drug - free workplace. Candidates are required to pass a drug test before beginning employment.


Keywords:UHG, Clinical, Healthcare, Administrator, UnitedHealthcare, Administrative,work at home, work from home, WAH, WFH, remote, telecommute, hiring immediately

Categories

Posted: 2020-11-03 Expires: 2020-12-25

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Clinical Administrative Coordinator - US Remote - 896773

UnitedHealth Group
Shelton, CT 06484

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