Clinical Administrative Coordinator - Remote in New Mexico

UnitedHealthcare; Albuquerque (NM); Remote; USD 25,000 - 44,000; Full time

Benefits offered by this job

Telecommuting from anywhere in the U.S

Competitive benefits package

Flexible schedule

Job summary

UnitedHealthcare is hiring a Clinical Administrative Coordinator to support our clinical team and ensure positive member and provider interactions. This role involves live outreach, educating people about program benefits, and handling cases with care and accuracy.

Working in a fast-paced environment, you will manage intake, document processing in medical management systems, and coordination with hospitals and clinics. Remote work from anywhere in the U.S. is available for this role.

Qualifications

• High School Diploma or GED is required.
• 2+ years of healthcare industry experience.
• 6+ months of customer service experience.
• Must reside in New Mexico.

Responsibilities

• Manage administrative intake of people with UnitedHealthcare insurance and complete required documentation in medical management systems.
• Adhere to turnaround times based on product, request type, and regulatory requirements.
• Collaborate with hospitals, clinics, facilities and the clinical team to manage service requests from members/providers.
• Process referrals and prior authorizations, including intake, notification, and census roles.
• Assist clinical staff with setting up documents/triage cases for Clinical Coverage Review.
• Handle inquiries from members/providers and provide resolution.
• Complete special projects and reach out to DSNP or Medicaid members.
• Participate in occasional call campaigns and other duties as assigned.

Skills

Customer service

Multitasking

Healthcare experience

Education

High School Diploma/GED

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The Clinical Administrative Coordinator role is part of our clinical support team. You will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive and positive for our members and providers. You'll have the opportunity to do live outreach, educating people about program benefits and services while also helping to manage individual cases.

This is a fast-paced working environment that requires the ability to multitask with attention to detail and excellent organizational skills.

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 people with UHC insurance and complete required documentation in our medical management systems
• Maintain compliance with turnaround times based on the member's product, the type of request and the specific regulatory agency
• 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
• Complete special projects and call DSNP or Medicaid members
• Participate from time to time in call campaigns
• Other duties as assigned

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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
• 2+ years of healthcare industry experience
• 6+ months of customer service experience
• Intermediate level of proficiency with Microsoft Word (create, edit, save documents), Microsoft Excel (create, edit, save documents) and Microsoft Outlook (email and calendar management)
• Must reside in New Mexico

Preferred Qualifications

• Experience working with health care insurance
• Experience working in a hospital, physician's office or medical clinic setting
• A clerical or administrative support background
• Knowledge of ICD-9 and CPT codes
• Experience working in a call center
• Bilingual English/Spanish
• All Telecommuters 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 $18.00 to $32.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

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.