Clinical Administrative Coordinator Senior – Remote in Florida

UnitedHealth Group • Orlando, FL

3d • $20 - $36 • Remote

About The Position

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. This position is required to ensure compliance with UnitedHealthcare’s contract with the Agency for Health Care Administration (AHCA). As a Clinical Administrative Coordinator Senior, you will provide administrative and operational support related to Long-term Care (LTC) members’ placement changes, Level of Care (LOC) annual redetermination and Medicaid Eligibility in compliance with the contract and its amendments. Schedule: Monday through Friday between the hours to 8 am to 5 pm Eastern Standard time. It may be necessary, given the business need, to work occasional overtime. If you reside in the state of Florida, you’ll enjoy the flexibility to telecommute as you take on some tough challenges. Primary Responsibilities: Ensure member address changes and transitions are processed and submitted to the State upon receipt within contractual time frames Ensure annual LOC redeterminations are submitted to the State (Department of Elder Affairs-CARES) upon receipt within contractual Timeframes Process incoming mail from the Department of Children & Families related to Member Medicaid Eligibility Notification to Case Management staff of Member Medicaid Redetermination due date Provide support to Case Management staff within assigned areas of responsibility Documentation of activities in ICUE Training staff on State contract requirements and UnitedHealthcare processes Special projects What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include: Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays Medical Plan options along with participation in a Health Spending Account or a Health Saving account Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage 401(k) Savings Plan, Employee Stock Purchase Plan Education Reimbursement Employee Discounts Employee Assistance Program Employee Referral Bonus Program Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) More information can be downloaded at: http://uhg.hr/uhgbenefits You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Requirements

• High School Diploma/GED (or higher)
• 2+ years of experience working in the healthcare industry
• Intermediate level of experience with computer efficiency and MS Word, Excel (create, edit, save documents) and Outlook (email and calendar management)
• Intermediate level of experience working with office equipment (FAX, Scanner, Printers, or Copiers)
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)

Nice To Haves

• Experience working with health care insurance
• Experience working with Medicare and/or Medicaid Services
• Clerical or administrative support background or experience working in a call center environment
• ICUE and Community Care experience
• Microsoft SharePoint knowledge

Responsibilities

• Ensure member address changes and transitions are processed and submitted to the State upon receipt within contractual time frames
• Ensure annual LOC redeterminations are submitted to the State (Department of Elder Affairs-CARES) upon receipt within contractual Timeframes
• Process incoming mail from the Department of Children & Families related to Member Medicaid Eligibility
• Notification to Case Management staff of Member Medicaid Redetermination due date
• Provide support to Case Management staff within assigned areas of responsibility
• Documentation of activities in ICUE
• Training staff on State contract requirements and UnitedHealthcare processes
• Special projects

Benefits

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees