The Clinical Administrative Coordinator role is 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 people about program benefits and services while also helping to manage individual cases.
This is a fast-paced working environment that requires the ability to multitask with attention to detail and excellent organizational skills.
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities
- Manage administrative intake of people with UHC insurance and complete required documentation in our medical management systems
- Maintain compliance with turnaround times based on the member's product, the type of request and the specific regulatory agency
- Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers
- Process incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles
- Assist the clinical staff with setting up documents/triage cases for Clinical Coverage Review
- Handle resolution/inquiries from members and/or providers
- Complete special projects and call DSNP or Medicaid members
- Participate from time to time in call campaigns
- Other duties as assigned
Required Qualifications
- High School Diploma/GED
- 2+ years of healthcare industry experience
- 6+ months of customer service experience
- Intermediate level of proficiency with Microsoft Word (create, edit, save documents), Microsoft Excel (create, edit, save documents) and Microsoft Outlook (email and calendar management)
- Must reside in New Mexico
- Experience working with health care insurance
- Experience working in a hospital, physician's office or medical clinic setting
- A clerical or administrative support background
- Knowledge of ICD-9 and CPT codes
- Experience working in a call center
- Bilingual English/Spanish
- All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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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