Associate Clinical Administrative Coordinator

UnitedHealth Group•Las Vegas, NV

1d•$16 - $29•Remote

About The Position

This position is Remote in Pacific Standard Time zone. You will have the flexibility to work remotely 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. This position is full time. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 3:00 pm - 11:30 pm PST. This is a rotating evenings position to include holidays and alternating weekends. It may be necessary, given the business need, to work occasional overtime. We offer 4 weeks of paid training. The hours during training will be 3:00 pm to 11:30 pm PST, 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 a healthcare setting (doctor’s office, medical Insurance provider or acute care setting)
Experience with computers and Windows PC applications, which includes the ability to learn new and complex computer system application
Knowledge of medical terminology
Ability to work with multiple computer platforms simultaneously
Ability to work full time. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 3:00 pm - 11:30 pm PST. This is a rotating evenings position to include holidays and alternating weekends. It may be necessary, given the business need, to work occasional overtime
Reside within Pacific Standard Time zone.
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

Knowledge of CPT and ICD-10 coding
Basic understanding of managed care principles

Responsibilities

Consistently exhibits behavior and communication skills that demonstrate Optum’s commitment to superior customer service, including quality, care and concern with each and every internal and external customer.
Ensures proper input of inpatient and outpatient authorizations for acute care and skilled nursing facilities.
Informs care managers of admission, eligibility and benefits issues.
Enters, updates and close acute, observation, day surgery and SNF admission referrals within designated timeframes.
Prints, sends mails or faxes or verbally provides authorizations / referrals to providers and facilities.
Monitors fax queues for new admission notifications.
Consistently and accurately completes data entry and documentation.
Processes referrals for DME and coordinates home health services according to established policies, procedures, guidelines and timeframes.
Redirects referrals to utilization management or medical director.
Prioritizes and independently handles incoming referrals without supervision.
Directs providers and patients to contracted provider networks and facilities and updates patient information as needed.
Provides length of stay for exhaustion of SNF benefits.
Arranges post discharge appointments.
Facilitates exchange of information between all levels of care managers to ensure continuity of care.
Performs high-level critical thinking for re-directing phone calls, referrals and other issues that may arise.
Assists with answering telephones and maintaining files, logs or other reports.
Acts as a resource for team members.
Expected to participate in flexible weekday scheduling and weekend/ holiday coverage rotation per business needs.
Seeks and identifies opportunities for process improvement.
Meets or exceeds productivity targets.
Uses, protects, and discloses Optum patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
Performs additional duties as assigned.