Clinical Administrative Coordinator

UnitedHealth Group•Tampa, FL

11h•Remote

About The Position

This position is National Remote. You’ll enjoy the flexibility to telecommute from anywhere within the U.S. 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. The Clinical Administrative Coordinator position is distinguished by the job duties and responsibilities, education/training requirements, level of difficulty of processing information and program or functional operations and the nature of the interactions, tracking and reporting conditions in a multi-tasking manner characteristic of coordinating differing elements within the job to create process efficiencies. This position is full-time. Employees are required to work an 8-hour shift during our normal business hours of 7:00am - 7:00pm Pacific Time. It may be necessary, given the business need, to work occasional overtime. There is weekend rotation coverage required for this role. We offer 2 weeks of paid training. The hours during training will be 8:00 am to 4:30 pm Pacific Time, Monday - Friday and then we will move into an on-the-job training. Training will be conducted virtually from your home.

Requirements

High School Diploma / GED OR equivalent years of work experience
Must be 18 years old OR older
2+ years of customer service experience
Experience with Microsoft Word, Microsoft Excel (create, edit, save documents and spreadsheets) and Microsoft Outlook (email and calendar management)
Basic knowledge of Medical Terminology
Ability to work an 8-hour shift during our normal business hours of 7:00am - 7:00pm Pacific. It may be necessary, given the business need, to work occasional overtime. There is weekend rotation coverage required for this role
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

1+ years of experience with prior authorizations
Experience working within the health care Industry and with health care insurance
Experience working in a hospital, physician's office or medical clinic setting
Clerical or administrative support background
Knowledge of ICD-9 and CPT codes
Experience working in a call center

Responsibilities

Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers via phone, fax, and/or provider portal
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
May be assigned special project or other assignments and work tasks that are generally within the scope and level of the position, and relative to the need for flexible Company operations.