Clinical Administrative Coordinator -Remote in Virginia

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.

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.

Schedule:  Monday through Friday from 8 am to 5pm Eastern Standard Time.  Weekends (Saturday or Sunday) will be required on a rotating basis. 

If you reside in the state of Virginia, you'll enjoy the flexibility to telecommute* from as you take on some tough challenges. Expectation to work from the office in Richmond, VA approximately once per month.

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

What are the reasons to consider working for UnitedHealth Group?  Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays

• Medical Plan options along with participation in a Health Spending Account or a Health Saving account

• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage

• 401(k) Savings Plan, Employee Stock Purchase Plan

• Education Reimbursement

• Employee Discounts

• Employee Assistance Program

• Employee Referral Bonus Program

• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

• More information can be downloaded at: http://uhg.hr/uhgbenefits

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 higher) or 3 + years equivalent experience working within the healthcare industry or healthcare insurance

• 2+ years of customer service experience

• Intermediate level of proficiency with MS Word, Excel (create, edit, save documents) and Outlook (email and calendar management)

• Reside in the state of Virginia

• Willing and able to commute to Richmond, VA office approximately once per month

• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)

Preferred Qualifications:

• Prior work at home experience

• Experience working within the health care Industry and with health care insurance

• Experience working in a hospital, physician's office or medical clinic setting

• Experience working in a call center

• A clerical or administrative support background

Soft Skills:

• Strong oral and written communication skills - specifically telephone skills

• Demonstrated effective organizational skills and scheduling skills as observed in day-to-day work

• Excellent customer service skills

• Excellent interpersonal and problem-solving skills

• Attention to detail, as observed in day-to-day work

• Excellent time management and prioritization skills

• Must demonstrate flexibility, ability to follow through on all tasks in a timely fashion, good attention to detail and a willingness to learn

• Strong team player, initiative in achieving individual and team goals, and team building skills

• Able to handle sensitive issues with members and providers in a confidential manner

• Demonstrates initiative in achieving individual, team, and organizational goals and objectives

• Creative problem-solving skills with the ability to use community and network resources to meet members' needs

• Ability and flexibility to assume responsibilities and tasks in a constantly changing work environment

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.98 to $32.12 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 

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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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

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