22 days old

Senior Clinical Administration Coordinator - San Diego, CA - 932980

San Diego, CA 92101
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  • Job Code
    932980

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)

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Energize your career with one of Healthcares fastest growing companies.

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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.

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Primary Responsibilities:

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  • Act as a Subject Matter Expert for other team members
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  • Manage the 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 requests for services
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  • Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles
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  • Resolve inquiries from members and/or providers
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Part of the challenge here is dealing positively with members and providers in sometimes challenging circumstances. As a subject matter expert, you'll also be the go-to resource for information.

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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 or GED
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  • 2+ years of experience analyzing and solving customer problems
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  • 2+ years of experience working in the health care industry
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  • 2+ years of experience working with medical terminology
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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 with health care insurance
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  • Experience in a hospital, physician's office or medical clinic setting Bilingual Spanish
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  • Clerical or administrative support background or experience working in a call center environment
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  • Experience working with Medicare and/or Medicaid Services
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Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care 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)

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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: Patient Care Coordinator, Pediatric, Coordinator, Authorizations, Benefits, Customer Service, Communication, NAMM, San Diego, CA, California

Posted: 2021-06-03 Expires: 2021-07-03

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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Senior Clinical Administration Coordinator - San Diego, CA - 932980

UnitedHealth Group
San Diego, CA 92101

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