Field Clinical Administration Coordinator

UnitedHealth Group-posted 3 months ago
$17 - $31/Yr
Full-time • Entry Level
Remote • Kalamazoo, MI
Insurance Carriers and Related Activities
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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. The Field Clinical Administration Coordinator role is an essential part of an Integrated Care Model. You will work collaboratively with our clinical partners and other internal stakeholders and be a key component in customer satisfaction, making every contact informative, productive and positive for our members and providers. You'll have the opportunity to do live outreach, educating people about program benefits and services while also helping to manage individual cases and support the Utilization Review team. This is a fast-paced working environment that requires the ability to multitask with attention to detail and excellent organizational skills. This position is a home-based position with expected travel time for member home visits and community-based travel up to 30% within a 50-mile radius and/or 50-minute drive from your home pending business needs.

  • Manage administrative intake of people with UHC insurance and complete the required documentation in our medical management systems
  • Maintain compliance with turnaround times based on the member's product, the type of request and the specific regulatory agency
  • Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers
  • Assist the clinical staff with setting up documents/triaging cases
  • Handle resolution/inquiries from members and/or providers
  • Work collaboratively with clinical partners and Home and Community Based Service providers to manage services
  • Conduct telephonic and/or in-person outreach to locate individuals and families in the community who are hard to reach
  • Supports member related correspondence and educational materials
  • Handle resolution inquiries from members, providers and clinical partners
  • Collaborate with internal departments including Leadership to resolve issues
  • Maintain confidentiality and adhere to HIPAA Requirements
  • Consistently meet established productivity, scheduling, and quality standards
  • Navigate and document inside multiple clinical applications
  • Performs other duties as assigned
  • High School Diploma/GED (or higher)
  • 2+ years of customer service experience
  • 1 + years of experience working within the healthcare industry or with healthcare insurance
  • Intermediate level of proficiency with MS Word, Excel (create, edit, save documents) and Outlook (email and calendar management)
  • 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 Michigan
  • Access to reliable transportation & valid US driver's license
  • Experience working in a hospital, physician's office or medical clinic setting
  • Experience working in a call center
  • A clerical or administrative support background
  • Prior work at home experience
  • Medicare and/or Medicaid experience
  • Long-Term Care knowledge
  • 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.)
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