Remote Clinical Admin Coordinator

Optum; United States; Remote; USD 25,000 - 44,000; Full time

Job summary

UnitedHealthcare is seeking a Clinical Administrative Coordinator to join our clinical support team. This fast-paced, telecommute-friendly role supports members and providers by coordinating administrative intake and documenting in our medical management systems.

You will handle referrals, prior authorizations, and communications with hospitals and clinics, ensuring timely responses and regulatory compliance. A strong customer-service background and experience in healthcare are essential.

Qualifications

• Must have a High School Diploma or GED.
• Minimum 2 years of healthcare industry experience.
• At least 6 months of customer service experience.
• Proficient with Microsoft Word, Excel and Outlook.
• Must reside in New Mexico.

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

Skills

Customer service

Healthcare experience

Education

High School Diploma/GED

Tools

MS Word

MS Excel

MS Outlook

Job description

UnitedHealthcare is seeking a Clinical Administrative Coordinator to join our clinical support team. This fast-paced, telecommute-friendly role supports members and providers by coordinating administrative intake and documenting in our medical management systems.

You will handle referrals, prior authorizations, and communications with hospitals and clinics, ensuring timely responses and regulatory compliance. A strong customer-service background and experience in healthcare are essential.