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Clinical Administrative Coordinator

1 month ago

Sanford, Florida, United States Optum Full time
Optum Career Opportunity

At Optum, we strive to deliver care and technology to help millions of people live healthier lives. As a Clinical Administrative Coordinator, you will play a vital role in connecting people with the care, pharmacy benefits, data, and resources they need to feel their best.

This is a full-time position, Monday through Friday, with a 40-hour workweek. You will be required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am to 5:00pm. Occasional overtime may be necessary.

We offer 4 weeks of on-the-job training, with hours aligned with your schedule. Your primary responsibilities will include:

  • Managing administrative intake of members
  • Working with hospitals, clinics, facilities, and the clinical team to manage requests for services from members and/or providers
  • Processing incoming and outgoing referrals, and prior authorizations, including intake, notification, and census roles, and HEDIS measures
  • Assisting the clinical staff with setting up documents/triage cases for Clinical Coverage Review
  • Handling resolution/inquiries from members and/or providers

You will be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role. We also offer opportunities for development in other roles you may be interested in.

Required qualifications include:

  • High School Diploma / GED
  • Must be 18 years of age or older
  • 2+ years of customer service experience
  • Experience with Microsoft Word, Microsoft Excel, and Outlook
  • Experience working within the healthcare industry and with healthcare insurance
  • Experience working in a hospital, physician's office, or medical clinic setting
  • Ability to work any of our 8-hour shift schedules during our normal business hours

Preferred qualifications include:

  • A clerical or administrative support background
  • Knowledge of ICD-10 and CPT codes
  • Experience working in a call center

At Optum, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone deserves the opportunity to live their healthiest life, regardless of their background or circumstances. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.

Diversity creates a healthier atmosphere: Optum 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.

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