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A leading company in healthcare is seeking a Clinical Administrative Coordinator to enhance their remote services. In this full-time role, you'll manage members' administrative needs and work in a high-volume customer service environment, contributing to the efficiency and speed of healthcare delivery. The ideal candidate will demonstrate strong customer service skills along with proficiency in Microsoft Office applications, while enjoying the flexibility of remote work. With a focus on employee development, this opportunity promises growth within a dynamic and rewarding setting.
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UnitedHealth Group
UMR, UnitedHealthcare’s third-party administrator (TPA) solution, is the nation’s largest TPA. When you work with UMR , what you do matters. It's that simple . . and it's that rewarding.
In providing consumer - oriented health benefit plans to millions of people; our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system. Opportunities are endless for your career development and advancement within UMR due to our record-breaking growth.
Regardless of your role at UMR , the support you feel all around you will enable you to do what you do with energy, quality, and confidence. So, take the first step in what is sure to be a fast - paced and highly diversified career.
This position is full-time, Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 10:00am - 7:00pm CST. It may be necessary, given the business need, to work occasional overtime.
We offer 4 weeks of paid on-the-job training. The hours during training will be 7:30am - 4:00pm CST, Monday - Friday.
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
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
This is high volume, customer service environment. You’ll need to be efficient, productive and thorough dealing with our members over the phone. You also must be able to work a flexible schedule that includes evening hours.
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
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)
Ability to complete 4 weeks of on-the-job training, from Monday - Friday, between the hours of 7:30am - 4:00pm CST
Ability to work Monday - Friday, in any of our full-time shift schedules during our normal business hours of 10:00am - 7:00pm CST, including the flexibility to work occasional overtime, given the business need
Preferred Qualifications:
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
Experience working with multiple platforms and / OR programs
Experience working with 2 OR more screens / monitors
Clerical OR administrative support background
Knowledge of ICD-10 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 $17.74 - $31.63 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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Clinical Administrative Coordinator - National Remote
UMR, UnitedHealthcare’s third-party administrator (TPA) solution, is the nation’s largest TPA. When you work with UMR , what you do matters. It's that simple . . and it's that rewarding. In providing consumer - oriented health benefit plans to millions of people; our goal is to create higher...