Associate Clinical Admin Coordinator
About The Position
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. This is high volume, customer service environment. You'll need to be efficient, productive and thorough in dealing with our members over the phone. You also must be able to occasionally work a flexible schedule that may include evening hours/weekends as business needs. If you reside in California, you’ll enjoy the flexibility to telecommute as you take on some tough challenges.
Requirements
- High School Diploma/GED
- 1+ years of customer service experience analyzing and solving customer problems
- 1+ years of experience processing medical referrals, authorizations, or insurance related (non-clinical) care coordination
- Basic level of proficiency with Microsoft Office
- Working knowledge with ICD 9/10 and CPT codes
Nice To Haves
- Experience working within the health care Industry and with health care insurance
- Experience working with Medicare and/or Medicaid Services
- Experience with customer outreach in a call center, as a medical assistant, or similar
- Clerical or administrative support background
- Strong communication, problem-solving, and de-escalation skills
- Ability to manage multiple work queues and prioritize tasks in a fast-paced, high-volume environment
- Bilingual fluency in English and Spanish (verbal and written)
Responsibilities
- Manage the intake of members or the admission/discharge information post notification
- Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers
- Manage the referral process, processing incoming and outgoing cases, including intake, notification etc.
- Provide appropriate Triage, Outreach, Submission and other process steps for non-clinical process
- Handle resolution/inquiries from members and/or providers
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
