Clinical Administrative Coordinator - Remote in Idaho

UnitedHealth GroupBoise, ID
$18 - $32Remote

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 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. The Clinical Administrator Coordinator role is part of our clinical support team. You will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive and positive for our members and providers. You’ll have the opportunity to do live outreach, educating people about program benefits and services while also helping to manage individual cases. This is a fast-paced working environment that requires the ability to multitask with attention to detail and excellent organizational skills. If you are located in Idaho, you will have the flexibility to work remotely as you take on some tough challenges.

Requirements

  • High School Diploma/GED
  • 2+ years of healthcare industry experience
  • 6+ months of customer service experience
  • Intermediate level of proficiency with Microsoft Word (create, edit, save documents), Microsoft Excel (create, edit, save documents) and Microsoft Outlook (email and calendar management)
  • Must live in Idaho

Nice To Haves

  • Experience working with health care insurance
  • Experience working in a hospital, physician's office or medical clinic setting
  • A 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 of people with UHC insurance and complete required documentation in our medical management systems
  • Maintain compliance with turnaround times based on the member’s product, the type of request and the specific regulatory agency
  • 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
  • Complete special projects and call DSNP or Medicaid members
  • Participate from time to time in call campaigns
  • Other duties as assigned

Benefits

  • comprehensive benefits package
  • incentive and recognition programs
  • equity stock purchase
  • 401k contribution

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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

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