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Healthcare Administrative Specialist

2 months ago

Saint Cloud, Minnesota, United States UnitedHealth Group Full time

UnitedHealth Group is a leading global organization focused on enhancing health outcomes through innovative technology and comprehensive care solutions. Your role within our team will significantly contribute to improving the health and well-being of individuals by connecting them with essential healthcare services, pharmacy benefits, and valuable resources. Here, you will experience a culture rooted in diversity and inclusion, surrounded by talented colleagues, and supported by extensive benefits and career advancement opportunities. Together, we can make a meaningful impact on the communities we serve and promote health equity on a global scale.

As a vital member of our clinical support team, you will play a crucial role in ensuring customer satisfaction by making every interaction informative, productive, and positive for our members and providers. This position offers the opportunity to engage in live outreach, educating members about available program benefits and services while assisting in the management of member cases. Bring your skills and expertise to a role where your contributions will truly matter.

This is a full-time position requiring 40 hours per week, with a flexible schedule during standard business hours. Employees may need to work occasional overtime based on business needs.

We provide comprehensive on-the-job training, with hours tailored to align with your schedule.

Key Responsibilities:

  • Oversee the administrative intake process for members
  • Collaborate with healthcare facilities and the clinical team to address service requests from members and providers
  • Manage incoming and outgoing referrals and prior authorizations, including intake and notification tasks
  • Assist clinical staff in preparing documents and triaging cases for Clinical Coverage Review
  • Resolve inquiries from members and providers

This role operates in a high-volume customer service environment, requiring efficiency, productivity, and thoroughness in member interactions. Flexibility to work evening hours is essential.

Your performance will be recognized and rewarded in an environment that challenges you while providing clear guidance on achieving success in your role and exploring other career opportunities.

Required Qualifications:

  • High School Diploma or GED
  • Minimum age of 18 years
  • At least 2 years of customer service experience
  • Proficiency in Microsoft Word, Excel, and Outlook
  • Ability to work flexible 8-hour shifts during standard business hours, with potential for occasional overtime

Preferred Qualifications:

  • Experience in the healthcare industry and familiarity with health insurance
  • Background in a hospital, physician's office, or medical clinic
  • Administrative or clerical support experience
  • Knowledge of ICD-9 and CPT coding
  • Experience in a call center environment

At UnitedHealth Group, our mission is to empower individuals to lead healthier lives and improve the health system for everyone. We are dedicated to addressing health disparities and enhancing health outcomes for all, particularly for historically marginalized groups and those with lower incomes. Our commitment to diversity fosters a healthier workplace, and we are an Equal Employment Opportunity/Affirmative Action employer, ensuring all qualified applicants receive fair consideration without regard to race, color, religion, sex, age, national origin, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group maintains a drug-free workplace, and candidates must pass a drug test prior to employment.

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