Senior Clinical Administrative Coordinator
About The Position
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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. This is a full-time position Saturday - Tuesday. Employees are required to have flexibility to work any of our 10-hour shift schedules during our normal business hours of 6:00am - 5:00pm. It may be necessary, given the business need, to work occasional overtime including some holidays. Our office location is 2716 N Tenaya Way, Las Vegas NV. We offer weeks of on-the-job training. The hours of the training will be based on schedule or will be discussed on your first day of employment. This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. You also must be able to work a flexible schedule that includes evening hours. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Requirements
- High School Diploma/GED (or higher)
- 2+ years of customer service experience in a Healthcare Facility
- 6+ months of experience with Medical Terminology
- Intermediate level of experience with Microsoft Word, Microsoft Excel and Microsoft Outlook
- Ability to work onsite at 2716 N Tenaya Way, Las Vegas NV
- Ability to work Sunday-Wednesday from 6:00am - 5:00pm, including some holidays
- Must be 18 years of age OR older
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
- A clerical or administrative support background
- Knowledge of ICD-9 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
- In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).
- No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
