Clinical Admin Coordinator - Muntinlupa

Optum Philippines; Manila; Presencial; PHP 335 000 - 536 000; Tempo integral

Resumo da oferta

Optum Philippines is seeking a patient-focused healthcare customer service professional to join our high-volume clinical support team in Manila.

You will manage member intake, coordinate with hospitals and clinics, and handle referrals and authorizations while following company policies. Evening shifts may be required to support members and providers.

A healthcare BPO background and a 1+ year track record will help you succeed, with opportunities to grow within UnitedHealth Group's global network.

Qualificações

• Graduate of any Medical Allied Course or a 4-year degree with healthcare BPO experience.
• 1+ year of Healthcare BPO experience, willing to work at the Muntinlupa site.
• Strong communication and multi-tasking in a high-volume environment.

Responsabilidades

• 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
• Comply with all applicable Company policies, procedures, and business directives, including any changes relating to work location, team assignments, work schedules, and flexible work arrangements.

Conhecimentos

Healthcare BPO

Call Center

Customer Service

Formação académica

Medical Allied Course

4-year degree

Descrição da oferta de emprego

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization 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.

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
• Comply with all applicable Company policies, procedures, and business directives, including any changes relating to work location, team assignments, work schedules, and flexible work arrangements.

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.

Required Qualifications

• Graduate of any Medical Allied Course or
• Graduate of any 4 year course with at least 1+ years of Healthcare BPO experience
• Willing to work in Muntinlupa Site

Preferred Qualifications

• Experience working within the health care Industry and with health care insurance
• Experience working in a call center

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.

Optum is a drug-free workplace. © 2026 Optum Global Solutions (Philippines) Inc. All rights reserved.