Remote Clinical Support Coordinator

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

Job summary

UnitedHealthcare within UnitedHealth Group is seeking a Clinical Administrative Coordinator to support our clinical team and improve member and provider satisfaction. The role involves live outreach, educating members on benefits and services, and managing individual cases in a fast-paced environment.

This position offers telecommuting from anywhere in the U.S. with a focus on accuracy, organization, and multitasking to handle administrative intake and referrals while supporting clinical staff

Qualifications

• High School Diploma/GED required.
• 2+ years of healthcare industry experience.
• 6+ months of customer service experience.
• Intermediate proficiency with Microsoft Word, Excel and Outlook.

Responsibilities

• Manage administrative intake of people with UHC insurance and complete required documentation in medical management systems.
• Maintain compliance with turnaround times based on product, request type, and regulatory agency.
• 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 documents/triage for Clinical Coverage Review.
• Handle inquiries from members/providers and resolve issues.
• Complete special projects and call DSNP or Medicaid members.
• Participate in call campaigns as needed.
• Other duties as assigned.

Skills

Healthcare industry experience

Customer service experience

Microsoft Word proficiency

Education

High School Diploma/GED

Tools

Microsoft Excel

Microsoft Outlook

Job description

UnitedHealthcare within UnitedHealth Group is seeking a Clinical Administrative Coordinator to support our clinical team and improve member and provider satisfaction. The role involves live outreach, educating members on benefits and services, and managing individual cases in a fast-paced environment.

This position offers telecommuting from anywhere in the U.S. with a focus on accuracy, organization, and multitasking to handle administrative intake and referrals while supporting clinical staff