Clinical Admin Coordinator

Texas Health Institute; Dallas, Northern (TX, KY); Hybrid; USD 22,000 - 40,000; Full time

Job summary

UnitedHealth Group is seeking a full-time Insurance Verification & Authorization Coordinator for a National Remote role, enabling work from anywhere in the U.S. You will coordinate with patients, payers, and clinicians to ensure timely access to care.

You will manage prior authorization processes, including submissions, notifications, appeals, follow-ups and ensure compliance with payer requirements; training is provided and overtime may be needed during peak periods.

Qualifications

• High School Diploma or GED or equivalent work experience.
• Experience in health care industry and with health care insurance.
• Proficiency with Word, Excel and Outlook.
• Flexibility to work overtime during peak season and a full-time schedule.

Responsibilities

• Lead insurance verification and prior authorization coordination with patients, payers, and clinical teams.
• Oversee Prior Authorization including submission, notification, appeals, follow-up, and resolution.
• Facilitate patient movement through intake and authorization lifecycle per policy and payer rules.

Skills

Customer service

Healthcare experience

Communication skills

Education

High School Diploma or GED

Tools

MS Word

MS Excel

MS Outlook

Job description

This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

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, Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 7:00 am - 7:00 pm local time. It may be necessary, given the business need, to work occasional overtime or weekends.

We offer 3 - 4 weeks of classroom training. The hours during training will be 8:00 am - 5:00 pm, CST, Monday - Friday. Training will be conducted virtually from your home.

Primary Responsibilities:

• Lead insurance verification and prior authorization coordination by partnering with patients, payers, and clinical teams to support timely access to care.
• Oversee Prior Authorization, including, submission, notification, appeals, follow-up, and resolution activities.
• Facilitate seamless patient movement through the intake and authorization lifecycle while ensuring compliance with departmental policies and payer requirements.

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
• Experience working within the health care Industry and with health care insurance
• Experience with Microsoft Word, Microsoft Excel and Microsoft Outlook
• Ability to work required overtime during peak season (January-February)
• Ability to work full-time, Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 7:00 am - 7:00 pm local time. It may be necessary, given the business need, to work occasional overtime or weekends

Preferred Qualifications:

• 2+ years of customer service experience
• Experience working in a hospital, physician's office or medical clinic setting
• Pharmacy experience
• Authorization experience
• Outbound calls experience to insurance companies
• Clerical or administrative support background
• Knowledge of ICD-10 and CPT codes

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

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 $16.00 to $29.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

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.