Clinical Administrative Coordinator

UnitedHealth Group•Honolulu, HI

5d•Remote

About The Position

This position is Remote in Hawaii. You will have the flexibility to work remotely 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 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. 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 8:00 am - 5:30 pm HST. It may be necessary, given the business need, to work occasional overtime and weekends. We offer 12+ weeks of paid training. The hours during training will be 8:00 am - 4:30 pm HST, Monday - Friday. Training will be conducted virtually from your home.

Requirements

High School Diploma / GED
Must be 18 years of age OR older
2+ years of customer service experience
Experience with Microsoft Word (ability to edit, create, and save documents), Microsoft Excel (ability to edit, create, and save spreadsheets), and Microsoft Outlook (sending / receiving emails and calendar invites)
Ability to work on Saturdays as needed
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 8:00 am - 5:30 pm HST. It may be necessary, given the business need, to work occasional overtime and weekends.
Reside within the state of Hawaii
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 within the health care Industry and with health care insurance
Experience working in a hospital, physician's office or medical clinic setting
Experience working in a call center
Clerical or administrative support background
Knowledge of ICD - 10 and CPT codes

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 prior authorizations, including intake, notification and census activities
Assist clinical staff with preparing documents and triage cases for Clinical Coverage Review
Handle inquiries and resolve issues from members and/or providers
Support a predominantly administrative role with lower inbound call volume, allowing for a strong focus on documentation accuracy, coordination and follow through