5 days old

Clinical Administrative Coordinator - Remote - 924629

Dallas, TX 75201 Work Remotely
Apply Now
Apply on the Company Site
  • Job Code
    924629

Energize your career with one of Healthcares fastest growing companies.

""

You dream of a great career with a great company where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, its a dream that definitely can come true. Already one of the worlds leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.

""

This opportunity is with one of our most exciting business areas: Optum a growing part of our family of companies that make UnitedHealth Group a Fortune 10 leader.

""

Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.

""

This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8 hour shift schedules during our normal business hours of (8:00am - 5:00pm). It may be necessary, given the business need, to work occasional overtime. This is a remote position within the EST.

""

Youll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Training will be conducted virtually from your home.

""

*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.

""

There are several steps in our hiring process. Please make sure that you have filled out all required sections of your employment application. Once you submit your completed application, you will receive an email with information regarding next steps including any pre - employment assessment(s) that are required. Both your application and any required assessment(s) need to be completed before we can consider you for employment so the sooner you complete these two steps, the sooner you will hear from us. To learn more, go to: http://uhg.hr/OurApplicationProcess

""

Primary Responsibilities:

""
    ""
  • Review and triage incoming faxes for dedicated lines of business on behalf of clinical staff.
  • ""
  • Gather and data enter clinical specifics to build authorization for clinicians.
  • ""
  • Process administrative authorization requests submitted both electronically and paper within compliance timeframes, in various clinical platforms.
  • ""
  • Serves as a liaison between call and clinical operation to investigate and resolve authorization conflicts that are submitted by claim processors.
  • ""
  • Administratively assign Treatment Milestone Outlier (TMO) Authorizations to Facility Based Care Advocates (FBCA)
  • ""
  • Outbound calls to providers of service to withdrawal and/or update authorizations.
  • ""
  • Outbound member notification calls within defined regulatory timeframes.
  • ""
  • Outbound calling to providers of service to obtain consumers treatment status as a part of the access to care process.
  • ""
  • Generate written approval notification letters using ELGS (Electronic Letter Generation System)
  • ""
  • Manually fax authorization letters to provider for members at IP facilities to ensure regulated written notification timeframes are met.
  • ""
  • Process various non-clinical admin tasks in support of clinical operations.
  • ""
  • Front-end eAccommodation submission.
  • ""
  • Navigate and document multiple clinical applications and SharePoint sites
  • ""
  • Submit Electronic Provider Updates requests.
  • ""
  • Support internal business partner emailed inquires.
  • "
""

Youll 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 higher)
  • ""
  • 1+ years of experience in a clinical environment including hospital, clinic, or physicians office
  • ""
  • Minimum 2+ year office work and/or customer service experience
  • ""
  • Ability to type at least 40 WPM.
  • ""
  • Demonstrate understanding of fundamental health-care related terminology, programs or services..
  • ""
  • Demonstrated skill set using Microsoft office system products - Microsoft Outlook (open, edit, create, save, and send emails), Microsoft Word (open, edit, create, save, and send documents), Microsoft Excel (open, edit, create, save, and send spreadsheets), Microsoft Teams (able to communicate, IM, and join meetings) and Microsoft SharePoint (able to take an excel spreadsheet, sort, paste to a SharePoint sight)
  • ""
  • Familiar with and understanding of Medicare compliance and regulatory guidelines.
  • ""
  • Familiar with the clinical and claims platforms (Linx, ICUE, Cosmos, UNET, OHBS Facets) needed to perform administrative tasks as well as problem solve requests.
  • ""
  • Must be able to work a schedule that includes rotating Saturdays
  • ""
  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders
  • "
""

Preferred Qualifications:

""
    ""
  • Experience in healthcare benefits
  • "
""

Soft Skills:

""
    ""
  • Ability to interact courteously and professionally with colleagues, internal and external business partners.
  • ""
  • Demonstrated ability to communicate verbally and in writing.
  • ""
  • Demonstrated organizational and problem-solving skills
  • ""
  • Demonstrates organizational, critical thinking and problem-solving skills.
  • ""
  • Ability to multi-task and work at a fast pace with accuracy
  • ""
  • Experience applying specific policies or standards to daily work to assure compliance with relevant regulations.
  • "
""

UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. At this time, 90% of our non - clinical workforce transitioned to a work at home (remote) status. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us. You can learn more about all we are doing to fight COVID-19 and support impacted communities at: https://www.unitedhealthgroup.com/newsroom/addressing-covid.html

""

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health - related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.SM

""

Colorado Residents Only: The hourly range for Colorado residents is $15.00 to $25.19. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.

""

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

""

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

""

Keywords: Healthcare, health care, Managed Care, Enrollment, Eligibility, Medicare, Medicaid, Customer Service, Claims,work at home, work from home, WAH, WFH, remote, telecommute, hiring immediately, #rpo

Posted: 2021-06-10 Expires: 2021-07-10

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

Sponsored by:
ADP Logo

Before you go...

Our free job seeker tools include alerts for new jobs, saving your favorites, optimized job matching, and more! Just enter your email below.

Share this job:

Clinical Administrative Coordinator - Remote - 924629

UnitedHealth Group
Dallas, TX 75201

Join us to start saving your Favorite Jobs!

Sign In Create Account
Powered ByCareerCast