1+ months

Clinical Administrative Coordinator - US Remote - 922255

Dallas, TX 75201 Work Remotely
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  • Job Code
    922255

Talk about meaningful work. Talk about an important role. Let's talk about your next career move. Due to our expanding business,UnitedHealthGroupis seekingClinicalAdministrativeCoordinatorswho share our passion for helping others live healthier lives. As one of the world's leading health care companies,UnitedHealthGroupis pursuing innovative new ways to operate our service centers and improve on our ability to deliver high-quality care. As part of our clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive and positive for our members and providers.

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You'll have the opportunity to do live outreach, educating members about program benefits and services while also helping to manage member cases. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. Take this opportunity and begin doingyour life's best work. SM

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What makes your clinical career greater withUnitedHealthGroup? You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.

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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 (local time). Training will be conducted virtually from your home.

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

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Primary Responsibilities:

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  • Manage administrative intake of members or the admission/discharge information post notification
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  • Work with hospitals, clinics, facilities and the clinical team to manage request for services from members and/or providers
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  • Manage the referrals process, processing incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles
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  • Receive care coordination notification cases for non-clinical assessment/intervention and provide appropriate triage.
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  • Review requests for adverse determination, approval notification and processing notification requirements
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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 that may include:
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o Benefit and Eligibility information
" o Billing and Payment issues
" o Customer material requests
" o Physician assignments
" o Authorization for treatment
" o Explanation of Benefits (EOB)
" o Verifying appropriate ICD-9 and CPT coding usage

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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 School Diploma /GED (or higher)
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  • 2+ years of customer service experience analyzing and solving customer problems
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  • Must be able to create, edit, save and send documents utilizing Microsoft Word and Excel
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  • Must be able to navigate a PC to open applications, send emails, and conduct data entry
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  • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
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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 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
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Preferred Qualifications:

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  • Experience working within the Healthcare Industry
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  • Experience working with Healthcare Insurance
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  • Experience working in a Hospital, Physician's Office, or Medical Clinical setting.
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  • Professional experience in a clerical or administrative support related role
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  • Working Knowledge of Medical Terminology to communicate with members and providers
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  • Experience working with ICD-9 and CPT codes
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  • Experience working with Medicare and/or Medicaid Services
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  • Experience working in a call center environment
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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

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Careers with UnitedHealthcare.Let's talk about opportunity. Start with a Fortune 10 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can doyour life's best work.SM

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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.

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

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Keywords: Healthcare, health care, EOB,- ICD-9, CPT, Eligibility, Medicare, Medicaid, Customer Service, Billing, WAH, work at home, work from home, WAH, WFH, remote, telecommute, hiring immediately, #rpo

Posted: 2021-05-01 Expires: 2021-06-30

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 - US Remote - 922255

UnitedHealth Group
Dallas, TX 75201

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