Clinical Administrative Coordinator
About The Position
The Clinical Administrative Coordinator coordinates administrative and operational elements of clinical service requests, tracking and reporting information while helping create process efficiencies. The role works with hospitals, clinics, facilities, members, providers, and clinical staff to manage requests for services and support clinical coverage reviews. This is a full-time, national remote position that can be performed from anywhere in the U.S. Employees work an eight-hour shift during normal business hours of 7:00 a.m. to 7:00 p.m. Pacific time, with occasional overtime and required weekend rotation coverage. Paid training lasts two weeks and is conducted virtually from home, Monday through Friday, 8:00 a.m. to 4:30 p.m. Pacific time, followed by on-the-job training. Remote employees must secure sensitive company documents, maintain a dedicated work area that protects information privacy, and have access to an approved high-speed internet connection. Employees must follow UnitedHealth Group’s Telecommuter Policy. The hourly pay range is $18 to $32, based on factors including local labor markets, education, work experience, and certifications. Benefits are subject to eligibility requirements. Candidates must pass a drug test before beginning employment.
Requirements
- High school diploma or GED, or equivalent years of work experience.
- Must be at least 18 years old.
- At least 2 years of customer service experience.
- Experience using Microsoft Word and Excel to create, edit, and save documents and spreadsheets, and Microsoft Outlook for email and calendar management.
- Basic knowledge of medical terminology.
- Ability to work an eight-hour shift during business hours of 7:00 a.m. to 7:00 p.m. Pacific time, work occasional overtime when needed, and participate in weekend rotation coverage.
- Ability to secure sensitive company documents, if applicable.
- A dedicated work area separated from other living areas that provides information privacy.
- Must live in a location that can receive a UnitedHealth Group-approved high-speed internet connection or have existing high-speed internet service.
- Must adhere to UnitedHealth Group’s Telecommuter Policy when working remotely.
Nice To Haves
- At least 1 year of experience with prior authorizations.
- Experience in the health care industry and with health care insurance.
- Experience in a hospital, physician’s office, or medical clinic setting.
- Call center experience.
- Clerical or administrative support background.
- Knowledge of ICD-9 and CPT codes.
Responsibilities
- Work with hospitals, clinics, facilities, and clinical teams to manage service requests from members and/or providers via phone, fax, and provider portal.
- Process incoming and outgoing referrals and prior authorizations, including intake, notification, and census roles.
- Assist clinical staff with setting up documents and triaging cases for Clinical Coverage Review.
- Handle resolutions and inquiries from members and/or providers.
- Perform other work as required or requested.
- Complete special projects and other assignments or tasks within the position’s scope and level, as needed for flexible company operations.
Benefits
- Comprehensive benefits package, subject to eligibility requirements.
- Incentive and recognition programs.
- Equity stock purchase.
- 401(k) contribution, subject to eligibility requirements.
- Two weeks of paid training.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
