Remote Clinical Admin & Prior Authorization Coordinator

Optum; Lenexa (KS); On-site; USD 37,000 - 67,000; Full time

Benefits offered by this job

National remote work

Paid classroom training (3–4 weeks)

Virtual training from home

Job summary

Optum is hiring a Clinical Admin Coordinator for a National Remote role in the U.S. to support insurance verification and prior authorization across care teams. This full-time position offers shifts 7:00 am–7:00 pm local time with occasional overtime or weekends and virtual training from home for 3–4 weeks.

You will collaborate with patients, payers, and clinicians to move cases through intake and authorization while ensuring compliance with policies and payer requirements.

Qualifications

• High School Diploma / GED OR equivalent work experience
• Must be 18 years of age OR older
• Experience working within the health care Industry and with health care insurance
• Experience with Microsoft Word, Microsoft Excel and Microsoft Outlook
• Ability to work overtime during peak season (January - February)
• Ability to work full-time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00 am - 7:00 pm local time. It may be necessary, given the business need, to work occasional overtime or weekends

Responsibilities

• Lead insurance verification and prior authorization coordination by partnering with patients, payers, and clinical teams to support timely access to care.
• Oversee Prior Authorization, including, submission, notification, appeals, follow-up, and resolution activities.
• Facilitate seamless patient movement through the intake and authorization lifecycle while ensuring compliance with departmental policies and payer requirements

Skills

Microsoft Word

Microsoft Excel

Microsoft Outlook

Overtime availability

Customer service

Education

High School Diploma / GED

Job description

Optum is hiring a Clinical Admin Coordinator for a National Remote role in the U.S. to support insurance verification and prior authorization across care teams. This full-time position offers shifts 7:00 am–7:00 pm local time with occasional overtime or weekends and virtual training from home for 3–4 weeks.

You will collaborate with patients, payers, and clinicians to move cases through intake and authorization while ensuring compliance with policies and payer requirements.