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. Schedule: Monday to Friday, 8 AM- 5 PM Location: Onsite - 1243 S Myrtle Ave, Clearwater, FL 33756 Primary Responsibilities: Manage 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 This is high volume, customer service environment. You'll need to be efficient, productive and thoroughly dealing with our members over the phone 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
- Intermediate level of experience with MS Word, Excel and Outlook
Nice To Haves
- Experience working within the health care Industry and with health care insurance in processing referrals and authorization
- Experience working in a hospital, physician's office or medical clinic setting
- Experience working in a call center
- Knowledge of ICD-9 and CPT codes
- A clerical or administrative support background
- Bilingual – Spanish/English
Responsibilities
- Manage 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
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
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
Job Search Resources
Similar Clinical Administrative Coordinator job opportunities
