Clinical Administrative Coordinator – National Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

Like you, UnitedHealth Group is strong on innovation. And like you, we’ll go the distance to deliver high-quality care. As part of our clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive and positive for our members and providers. You’ll have the opportunity to do live outreach, educating members about program benefits and services while also helping to manage member cases. Bring your skills and talents to a role where you’ll have a chance to make an impact.

This position is full-time (40 hours/week), Sunday – Saturday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am – 5:00 pm PST. It may be necessary, given the business need, to work occasional overtime and weekends. 

Specific schedule will be assigned either one week before the employment or on the first day of employment. 

We offer 4 – 6 weeks of paid training. The hours of the training will be based on schedule or will be discussed on your first day of employment. 

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.  

                                 

Primary Responsibilities:

• Manage administrative intake of members
• Work 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

                         

This is high volume, customer service environment. You’ll need to be efficient, productive and thorough dealing with our members over the phone. You also must be able to work a flexible schedule that includes evening hours.

You’ll 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 as well as provide development for other roles you may be interested in. 

 

Required Qualifications:

• 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 Microsoft Outlook
• Ability to work any 8-hour shift between the hours of 8:00 AM – 5:00 PM PST from Sunday – Saturday including the flexibility to work occasional overtime and weekends based on business need 

 

Preferred Qualifications:

• Experience with working within the health care Industry and with health care insurance
• Experience with working in a hospital, physician’s office or medical clinic setting
• A clerical OR administrative support background
• Knowledge of ICD-9 and CPT codes
• Experience with working in a call center
• Ability to multitask  

 

Telecommuting Requirements: 

• 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

 

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy