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. The Clinical Administrative Coordinator is responsible for initial triage of members, administrative intake of members or managing the admission/discharge information post-notification and working with hospitals and the clinical team. This position also includes managing incoming calls, managing requests for services from providers/members, providing information on available network services and transferring members as appropriate to clinical staff and managing the referrals process. Schedule: Monday to Friday, 8 AM- 5 PM Location: Onsite - 1259 S Pinellas Ave, Tarpon Springs, FL 34689
Requirements
- High School Diploma/GED (or higher)
- 2+ years of customer service experience in health care including working with prior authorizations and referrals
- Intermediate level of proficiency with MS Word, Excel and Outlook
Nice To Haves
- Experience working within the health care Industry and 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
- Eclinical work experience
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
- Other duties as assigned
Benefits
- a comprehensive benefits package
- incentive and recognition programs
- equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements)
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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
