Remote Clinical Admin Specialist - Care & Claims

Taleo; Dallas (TX); On-site; USD 42,000 - 75,000; Full time

Job summary

UnitedHealth Group is hiring a Senior Clinical Administrative Coordinator for a national remote role. You will handle inbound and outbound calls, assist members with benefits, eligibility, and billing, and navigate multiple systems to research and resolve issues.

The position is full-time, 40 hours per week, with shifts 7:00 am–7:00 pm CST and occasional overtime. Training is virtual from home, 8:00 am–5:00 pm CST during onboarding.

Qualifications

• Minimum high school diploma or GED.
• 1+ years customer service experience.
• Complete Customer Service training classes and be proficient of the material.
• Flexibility to work 7:00 am – 7:00 pm CST including training period, with overtime and weekends as needed.

Responsibilities

• Answer incoming calls and identify the type of assistance the customer needs (benefits, eligibility, billing, authorizations, EOBs).
• Ask questions and document required information in computer systems.
• Own problem through to resolution on behalf of the customer in real time or with timely follow-up.
• Review and research healthcare claims and verify data for processing (pricing, prior authorizations, benefits).
• Ensure proper benefits are applied to each claim per policies and guidelines.
• Communicate with members and providers to resolve issues using clear language.
• Meet performance goals for efficiency, accuracy, quality, member satisfaction and attendance.

Skills

Customer Service

Listening

Education

High School Diploma / GED

Job description

UnitedHealth Group is hiring a Senior Clinical Administrative Coordinator for a national remote role. You will handle inbound and outbound calls, assist members with benefits, eligibility, and billing, and navigate multiple systems to research and resolve issues.

The position is full-time, 40 hours per week, with shifts 7:00 am–7:00 pm CST and occasional overtime. Training is virtual from home, 8:00 am–5:00 pm CST during onboarding.