Remote Clinical Admin & Processing Specialist

UnitedHealth Group; Dallas (TX); Remote; USD 25,000 - 44,000; Full time

Benefits offered by this job

Telecommuting policy

Remote work flexibility

Job summary

UnitedHealth Group is seeking a Clinical Administrative Coordinator for a nationwide remote role. You will support claims processing and clinical review workflows, coordinating with nurses and teams to ensure timely, accurate processing.

The position requires 18+ years old, high school diploma or equivalent, and 1+ years in an office or healthcare setting. Flexible shifts and full-time hours are available to support our diverse operations.

Qualifications

• High School Diploma / GED OR equivalent work experience.
• Must be 18 years of age OR older.
• 1+ years of professional office/customer service/healthcare experience.
• Familiarity with Windows PC applications and ability to learn new systems.
• Ability to stay focused and productive with repetitive tasks.
• Flexibility to work outside standard hours.
• Commitment to full-time (40 hours/week) with varied 8-hour shifts.

Responsibilities

• Meet productivity, schedule adherence, and quality standards while maintaining attendance.
• Review and determine if claims meet criteria for review.
• Determine if claims can be allowed or need clinical review.
• Set up cases, document information, and send for nurse clinical review.
• Complete templates with information and rationale.
• Work with team to solve problems and handle priorities.
• Collaborate to resolve complex issues and multi-task.

Skills

Clerical/administrative support

Office environment

Customer service

Windows PC proficiency

Attention to detail

Flexibility

Tools

COSMOS

FACETS

MACES

Job description

UnitedHealth Group is seeking a Clinical Administrative Coordinator for a nationwide remote role. You will support claims processing and clinical review workflows, coordinating with nurses and teams to ensure timely, accurate processing.

The position requires 18+ years old, high school diploma or equivalent, and 1+ years in an office or healthcare setting. Flexible shifts and full-time hours are available to support our diverse operations.