Clinical Administrative Coordinator

UnitedHealth Group • Queensbury, NY

210d • $17 - $31 • Remote

About The Position

UMR, UnitedHealthcare's third-party administrator (TPA) solution, is the nation's largest TPA. When you work with UMR, what you do matters. It's that simple . . . and it's that rewarding. In providing consumer-oriented health benefit plans to millions of people; our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system. Opportunities are endless for your career development and advancement within UMR due to our record-breaking growth. Regardless of your role at UMR, the support you feel all around you will enable you to do what you do with energy, quality, and confidence. So, take the first step in what is sure to be a fast-paced and highly diversified career. This position is full-time, Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 10:00am - 7:00pm CST. It may be necessary, given the business need, to work occasional overtime. We offer 4 weeks of paid on-the-job training. The hours during training will be 7:30am - 4:00pm CST, Monday - Friday. You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.

Requirements

• High School Diploma / GED OR equivalent work experience
• Must be 18 years of age 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)
• Ability to complete 4 weeks of on-the-job training, from Monday - Friday, between the hours of 7:30am - 4:00pm CST
• Ability to work Monday - Friday, in any of our full-time shift schedules during our normal business hours of 10:00am - 7:00pm CST, including the flexibility to work occasional overtime, given the business need

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
• Experience working with multiple platforms and/or programs
• Experience working with 2 or more screens/monitors
• 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 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

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

What This Job Offers

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