Inbound Clinical Administrative Coordinator

UnitedHealth Group•Tampa, FL

4d•$18 - $32•Remote

About The Position

This position is National Remote. You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. This position is full time (40 hours / week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 9:30 am - 6:00 pm CST. It may be necessary, given the business need, to work occasional overtime or weekends. We offer 2 weeks of paid training. The hours during training will be 8:00 am - 5:00 pm CST from Monday - Friday. Training will be conducted virtually from your home.

Requirements

High School Diploma / GED
Must be 18 years of age OR older
1+ years of experience with taking 40+ calls in a high-volume call center environment
1+ years of experience in health insurance OR medical billing
Experience in working with key performance indicators (average handle time, call volume, etc.)
Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
Ability to work full time (40 hours / week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 9:30 am - 6:00 pm CST. It may be necessary, given the business need, to work occasional overtime or weekends.

Nice To Haves

1+ years of experience in working with ICD - 9 / 10 and CPT codes
Professional experience in a clerical OR administrative support related role
Knowledge of medical terminology
Experience in working with Microsoft Word (creating, editing, saving documents) and Microsoft Excel (creating, editing, saving spreadsheets)

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