Clinical Administrative Coordinator

UnitedHealth Group; Hartford (CT); Remote; Confidential; Full time

Job summary

A leading healthcare organization is seeking a full-time Administrative Support representative to manage member intakes and process healthcare service requests. The position offers remote work flexibility and requires a High School Diploma and at least one year of health insurance or medical billing experience. This role provides an opportunity to improve health outcomes while working in a culture focused on inclusion and professional growth.

Qualifications

• 1+ years of experience in health insurance or medical billing.
• Must be 18 years of age or older.
• Familiarity with computer and Windows PC applications.

Responsibilities

• Manage administrative intake of members.
• Process incoming and outgoing referrals.
• Assist clinical staff with documentation.

Skills

Experience with ICUE

Knowledge of clinical requests processing

Ability to navigate new computer systems

Education

High School Diploma / GED

Tools

Microsoft Word

Microsoft Excel

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 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.

This position is full-time (40 hours/week) Monday - Friday. Employees are required to work 8-hour shift schedules during our normal business hours of 9:00am - 5:30pm EST. Schedule will alternate each week per the following:
1st week: 9:00am-5:30pm EST, Monday to Friday,
2nd week: Same schedule but will work for 8:00am - 12:00pm EST on Saturday OR Sunday.

Candidate will select which day during the week they will shorten their shift to 4 hours. Hiring Manager will go over specifics during the interview. It may be necessary, given the business need, to work occasional overtime or weekends.

We offer 2 weeks of on-the-job training. The hours during training will be 9:00am to 5:30pm EST, Monday - Friday. Training will be conducted virtually from your home.

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
• 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 via email or telephone

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
• 1+ years of experience with ICUE
• Knowledge and/or experience processing clinical requests from providers
• 1+ years of experience in health insurance OR medical billing
• Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
• Ability to work full-time (40 hours/week) Monday - Friday. Employees are required to work 8-hour shift schedules during our normal business hours of 9:00am - 5:30pm EST.

Preferred Qualifications:

• Professional experience in a clerical OR administrative support related role
• 1+ years of experience working with ICD - 9 / 10 and CPT codes
• Experience working with Microsoft Word (creating, editing, saving documents) and Microsoft Excel (creating, editing, saving spreadsheets)
• Knowledge of medical terminology

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.

Soft Skills:

• Experience working with key performance indicators (average handle time, call volume, etc)

The hourly pay for this role will range from $17.74 - $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

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.