Senior Clinical Administrative Coordinator - Remote in PST and MST

UnitedHealth Group; Las Vegas (NV); Remote; Confidential; Full time

Job summary

UnitedHealth Group is seeking a full-time employee to act as a Subject Matter Expert while managing member intake and resolving issues within the healthcare services realm. The ideal candidate will possess strong analytical skills, customer service experience, and a basic understanding of medical terminology in a flexible working environment that includes remote options.

Benefits

Comprehensive benefits package

Incentive and recognition programs

401k contribution

Qualifications

• 2+ years of experience working with customers, managing and resolving escalated customer interactions.
• Basic understanding of medical terminology.
• Experience working with EMR preferred.

Responsibilities

• Act as a Subject Matter Expert for team members.
• Manage intake of members and admission/discharge information.
• Resolve inquiries from members and/or providers.

Skills

Strong critical and analytical skills

Proficient in reviewing and summarizing information

Keen attention to detail and accuracy

Exceptional verbal and written communication skills

Education

High School Diploma/GED

Tools

Microsoft Office

Job description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

This position is 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 8:30am - 5pm MST. It may be necessary, given the business need, to work occasional overtime.

We offer weeks of on-the-job training. The hours during training will be 8:30am - 5:00pm MST, Monday – Friday.

If you are located within the Pacific, Mountain, OR Central Time Zone, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities

• Act as a Subject Matter Expert for other team members
• Manage the intake of members or the admission/discharge information post notification
• Work with hospitals, clinics, facilities and the clinical team to manage requests for services
• Manage the referral process, reviewing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles
• Resolve inquiries from members and/or providers
• Other duties as assigned

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School Diploma/ GED OR equivalent years of experience
• Must be 18+ years of age OR older
• 2+ years of experience working with customers, managing and resolving escalated customer interactions
• Basic understanding of medical terminology
• Experience with computers and Windows based programs including Microsoft Office
• Ability to work any of our 8-hour shift schedules during our normal business hours of 8:30am - 5pm MST, Monday - Friday. It may be necessary, given the business need, to work occasional overtime

Preferred Qualifications:

• Experience with EMR
• Experience in a hospital, physician’s office or medical clinic setting
• Experience working with Medicare and/or Medicaid Services

Telecommuting Requirements:

• Reside within the Pacific, Mountain, OR Central Time Zone
• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Soft Skills:

• Strong critical and analytical skills
• Proficient in reviewing and summarizing information
• Keen attention to detail and accuracy
• Exceptional verbal and written communication skills

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 - $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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