Clinical Administrative Coordinator

UnitedHealth Group; Grand Junction (CO); A distancia; USD 25.000 - 44.000; Jornada completa

Descripción de la vacante

UnitedHealth Group is seeking an Associate Clinical Administrator Coordinator to join the Colorado team. This role focuses on patient-centered administrative tasks, prior authorizations, referrals, and coordination with hospitals and clinicians to ensure timely care.

Work hours are Mon-Fri 8am-5pm MST with the option to telecommute from anywhere in Colorado. You’ll need strong Microsoft Word/Excel skills, a quiet home workspace, and reliable high-speed internet to succeed.

Formación

• High School Diploma/GED.
• 1+ years of healthcare related experience.
• Intermediate level of proficiency with Microsoft Word and Microsoft Excel.
• Access to a designated quiet workspace in your home with the ability to secure PHI.
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection.

Responsabilidades

• Manage administrative intake of members prior authorization requests.
• 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.
• Performs other duties as assigned.

Conocimientos

Healthcare experience

Strong organizational skills

Excellent verbal and written comunicat

Educación

High School Diploma/GED

Herramientas

Microsoft Word

Microsoft Excel

Descripción del empleo

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to startCaring. Connecting. Growing together.

Community and State of Colorado has an immediate opening for a friendly, patient focused and detailed orientedAssociate Clinical Administrator Coordinator tojoin our team.

Schedule: Monday-Friday: 8am-5pm MST. No nights or Weekends.

You’ll enjoy the flexibility to telecommute* from anywhere in Colorado as you take on some tough challenges.

Primary Responsibilities:

• Manage administrative intake of members prior authorization requests
• 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
• Performs other duties as assigned

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 directions 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
• 1+ years of healthcare related experience
• Intermediate level of proficiency with Microsoft Word (ability to create, copy, edit, and send and save documents) and Microsoft Excel (create, edit, save documents)
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
• Must live in a location that can receive a UnitedHealth Group approved high - speed internet connection or leverage an existing high - speed internet service

Preferred Qualifications:

• Prior work at home experience
• 1+ years of customer service
• 4+ years ofhealthcare customer service experience
• Prior healthcare billing or prior authorization experience
• Experience working within the health care Industry and with health care insurance
• Experience working in a hospital, physician's office or medical clinic setting
• Knowledge of ICD-10 and CPT codes
• Experience working in a call center

Soft Skills:

• Ability to work independently and as a team, and maintain good judgment and accountability
• Demonstrated ability to work well with health care providers
• Strong organizational and time management skills
• Ability to multi-task and prioritize tasks to meet all deadlines
• Ability to work well under pressure in a fast-paced environment
• Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others

*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 - $32 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.

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