Clinical Administrative Coordinator - Remote in Idaho
About The Position
The Clinical Administrator Coordinator role is part of the clinical support team at UnitedHealthcare. This role is a key component in customer satisfaction, with a responsibility to make every contact informative, productive, and positive for members and providers. The position involves live outreach to educate people about program benefits and services, as well as 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. The role offers the flexibility to telecommute for those residing near Boise, Idaho.
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
Mid Level
Education Level
High school or GED
