Clinical Administrative Coordinator

2 days ago

Dallas, Texas, United States UnitedHealth Group Full time
Job Summary

We are seeking a highly organized and detail-oriented Clinical Administrative Coordinator to join our team at UnitedHealth Group. In this role, you will be responsible for coordinating Network Operations processes in the Intake Call Center, serving as the initial intake of pre-service requests, claim reviews, and inpatient hospital coordination and diabetic supplies.

Key Responsibilities
  • Manage authorizations/notifications and other service requests received via incoming phone calls, faxes, and portal submissions
  • Provide excellent customer service, including the ability to handle escalated callers
  • Determine authorization or notification requirements
  • Prepare authorization cases for Medical Directors, Network Operations Nurses, and Case Managers
  • Provide administrative approvals (depending on the line of business)
  • Handle expedited authorizations, authorization updates, and status checks
  • Confirm member eligibility
  • Outreach to providers and/or patients to complete authorization requests and prescriptions
  • Maintain knowledge of various health plan partner benefits, networks, CMS regulations, and health plan partner policies
  • Utilize experience and judgment to plan, accomplish goals, and effectively resolve each assigned task
Requirements
  • High School Diploma/GED
  • Must be 18 years of age or older
  • 1+ years of combined or related experience in a healthcare, call center, and/or customer service setting using the telephone and computer as the primary instrument to perform job duties
  • Proficiency with Microsoft Office Word (create and maintain documents), Excel (create and maintain spreadsheets), and Outlook (email and calendaring)
  • Ability to work Sunday-Saturday between 9:00am-7:00pm CST with variable shifts to support our 24-hour day, 7-day week operations
Preferred Qualifications
  • Medical Terminology
  • ICD-10 and CPT Knowledge
Telecommuting Requirements
  • Reside within MST or CST (but must work on Central Time Zone)
  • Ability to keep all company-sensitive documents secure (if applicable)
  • Required to have a dedicated work area established that is separated from other living areas and provides information privacy
  • Must live in a location that can receive a UnitedHealth Group-approved high-speed internet connection or leverage an existing high-speed internet service

Colorado Residents Only: The hourly range for this role is $16.54-$32.55 per hour. Pay is based on several factors, including local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and k-contribution (all benefits are subject to eligibility requirements).

At UnitedHealth Group, 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. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes-an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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