Associate Clinical Administrative Coordinator

UnitedHealth Group • Irving, TX

290d • $16 - $28 • Remote

About The Position

WellMed, part of the Optum family of businesses, is seeking an Associate Clinical Administrative Coordinator to join our team in Irving, TX. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together. This position is full-time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 5:00pm. It may be necessary, given the business need, to work occasional overtime or weekends.

Requirements

• High School Diploma / GED
• Must be 18 years of age OR older
• 1+ years of experience in healthcare
• Knowledge of medical terminology
• Customer Service skills
• Effective verbal and written communication skills
• Detail oriented with organizational and time management skills
• Proficiency in Microsoft Office applications including Microsoft Excel, Microsoft Word and Microsoft Outlook
• Able to navigate through multiple software and computer technology
• Ability to work Monday - Friday, in any of our 8-hour shift schedules during our normal business hours of 8:00am - 5:00pm, including the flexibility to work occasional overtime or weekends, based on the business need

Nice To Haves

• Bilingual fluency in English and Spanish
• 1+ years of Referral Management experience
• 1+ years of Medical Insurance experience
• 1+ years of Customer Service experience

Responsibilities

• Manage the internal/ external referral process and daily referral reconciliation gathering required information and documents needed, working them accordingly in compliance with established timelines
• Answers telephone and assists caller through the phone queue with scheduling and other needs based on the call type
• Participate in clinic and market education, training, and meetings as needed and/or required
• Maintains knowledge and ensures procedures are followed including referral guidelines and policies, privacy, and confidentiality
• Deliver quality customer service, managing the referral process professionally and in a timely manner maintaining professionalism and a positive attitude with all internal and external customers/peers
• Ability to work independently
• Obtain and update prior authorizations and referral authorizations for both internal and external specialty offices
• Being a patient advocate for quality healthcare in external facilities, maintaining the strictest confidentiality
• Retain and utilize knowledge of insurance policies and procedures
• Performs all other related duties as assigned

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Insurance Carriers and Related Activities
• Education Level: High school or GED