Clinical Administrative Coordinator - National Remote

Austin Bar Assocation; Dallas (TX); Remote; USD 80,000 - 100,000; Full time

Job summary

A leading health care organization is seeking a Customer Service Representative to join their appeal processing team. In this full-time role, you will utilize your healthcare experience and problem-solving skills to manage incoming appeals efficiently while working remotely from any location in the U.S. The position offers competitive hourly pay and a comprehensive benefits package.

Benefits

Comprehensive benefits package

Incentive and recognition programs

401k contributions

Qualifications

• 2+ years of experience analyzing and solving customer problems.
• 2+ years of experience working in the health care industry.
• 2+ years of experience working with medical terminology.

Responsibilities

• Review incoming Appeal emails and process requests according to type and CMS TAT times.
• Respond to requestors via email and make outbound calls to obtain documents.
• Handle incoming calls from providers checking the status of appeals.

Skills

Problem Solving

Communication

Flexibility

Education

High School Diploma / GED

Job description

Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together.

This position is full-time (40 hours/week) Wednesday - Saturday. Employees are required to have flexibility to work any of our 10-hour shift schedules during our normal business hours of 8am - 7pm CST. It may be necessary, given the business need, to work occasional overtime.

We offer weeks of paid training. The hours of training will be based on your schedule or will be discussed on your first day of employment.

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

Primary Responsibilities:

• Review incoming Appeal emails and processing the request accordingly via the type of Appeal received & adhering to CMS TAT times
• Responding to the requestor via email
• Making outbound calls to various facilities to obtain documents pertaining to certain types of appeals
• Receive incoming calls from providers wanting to check status on an appeal (Rotation)

In 2011, WellMed partnered with Optum to provide care to patients across Texas and Florida. WellMed is a network of doctors, specialists and other medical professionals that specialize in providing care for more than 1 million older adults with over 16,000 doctors' offices. At WellMed our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. WellMed has more than 22,000+ primary care physicians, hospitalists, specialists, and advanced practice clinicians who excel in caring for 900,000+ older adults. Together, we're making health care work better for everyone.

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
• Must be 18 years of age or older
• 2+ years of experience analyzing and solving customer problems
• 2+ years of experience working in the health care industry
• 2+ years of experience working with medical terminology
• Ability to work full-time (40 hours/week) Wednesday - Saturday. Employees are required to have flexibility to work any of our 10-hour shift schedules during our normal business hours of 8am - 7pm CST. It may be necessary, given the business need, to work occasional overtime

Preferred Qualifications:

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

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

The hourly range for this role is $16.88 to $33.22 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

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.

OptumCare 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.

OptumCare is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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