Clinical Administrative Coordinator - National Remote

Lensa; Tampa (FL); Remote; USD 60,000 - 80,000; Full time

Job summary

Join a leading organization as a Clinical Administrative Coordinator where you’ll manage essential administrative tasks that ensure effective inpatient admissions and case management. This full-time position offers the flexibility to telecommute while playing a vital role in improving health outcomes. The ideal candidate is customer-oriented, possesses strong communication skills, and is ready to thrive in a fast-paced healthcare setting. Embrace career development opportunities and contribute to impactful health initiatives with our team.

Benefits

Comprehensive benefits package

Incentive and recognition programs

401k contribution

Qualifications

• 1+ years in a customer service role.
• 6+ months in a healthcare environment.
• Knowledge of medical terminology preferred.

Responsibilities

• Oversee the management of inpatient admissions and post-acute cases.
• Handle incoming clinical records and manage appeals oversight.
• Respond to calls and provide exceptional customer service.

Skills

Customer Service

Communication

Attention to Detail

Organizational Skills

Self-motivation

Education

High School Diploma / GED or equivalent experience

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Microsoft Teams

Job description

Clinical Administrative Coordinator - National Remote

Clinical Administrative Coordinator - National Remote

2 days ago Be among the first 25 applicants

Lensa is the leading career site for job seekers at every stage of their career. Our client, UnitedHealth Group, is seeking professionals. Apply via Lensa today!

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 CAC will be responsible for managing various administrative and coordination tasks to support efficient inpatient admissions, post-acute case management, and ensure compliance with healthcare standards. This role requires a professional with strong communication skills, the ability to manage multiple priorities, and a commitment to delivering high-quality support in a fast-paced healthcare environment.

This position is full-time. Employees are required to have flexibility to work , M-F, 8:00 am-5:00 pm PST or 4 days, 10 hour shifts between the hours of 6:00am – 8:00pm PST, Thursday - Sunday OR Saturday - Tuesday. It may be necessary, given the business need, to work occasional overtime.

We offer weeks of on-the-job training. The hours during training will be during your regularly scheduled hours.

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

Primary Responsibilities

• Oversee the management of building inpatient admissions and post-acute cases, ensuring that the admissions process is efficient and that turnaround times are met.
• Handle incoming clinical records by reviewing, organizing, and attaching them to the associated inpatient case in a timely manner.
• Respond to incoming calls, providing exceptional customer service, and directing inquiries to the appropriate department or individual as needed.
• Manage appeals oversight for the Quality Improvement Organization (QIO) and health plan, ensuring all procedures are followed according to regulatory and company standards.
• Initiate peer-to-peer reviews with healthcare providers to discuss patient cases and ensure appropriate care is provided.
• Prepare and send out initial Notice of Medicare Non-Coverage (NOMNC) packets and process incoming packets, maintaining compliance and proper documentation.
• Maintain oversight of regional emails and faxes, ensuring timely and accurate responses to all communications.
• Manage Prior Authorization intake for Skilled Nursing Facilities (SNF), Long-Term Acute Care Hospitals (LTACH), Acute Inpatient Rehab (AIR), and other services as needed.
• Perform any additional duties assigned by UM support leadership, which could include administrative tasks, reporting, or participating in special projects
  
  

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 experience.
• Must be 18 years of age OR older
• 1+ years in a customer service role
• 6+ months in a healthcare environment.
• Experience with office products (Microsoft Word, Microsoft Excel, Microsoft outlook and Teams)
• Ability to work full-time, Monday -Friday, 8:00 am-5:00 pm PST or 4 days, 10-hour shifts between the hours of 6:00am – 8:00pm PST, Thursday - Sunday OR Saturday - Tuesday including the flexibility to work occasional overtime given the business need
  
  

Preferred Qualifications

• Knowledge of medical terminology
• Health Insurance experience
  
  

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

• Excellent verbal communication and organizational skills
• Self-motivated
• Attention to detail.
• Ability to multi-task and work under pressure.
• 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.

#RPO

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Administrative

• Industries

  Hospitals and Health Care, Non-profit Organizations, and Government Administration

Referrals increase your chances of interviewing at Lensa by 2x

Sign in to set job alerts for “Administrative Coordinator” roles.

Administration Exceutive - Looking For More

Administrative Support Coordinator, Dementia Program (Remote in MN, WI or FL)

Central Support Operations Coordinator I - National Remote

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.