Senior Clinical Administrative Coordinator

4 weeks ago


Sun City West, Arizona, United States Optum Full time
Job Summary

We are seeking a highly skilled Senior Clinical Administrative Coordinator to join our team at Optum. As a key member of our clinical operations team, you will play a critical role in ensuring the smooth delivery of patient care services.

Key Responsibilities
  • Patient Scheduling and Coordination: Verify referral approval prior to scheduling appointments, schedule patients for walk-in or future appointments, and coordinate/confirm scheduling of doctor visits/services with patients.
  • Prior Authorization and Verification: Review and process all assigned Prior Authorization orders to completion, obtain clinical information necessary to complete the Prior Authorization, and communicate with insurance companies to pre-certify/authorize medications.
  • Medical Records and Data Management: Utilize computer systems to pull/verify/enter patient data, update/upload patient care data, and document patient interactions in appropriate systems/logs.
  • Customer Service and Communication: Provide excellent customer service skills, communicate effectively with patients, physicians, and health plans, and maintain open communication and rapport with physicians to promote patient services/care.
Requirements
  • Education and Experience: High School Diploma/GED or equivalent work experience, 3+ years of healthcare customer service experience, and 1+ years of experience with benefit verification and prior authorization.
  • Skills and Knowledge: Knowledge of ICD-9/10 and CPT codes, understanding of health care insurance, and ability to work independently under general supervision and effectively prioritize workload.
About Optum

At Optum, 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.



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