Clinical Administrative Coordinator

UnitedHealth Group • Franklin, TN

217d • $16 - $33 • Remote

About The Position

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. UnitedHealth Group is seeking a Clinical Administrative Coordinator who shares our passion for helping others live healthier lives. As one of the world's leading health care companies, UnitedHealth Group is pursuing innovative new ways to operate our service centers and improve on our ability to deliver high-quality care. As part of our clinical administrative team, you will work collaboratively with our clinical partners and other internal stakeholders. You'll be a key component in member satisfaction and have a responsibility to make every contact informative, productive and positive for our members and providers. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale.

Requirements

• High School Diploma/GED (or higher) OR 4+ years of experience working within the healthcare industry or with health insurance
• 2+ years of customer service experience
• 1+ years of experience working within the healthcare industry or with health insurance
• Intermediate level of proficiency with MS Word, Excel (create, edit, save documents) and Outlook (email and calendar management)
• Ability to work the hours of 8 am to 5 pm Central Standard time
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
• Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
• Must reside in the state of Tennessee

Nice To Haves

• Prior work at home experience
• Experience in a clerical or administrative role
• Medicare and/or Medicaid experience
• Long-term care knowledge

Responsibilities

• Manage administrative intake of members
• Work collaboratively with clinical partners and Home and Community Based Service providers to manage and authorize services
• Process incoming and outgoing referrals, including intake and notifications to providers
• Handle resolution inquiries from members, providers and clinical partners
• Initiate outreach to providers concerning availability, authorizations, and compliance
• Collaborate with internal departments including Advocates, Clinical Team and Leadership to resolve any issues relating to Provider's compliance
• Maintain confidentiality and adhere to HIPAA Requirements
• Consistently meet established productivity, scheduling, and quality standards
• Navigate and document inside multiple clinical applications
• Perform other duties as assigned

Benefits

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life & AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Insurance Carriers and Related Activities
• Education Level: High school or GED