Clinical Administrative Coordinator

UnitedHealth Group•Overland Park, KS

17h•$18 - $32•Remote

About The Position

Optum is hiring a Clinical Administrative Coordinator to support patients, providers, and practice staff. The role includes scheduling and rescheduling appointments, verifying patient and insurance information, preparing charts, handling administrative and clerical work, and supporting care coordination and communication. The coordinator also supports providers and team members by uploading and managing documents in Epic EMR and completing daily office tasks. This is a remote position for candidates residing in Kansas, Missouri, Indiana, or Ohio. The schedule is full-time, 40 hours per week, Monday through Friday, either 8 a.m.–5 p.m. CST or 9 a.m.–6 p.m. EST. The role involves working with patients and caregivers on scheduling, referrals, coverage questions, care needs, paperwork, and sensitive health care decisions, while following applicable company, health plan, and regulatory guidelines.

Requirements

High school diploma or GED.
At least 1 year of healthcare experience using Epic or a similar electronic medical record (EMR) system.
Must reside in Kansas, Ohio, Missouri, or Indiana.
Demonstrated understanding of relevant health plan guidelines and benefits, including Medicare, Medicaid/Medical, commercial benefit plans, and federal or local government regulations.
Demonstrated understanding of federal privacy regulations such as HIPAA.
Knowledge of safety guidelines and practices such as OSHA.
Knowledge of basic medical terminology and human anatomy to document patient information using standard language and medical terminology.
Must adhere to UnitedHealth Group’s Telecommuter Policy.
Must pass a drug test before beginning employment.

Nice To Haves

Work-from-home experience.

Responsibilities

Respond to patient questions in person or over the phone, greet patients, and build rapport to provide a positive patient experience.
Input and update patient demographic, guarantor, and coverage information in computer systems and Epic EMR.
Make patient follow-up and appointment reminder calls; schedule, confirm, and reschedule appointments.
Ensure provider templates and procedures are configured correctly so appointments are scheduled in appropriate time slots.
Ask patients questions to verify information and identify scheduling needs; assist with completing required paperwork.
Coordinate doctor visits and services with patients, and contact physician offices on patients’ behalf to schedule visits, check progress, and facilitate care.
Make follow-up calls to identify and close gaps in care.
Explain patient care details, outside referrals, medications, health benefits and coverage, denials, and appeal rights to patients or caregivers.
Access insurance plan systems to verify eligibility and benefits and obtain additional information as necessary.
Enter and process referral data, verify approval before scheduling, review referrals for duplicates, direct referrals to appropriate providers, and follow up with requesting providers about changes.
Update and upload patient care, care plan, inpatient, and program data in computer systems.
Connect patients with community, housing, social service, meal, and other resources that support care and self-care.
Work directly with patients to identify specific needs or request adjustments to care plans, and manage challenging patient interactions constructively.
Ensure scheduling and follow-up activities comply with federal, state, and organizational guidelines.
Draft, provide, and respond to patient letters, forms, welcome letters, and educational materials in accordance with company and health plan guidelines.
Maintain communication and rapport with physicians to promote patient services and care.
Screen and forward incoming calls from patients, physicians, and health plans; monitor no-show and other work queues.
Accurately change filing order, ensure necessary account adjustments are listed, distribute payments to correct service dates, and request changes when needed.
Assist insurance companies and guarantors with questions about charges and balances, and work with other departments to resolve reimbursement issues.
Process faxes and scan documents into Epic.
Attend team and department meetings, participate in performance improvement activities, and perform other assigned duties.