Clinical Administrator Coordinator

UnitedHealth Group•Waukesha, WI

14h•$18 - $32•Onsite

About The Position

Explore opportunities with Optum, in strategic partnership with ProHealth Care. ProHealth Care is proud to be a leader in health care services, serving Waukesha County and the surrounding areas for more than a century. Explore opportunities across the full spectrum of care as you help us improve the well-being of the community with your skills, compassion and innovation. Be part of a collaborative environment that strives for excellence, nurtures respect and ensures high-quality care delivery to our patients. Join us in making an impact as an Optum Team Member supporting Pro Health Care and discover the meaning behind Caring. Connecting. Growing together. This is a fast-paced, high volume, customer service environment. You must be efficient, productive, and thorough when assisting patients and families in person and telephonic. We are looking for team members who have flexibility with some early evening availability. Join us today and we can provide you with meaningful challenge that can result in a strong sense of impact and fulfillment. It's truly an opportunity to do your life's best work.SM At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Requirements

High School Diploma/GED
2+ years of customer service experience
Intermediate level of proficiency with MS Word, Excel and Outlook

Nice To Haves

Associates degree
Experience working within the health care Industry
Experience working in a hospital, physician's office or medical clinic setting
A clerical or administrative support background

Responsibilities

Working with a team of nurses to obtain CMS required forms
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
Assist the clinical staff in denials management and utilization management: faxing, scanning and portal entries
Providing in-person support to patients and families by addressing forms, letters and transportation matters