Clinical Administrative Coordinator

UnitedHealth Group•Tampa, FL

2d•$18 - $32•Remote

About The Position

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 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 10:00 am - 8:00 pm CST. It may be necessary, given the business need, to work required overtime in the first 6 weeks of the year with occasional Saturdays. This will be paid on-the-job training and the hours during training will be 8:00 am - 5:00 pm CST, Monday - Friday. 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 equivalent work experience
Must be 18 years OR Older
2+ years of experience with analyzing and solving customer problems
2+ years of experience with working in the Health Care Industry
Ability to work full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 10:00 am - 8:00 pm CST. It may be necessary, given the business need, to work required overtime in the first 6 weeks of the year with occasional Saturdays
Ability to keep all company sensitive documents secure (if applicable)
Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Nice To Haves

Experience working with Health Care Insurance
Experience in a Hospital, Physician's Office, OR Medical Clinic setting
Experience working with Medicare and / OR Medicaid Services
Clerical OR Administrative support background OR experience working in a Call Center environment

Responsibilities

Point of contact for providers or members regarding medical/pharmacy/clinical services or benefits.
Review fax and electronic referral requests for medical or clinical services.
Enter medical request data into relevant computer system.
Utilize phone system to respond and transfer inbound calls transfer calls to appropriate individuals.
Access electronic member files in external portal using appropriate patient identification.
Review benefits and authorization requirements from the central BA team, create additional pharmacy test claims (if applicable), and patient responsibility.
Check procedure codes against notification requirements and benefit coverage to determine next steps.
Reference job aid tools via the computer to identify appropriate procedures when needed.
Document, review and interpret historical documentation (e.g., MAR, H &P).
Navigate between computer screens and platforms to research information (e.g., medical, clinical, or benefits information).
Reference and follow automated job aid tools via computer to research relevant rules, regulations, or policy/procedures.
Learn computer system and process changes and updates and incorporate into daily work.
Participate in routine meetings with team and branch members and update the team with relevant patient information.
Contact internal resources if necessary to clarify information.
Identify appropriate resource (e.g., doctor, resource, contracted provider) to respond to medical requests.
Provide/explain benefit information to providers and patients.
Obtain verbal and written consent (PSA) to treat from patients.
Collect patient pay portions upon admission to services.
Communicate with multidisciplinary teams to ensure coordination is complete for the onboarding of the patient.
Review and advise member/provider of status of a request (e.g., notification, authorization).
Perform patient onboarding tasks in the Cloud workflow within the approved turnaround times.
Update and/or add prescribers during the onboarding process.
Add other duties 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.

Stand Out From the Crowd

Upload your resume and get instant feedback on how well it matches this job.

Upload and Match Resume