Clinical Admin Coordinator

Taleo; San Antonio (TX); On-site; USD 25,000 - 44,000; Full time

Benefits offered by this job

Paid Time Off

Medical Plan options

Dental, Vision, Life & AD&D Insurance

401(k) Savings Plan

Education Reimbursement

Job summary

UnitedHealth Group is seeking a Clinical Admin Coordinator to support the administrative intake of members and coordinate with hospitals, clinics, and the clinical team to manage service requests. The role includes processing referrals and prior authorizations, assisting with document triage for Clinical Coverage Review, and handling inquiries from members and providers.

The position requires a High School Diploma or GED and at least 1 year of customer service experience, with evening hours

Qualifications

• High School Diploma or GED.
• At least 1 year of customer service experience.

Responsibilities

• Manage administrative intake of members.
• Coordinate 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.
• 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.
• Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles.
• Resolve inquiries from members and/or providers.

Skills

Customer service

Education

High School Diploma/GED

Job description

Improve the lives of others while Caring. Connecting. Growing together.

Job Description - Clinical Admin Coordinator (2389109)

Clinical Admin Coordinator - 2389109

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 startCaring. Connecting. Growing together.

Part of the challenge here is dealing positively with members and providers in sometimes challenging circumstances. As a subject matter expert, you'll also be the “go-to” resource for information. The flexibility of working evening hours will also be required.

Schedule:

Monday – Friday, 8:00- 5:00PM

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 Manage administrative intake of members
• 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
• 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
• Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles
• Resolve 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 commitmentto 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.)

Required Qualifications:

• High School Diploma/GED
• 1+ years of experience in customer service

Preferred Qualifications:

• Experience working with health care insurance
• Experience in a hospital, physician's office or medical clinic setting
• Experience working with Medicare and/or Medicaid Services
• Clerical or administrative support background or experience working in a call center environment

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 - $32 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 Groupis a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

UnitedHealth Group is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or accommodation for any part of the application process, please call 1-866-566-8715 to be connected to Recruitment Services. Recruitment Services hours of operation are 7 a.m. to 7 p.m. CT, Monday through Friday.

UnitedHealth Group is a registered service mark of UnitedHealth Group, Inc. The UnitedHealth Group name with the dimensional logo, as well as the dimensional logo alone, are both service marks for the UnitedHealth Group, Inc.

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.