Clinical Admin Coordinator

ISHE; Colorado Springs, Northern (CO, KY); On-site; USD 25,000 - 44,000; Full time

Benefits offered by this job

PTO & Holidays

Medical Plan Options

Dental & Vision Insurance

401(k) Savings Plan

Job summary

UnitedHealth Group seeks a customer service professional to support members by phone in a high-volume environment. The role requires efficient handling of referrals, authorizations, and care coordination while maintaining accuracy with electronic medical records.

Flexible schedule includes evenings. The position is remote within the United States, with hours aligned to MST. Prior healthcare or insurance experience is preferred, and a commitment to service excellence is essential.

Qualifications

• High School Diploma/GED required.
• 2+ years of telephonic or face-to-face customer service experience.
• Intermediate proficiency with Microsoft Word, Excel and Outlook.

Responsibilities

• Manage intake of members or admission/discharge information.
• Coordinate with hospitals, clinics, facilities and clinical team for service requests.
• Process referrals and prior authorizations, including intake and census roles.
• Provide triage and care coordination notifications for non-clinical assessments.
• Take inbound and outbound calls and handle inquiries from members/providers.

Skills

Customer service

Telephone handling

Microsoft Office

Healthcare knowledge

Education

High School Diploma/GED

Job description

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.

Caring. Connecting. Growing together.

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. This is high volume, customer service environment. You'll need to be efficient, productive and thorough working with paper and electronic medical records.

Location

You'll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. Must be willing and able to work MST hours.

Schedule

Monday-Friday between the hours of 7am-6pm MST. Schedule to be determined by manager upon hire.

Primary Responsibilities

• Manage the intake of members or the admission/discharge information post notification
• Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers
• Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles
• Provide appropriate triage and care coordination notification cases for non-clinical assessment/intervention-processing referrals
• Take inbound and outbound calls
• 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

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.)

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
• 2+ years of telephonic or face-to-face customer service experience
• Intermediate level of proficiency with Microsoft Word, Excel and Outlook

Preferred Qualifications

• Experience working within the health care industry and with health 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
• Knowledge of ICD-9 and CPT codes

*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 $18.00 to $32.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Application Deadline

This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.

#RPO #GREEN