Clinical Administrative Coordinator – Remote in Las Vegas, NV

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life’s best work.^SM

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), Monday – Friday. Employees are required to work during our normal business hours of 8:00am – 5:00pm PST. It may be necessary, given the business need, to work occasional overtime or weekends. Our office is located at 2716 N Tenaya Way, Las Vegas, NV 89129.

We offer 8 weeks of paid training in the office. The hours during training will be 8:00am – 5:00pm PST, Monday – Friday. Training will be conducted onsite.

If you are located in Las Vegas, NV, you will have the flexibility to work remotely* as you take on some tough challenges.

 

Primary Responsibilities:

• Under the manager direction, functions as a Clinical Administrative Coordinator in the Utilization Management department
• Primarily responsible for initiation of cases by data entry of clinical into the Facets system, via telephone, fax or computer
• Electronically routes cases to the nurse for review and decision
• After decision, is responsible for accurate case completion to include generation of approval letters while staying within compliance with time frames
• Communicates with providers other departments as needed
• Works independently with minimal supervision
• Review and process fax and telephone requests to meet department key indicator productivity and accuracy standards; maintain minimum of 95% case data entry accuracy
• Follow department policy regarding accurate documentation of clinical data, demographic and product information, provider / facility contract status, appropriately route cases to RN for clinical review, follow departmental policy for non – clinical level notifications
• Maintain 100% accuracy of letter generation within compliance time frames
• Provide high level of customer service while communicating with internal departments and provider office staff as pertains to performance of job responsibilities
• Takes responsibility for problem solving to achieve key indicator goals

 

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 OR equivalent work experience
• Must be 18 years of age OR older
• 2+ years of experience in a healthcare facility, medical office, hospital, OR managed care setting
• Experience with medical terminology, ICD-10, and CPT codes
• Experience using Microsoft Office including Microsoft Word (create correspondence and work within templates), Microsoft Excel (creating spreadsheets, working within spreadsheets) and Microsoft Teams (communication)
• Ability to work during our normal business hours of 8:00am – 5:00pm PST, including the flexibility to work occasional overtime or weekends, based on the business need

 

Preferred Qualifications:

• Experience in a related environment (i.e., office, call center, customer service, etc.), using phones and computers as the primary job tools

 

Telecommuting Requirements:

• Reside within a 60-mile commutable distance to 2716 North Tenaya Way, Las Vegas, NV 89129
• 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

 

Soft Skills:

• Excellent telephonic customer service, listening, verbal and written communication, problem solving, and critical thinking skills

 

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

 

Nevada Residents Only: The hourly range for this role is $16.54 to $32.55 per hour. Pay is based on several factors including but not limited to 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 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

 

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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