Associate Clinical Admin

UnitedHealth Group•Tampa, FL

14h•Remote

About The Position

This position is National Remote. You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. 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 position is full-time (40 hours / week), Monday - Friday. Employees are required to work an 8-hour shift schedules during our normal business hours of 8:00 AM - 8:00 PM EST. It may be necessary, given the business need, to work occasional overtime and weekends. We offer 6 - 8 weeks of paid training. The hours of training will be 8:00 AM - 5:00 PM EST, Monday - Friday. Training will be conducted virtually from your home.

Requirements

High School Diploma / GED OR equivalent work experience
Must be 18 years of age OR older
1+ years of experience in an office, claims or customer service environment
Experience working in a metric-driven work environment
Proficiency with Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
Ability to work 11:00 AM - 8:00 PM EST
Ability to work full-time (40 hours / week), Monday - Friday. Employees are required to work an 8-hour shift schedules during our normal business hours of 8:00 AM - 8:00 PM EST. It may be necessary, given the business need, to work occasional overtime and weekends
Ability to manage and prioritize multiple tasks in a challenging environment with focused diligence
Excellent verbal and written communication skills
Strong organizational skills
Possess time management skills; exhibits solid ability to prioritize work and perform multi-tasks
Ability to keep all company sensitive documents secure (if applicable)
Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Nice To Haves

Call center experience
Knowledge of ICD-10 and CPT codes
Durable medical equipment (DME) understanding

Responsibilities

Manages the ancillary referral process by handling incoming and outgoing orders and prior authorizations
Serves as primary point of contact regarding referrals, by engaging in (telephonic and electronic) client and vendor communications
Follows protocols to determine patient eligibility and task requests appropriately
Learns computer system and navigate between computer applications and platforms to research information
Determine whether authorizations are required for requested medical services
Reference automated job aid tools via computer to research relevant rules, regulations, or procedures
Identifies and contacts appropriate resources if necessary to clarify information and respond to medical requests
Schedules appointments, provides information regarding appointments and medical services to patients
Orders supplies/durable medical equipment requested through the appropriate vendor
Ensures the order is entered correctly to submit to billing
Provisioners complete 6 orders per day/Intake associates handles 45 a day