Senior Clinical Administrative Coordinator

UnitedHealth Group Inc.•Seattle, WA

34d•$20 - $36•Onsite

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 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. Senior Clinical Administrative Coordinator is responsible for the completion of set processes and protocols. Works cooperatively with all members of the care team to support the vision and mission of the organization, delivers excellent customer service. Supports the team in meeting clinical and service goals. The Senior Clinical Administrative Coordinator will be asked, at times, to complete outbound calls to members for survey purposes Schedule: Monday - Friday, 8:30am-5pm or 8am-4:30pm PST Location: 1229 Madison Street, Suite 1600, Seattle, WA 98104

Requirements

High School Diploma/GED (or higher)
1+ years of EPIC experience
1+ years of experience working in medical office position performing duties such as scheduling appointments, checking patients in/out, insurance verification, collecting co-pays, and maintaining medical records
Basic level of computer proficiency and the ability to work on multiple websites
Ability to work independently and maintain good judgment and accountability
Demonstrated ability to work well with health care providers
Strong organizational and time management skills
Ability to multi-task and prioritize tasks to meet all deadlines
Ability to work well under pressure in a fast-paced environment
Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others

Nice To Haves

Surgery scheduling experience
Prior authorization experience
1+ years of direct-to-consumer sales experience

Responsibilities

Provide front and back-office support in a float Patient Care Coordinator/Scheduler role
Answers all phone calls from 3 phone queues (scheduling, high priority, and overflow)
Provide high level of customer service while communicating with internal departments and external provider office staff as pertains to performance of job duties
Review and process prior authorization requests to meet departmental key indicator productivity
Verifies patient insurance eligibility & benefits to include applicable co-pays, co-insurances, deductibles, Out of Pocket Maximum, appropriate service facilities, services covered and which services if any require prior authorization
Intakes all demographic information for new patients
Updates demographic information for existing patients
Collect insurance information
Requests medical records from the PCP/hospitals/referring physician for new patients
Schedules/Reschedules/Cancels patient's appointments for multi-location multi-providers for an Internal Medicine practice
Routes calls throughout the office to the appropriate department
Submit Specialists Referrals with appropriate clinical information using established protocols & procedures
Resolve customer service inquiries which could include Benefit and Eligibility information, Authorization for treatment, Specialists Orders/Referrals
Relays messages from patients/specialist/pharmacies to the appropriate individual
Willing to work with others as well as an individual to meet company goals
Handle 40+ incoming calls daily
Accepting all incoming HMO and FFS referrals 100+ daily via portals, faxes, messages
Handle all hospital face sheets/service messages/voicemails/faxes/direct messages and add-ons
Exceed attendance standards set by company policy
Responsible for contacting patients for cosmetic consultations
Monitoring workflow
Training new hires
Creating and managing team schedules
Assist with onboarding new employees
Responsible for contacting leads and follow up procedures
Ability to support all staff and leadership in their roles
Ability to de-escalate and resolve patient complaints
Any other duties that may arise
Meet Quality, Productivity and Attendance requirements
Making outbound calls to members and provider offices
Maintaining accurate documentation
Being responsible for any follow-up work needed for resolving and closing issues
Identifying and resolving anticipated Provider issues to prevent future calls
Maintain proficiency in all technical applications (technical skills and system knowledge)
Comply with all current policies, procedures and workflows
Collaborate with Care Managers, Hospital Staff, Providers, and Community agencies and organizations to facilitate to services
Leads the activities of team members by communicating and providing guidance toward achieving department objectives.
Participates in internal/external collaborative meetings on Service Needs and discusses barriers to service initiation
Effective communication with Care Team members throughout workday via email, TEAMs chat, and telephone to assist in coordination of care.
Performs other duties as assigned

Benefits

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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