Clinical Administrative Coordinator

5 days ago


Lutz, Florida, United States Optum Full time

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. Our team is dedicated to improving health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. We strive to create a culture guided by diversity and inclusion, where talented peers, comprehensive benefits and career development opportunities come together to make a meaningful impact on the communities we serve.

Key Responsibilities:

  • Manage administrative intake of members and provide exceptional customer service.
  • Work closely 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.

Requirements:

  • High School Diploma / GED
  • Must be 18 years of age or older
  • 2+ years of customer service experience
  • Experience with Microsoft Word, Excel and Outlook
  • Ability to work our normal business hours of 8:00am - 5:00pm. It may be necessary, given the business need, to work occasional overtime.

Preferred Qualifications:

  • Experience working within the healthcare industry and with healthcare insurance
  • Experience working in a hospital, physician's office or medical clinic setting
  • Clerical or administrative support background
  • Knowledge of ICD-9 and CPT codes
  • Experience working in a call center

At Optum, we believe everyone deserves the opportunity to live their healthiest life. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.

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.



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