Clinical Administrative Coordinator - Remote in New Mexico

UnitedHealth Group • Albuquerque, NM

1d • $18 - $32 • Remote

About The Position

The Clinical Administrative Coordinator is part of UnitedHealthcare’s clinical support team and contributes to customer satisfaction by making member and provider contacts informative, productive, and positive. The role includes conducting live outreach, educating people about program benefits and services, and helping manage individual cases. It is a fast-paced position requiring multitasking, attention to detail, and strong organizational skills. The position is remote, with the employee required to reside in New Mexico and adhere to UnitedHealth Group’s Telecommuter Policy.

Requirements

• High school diploma or GED.
• At least 2 years of healthcare industry experience.
• At least 6 months of customer service experience.
• Intermediate proficiency with Microsoft Word, including creating, editing, and saving documents.
• Intermediate proficiency with Microsoft Excel, including creating, editing, and saving documents.
• Intermediate proficiency with Microsoft Outlook for email and calendar management.
• Must reside in New Mexico.
• Telecommuters must adhere to UnitedHealth Group’s Telecommuter Policy.
• Candidates must pass a drug test before beginning employment.

Nice To Haves

• Experience working with health care insurance.
• Experience working in a hospital, physician’s office, or medical clinic setting.
• Clerical or administrative support background.
• Knowledge of ICD-9 and CPT codes.
• Experience working in a call center.
• Bilingual English/Spanish.

Responsibilities

• Manage administrative intake for people with UHC insurance and complete required documentation in medical management systems.
• Maintain compliance with turnaround times based on the member’s product, request type, and applicable regulatory agency.
• Work with hospitals, clinics, facilities, and the clinical team to manage service requests from members and providers.
• Process incoming and outgoing referrals and prior authorizations, including intake, notification, and census roles.
• Assist clinical staff by setting up documents and triaging cases for Clinical Coverage Review.
• Resolve inquiries from members and providers.
• Complete special projects and call DSNP or Medicaid members.
• Participate in call campaigns from time to time.
• Perform other duties as assigned.

Benefits

• Comprehensive benefits package, subject to eligibility requirements.
• Incentive and recognition programs.
• Equity stock purchase.
• 401(k) contribution, subject to eligibility requirements.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED