3 days old

Clinical Administrative Coordinator - Telecommute - 934587

Shavano Park, TX 78231 Work Remotely
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  • Job Code
    934587

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your lifes best work.(sm)

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This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our providers over the phone. You also must be able to work a flexible schedule that includes evening hours.

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Youll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

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Primary Responsibilities:

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  • Manage administrative intake of members
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  • Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers
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  • Process incoming and outgoing referrals, and prior authorizations, including intake, notification, and census roles
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  • Assist the clinical staff with setting up documents / triage cases for Clinical Coverage Review
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  • Handle resolution / inquiries from members and/or providers
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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.

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Required Qualifications:

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  • High SchoolDiploma or GED
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  • 2+ years of customer service experience or related type of experience
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  • Experience with MS Word and Outlook
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  • Computer proficiency(able to navigate folders, documents, internet-based applications, etc.)
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  • Able to work Monday through Friday between the hours of 7 am and 6 pm central time (40 hours per week), with the possibility of occasional weekend work as needed
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  • 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 a similar UnitedHealth Group-approved symptom screener. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained
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Preferred Qualifications:

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  • Experience working within the health care Industry and with health care insurance
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  • Experience working in a hospital, physician's office or medical clinic setting
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  • Clerical or administrative support background
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  • Knowledge of ICD-10and CPT codes
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  • Experience working in a call center
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Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors., WellMed is a network of doctors, specialists and other medical professionals that specialize in providing care for 550,000+ older adults with over 16,000 doctors offices in Texas and Florida through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)

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

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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.

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

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Job Keywords:Call center, healthcare,insurance, customer service,Telecommute, Telecommuter, Telecommuting, Work at Home, Work from Home, Remote

Posted: 2021-06-11 Expires: 2021-07-11

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.

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Clinical Administrative Coordinator - Telecommute - 934587

UnitedHealth Group
Shavano Park, TX 78231

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