Clinical Administrative Coordinator
About The Position
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. The Clinical Administrative Coordinator manages the total coordination and processing of all patient referrals, DME, and monitors for consultant reports for patients. Schedule: Monday to Friday, 8 AM- 5 PM Location: Onsite - 140 N Westmonte Dr, Ste 1000 Altamonte Springs, FL 32714 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 customer service experience
- 1+ years of experience processing referrals and prior authorizations
- Intermediate level of experience with MS Word, Excel and Outlook
Nice To Haves
- Experience working within the healthcare Industry and with healthcare insurance
- Experience working in a hospital, physician's office or medical clinic setting
- A clerical or administrative support background
- Experience working in a call center
- Knowledge of ICD-9 and CPT codes
Responsibilities
- Managing administrative intake of members
- Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers
- Process incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles
- Assist the clinical staff with setting up documents/triage cases for Clinical Coverage Review
- Handle resolution/inquiries from members and/or providers
- Follow up with patients
- Answer phones
- Assisting with metrics
- Other responsibilities as assigned
Benefits
- In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).
- No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
