Clinical Administrative Coordinator - Remote in MST or CST

Lensa; Phoenix (AZ); Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a Clinical Administrative Coordinator to join their team. This remote role offers the opportunity to make a significant impact by managing authorizations and providing exceptional customer service. You'll coordinate with healthcare professionals and ensure smooth operations in a fast-paced environment. With comprehensive training and flexible scheduling options, this position is perfect for those looking to grow in the healthcare field. If you're passionate about improving health outcomes and thrive in a dynamic setting, this opportunity is for you!

Benefits

Comprehensive Benefits Package

Incentives

401k

Stock Purchase Plan

Qualifications

• 1+ years of experience in Healthcare or Customer Service roles.
• Proficiency in Microsoft Office Suite is essential.

Responsibilities

• Manage authorizations and service requests via calls and faxes.
• Provide excellent customer service and handle escalations.
• Confirm member eligibility and maintain knowledge of health plan benefits.

Skills

Customer Service

Healthcare Knowledge

Call Center Experience

Microsoft Word

Microsoft Excel

Microsoft Outlook

Education

High School Diploma / GED

Job description

Clinical Administrative Coordinator - Remote in MST or CST

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 diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Join us to start Caring. Connecting. Growing together.

WellMed provides concierge-level medical care and service for seniors, delivered by physicians and clinic staff who understand and care about the patient’s health. WellMed’s proactive approach focuses on prevention and the complete coordination of care for patients. WellMed is now part of the Optum division under the UnitedHealth Group umbrella.

Under the supervision of the Network Operations Supervisor, this position is responsible for the daily coordination of Network Operations processes in the Intake Call Center. This role involves initial intake of pre-service requests, claim reviews, inpatient hospital coordination, and diabetic supplies. Coordinates Network Operations processes with Medical Directors, Network Operations Nurses, hospitals, physicians, and other departments. Provides clerical support to clinical staff in their medical necessity review process. The Intake Coordinator is expected to maintain production and quality standards.

This is a full-time position (40 hours/week), Sunday - Saturday. Employees must be flexible to work any of our 8-hour shifts during business hours of 9:00 am – 7:00 pm CST. Shifts vary to support our 24/7 operation. Occasional overtime may be required.

We offer 6–8 weeks of on-the-job training, conducted virtually from home, from 8:00 am – 4:30 pm CST, Monday – Friday. All employees must be on camera daily during training, including assessments.

If located in Mountain or Central Time Zone, you will have the flexibility to work remotely, taking on challenging tasks.

Primary Responsibilities

• Managing authorizations, notifications, and service requests via calls, faxes, and portal submissions
• Providing excellent customer service, including handling escalations
• Determining authorization or notification requirements
• Preparing authorization cases for Medical Directors, Network Operations Nurses, and Case Managers
• Providing administrative approvals as applicable
• Handling expedited authorizations, updates, and status checks
• Confirming member eligibility
• Outreaching to providers and patients for authorization requests and prescriptions
• Maintaining knowledge of health plan benefits, networks, CMS regulations, and policies
• Using judgment to plan and resolve tasks effectively
• Note: Non-clinical staff are not responsible for interpreting clinical information
• Performing other related duties as assigned

We recognize and reward performance in a challenging environment with clear success pathways and development opportunities.

Required Qualifications

• High School Diploma / GED
• Must be 18 years or older
• 1+ years of experience in Healthcare, Call Center, or Customer Service roles using phone and computer
• Proficiency with Microsoft Word, Excel, and Outlook
• Ability to work any 8-hour shift during business hours 9:00 am – 7:00 pm CST, with possible overtime

Preferred Qualifications

• Medical Terminology knowledge
• ICD-10 and CPT familiarity

Telecommuting Requirements

• Reside within Mountain or Central Time Zone
• Secure work area with privacy
• High-speed internet access
• Adhere to Telecommuter Policy

The hourly pay ranges from $16.88 to $33.22, based on experience and other factors. Benefits include comprehensive packages, incentives, stock purchase, and 401k. Application deadline is at least 2 business days from posting or until enough candidates are collected.

Our mission is to help people live healthier lives and improve health equity globally. We are committed to diversity, equity, and inclusion, and to reducing environmental impact.