Associate Clinical Administrative Coordinator

UnitedHealth Group-posted 3 months ago

$16 - $27/Yr

Full-time • Entry Level

Remote • Brentwood, TN

Insurance Carriers and Related Activities

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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 Home & Community Care is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere. As a team member of our Care Transition product, you'll help change the way health care is delivered from hospital to home supporting patients transitioning across care settings. This life-changing work helps give older adults more days at home. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while Caring. Connecting. Growing together.

Manage inbound and/or outbound telephone communication in a professional manner and according to productivity and quality standards
Process inbound and/or outbound electronic data and communication (i.e., faxes, emails, and electronic communication) according to productivity and quality standards
Enter, review and/or verify member information in the Home & Community Care documentation system and communicate approved pertinent information with healthcare providers and/or Home & Community Care team as needed
Enter and/or update any required data into the Home & Community Care documentation system accurately and in a timely manner
Complete administrative documentation for member records including but not limited to disenrollment, transitioning, creating/updating new authorizations, attaching documents (i.e., medical records), and logging therapy information
Assist in a smooth coordination of members care between health providers and the health plan
Establish relationships and communicate, when appropriate, to providers, clients and/or Home & Community Care field/care management staff as defined by departmental policy and process
Triage inbound calls/emails, manage provider/member inquiries/requests and resolve or escalate to appropriate Home & Community Care team or health plan personnel
Run and/or review any reports to complete responsibilities as outlined in departmental processes
Follow chain of command when provider/member issues or concerns are reported
Attend Home & Community Care meetings as requested
Adhere to organizational, departmental, compliance and regulatory policies and procedures
Promote a positive attitude and work environment
Complete cross-training and maintain knowledge of multiple contracts/clients to support coverage needs across the business
Perform other duties and responsibilities as required, assigned, or requested

High School Diploma / GED
Must be 18 years of age OR older
Experience in a customer service and/or operations environment
Ability to communicate with clients, team members and managers using telephone or comparable communication devices such as email, Microsoft Teams, Fax and/or other system messaging programs
Ability to work any of our 8-hour OR 10-hour shift schedules during our normal business hours of 7:00 AM - 7:00 PM from Sunday - Saturday. It may be necessary, given the business need, to work occasional overtime or weekends.

Familiarity with medical terminology and HIPAA laws
Experience in healthcare setting
Experience with working in a high-volume production-based environment
Experience with meeting expected performance goals
Written and verbal communication skills
Critical thinking skills
Proficient with Microsoft Word, Microsoft Excel, Microsoft Outlook, and Microsoft Teams
Detail-oriented and ability to correctly interpret data and information in the Home & Community Care documentation system
Ability to prioritize, plan, and organize multiple tasks/demands simultaneously
Ability to use office equipment, such as copier, fax machine, telephone, and scanner (if applicable)

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

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