Clinical Administrative Coordinator

UnitedHealth Group; Dallas (TX); Remote; USD 25,000 - 44,000; Full time

Job summary

UnitedHealth Group seeks a Clinical Administrative Coordinator for a National Remote role. You will handle service requests from members and providers, process referrals and authorizations, and support clinical staff with document setup and triage for reviews.

The role requires 2+ years in customer service, MS Word/Excel/Outlook proficiency, and basic medical terminology knowledge. Training is provided; hours run 7:00 am–7:00 pm Pacific with possible overtime.

Qualifications

• High School Diploma / GED OR equivalent years of work experience.
• Must be 18 years of age or older.
• 2+ years of customer service experience.
• Experience with Microsoft Word, Microsoft Excel and Microsoft Outlook.
• Basic knowledge of Medical Terminology.
• Ability to work an 8-hour shift during 7:00 am - 7:00 pm Pacific time; overtime may be required.

Responsibilities

• Work with hospitals, clinics, facilities and clinical team to manage service requests via phone, fax, or provider portal.
• Process referrals and prior authorizations, including intake, notification and census roles.
• Assist clinical staff with setting up documents/triage cases for Clinical Coverage Review.
• Handle resolutions and inquiries from members and providers.

Skills

Customer service

Microsoft Word

Microsoft Excel

Microsoft Outlook

Medical Terminology

Education

High School Diploma / GED

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

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

Job Description - Clinical Administrative Coordinator (2392436)

Job Number:

2392436

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 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.

The Clinical Administrative Coordinator position is distinguished by the job duties and responsibilities, education/training requirements, level of difficulty of processing information and program or functional operations and the nature of the interactions, tracking and reporting conditions in a multi-tasking manner characteristic of coordinating differing elements within the job to create process efficiencies.

This position is full time. Employees are required to work an 8‑hour shift during our normal business hours of 7:00 am - 7:00 pm PST. It may be necessary, given the business need, to work occasional overtime. There is weekend rotation coverage required for this role.

We offer 2 weeks of paid training. The hours during training will be from 8:00 am - 4:30 pm PST, Monday - Friday, and then will move into an on the job training. Training will be conducted virtually from your home.

Primary Responsibilities

• Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers via phone, fax, and/or provider portal
• 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

Other work as required / requested

• May be assigned special project or other assignments and work tasks that are generally within the scope and level of the position, and relative to the need for flexible Company operations.

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 years of work experience
• Must be 18 years of age OR older
• 2+ years of customer service experience
• Experience with Microsoft Word, Microsoft Excel (create, edit, save documents and spreadsheets) and Microsoft Outlook (email and calendar management)
• Basic knowledge of Medical Terminology
• Ability to work an 8‑hour shift during our normal business hours of 7:00 am - 7:00 pm Pacific. It may be necessary, given the business need, to work occasional overtime. There is weekend rotation coverage required for this role.

Preferred Qualifications

• 1+ years of experience with prior authorizations
• 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
• Clerical OR administrative support background
• Knowledge of ICD-9 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 $18 - $32 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Job

Clinical Admin & Processing

Other Locations

US-CT-Hartford, US-MN-Minneapolis, US-AZ-Phoenix, US-FL-Tampa

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.

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.