UnitedHealth Group: Clinical Administrative Coordinator – Us Remote

Energize your career with one of Healthcare’s 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, it’s a dream that definitely can come true.

Already one of the world’s leading Healthcare companies,UnitedHealth Groupis 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 makeUnitedHealth Group a Fortune 6 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.What makes your clinical career greater withUnitedHealth Group?

You’ll work within an incredible team culture; a clinical and businesscollaboration 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.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.You’ll enjoy the flexibility to telecommute from anywhere within the U.S.

as you take on some tough challenges.All Telecommuters will be required to adhere toUnitedHealth Group’sTelecommuter Policy.We offer 6 weeks of paid training.

The hours during training will during core business hours based on their timezone.Training will be conducted virtually from your home.What we do defines who we are.

Take a deeper look at how we’re providing support during this global health crisis and search for a way you can get involved.

View our Covid 19 Resources Page at:Https://info.Uhg.Com/Primary Responsibilities:Receivecasesregardingpriorauthorization, and or notificationComplete administrativeapprovals and prep cases for RN / RMD review with DOL time framesRespond to incoming provider and enrollee callsDetermine if the consumers are eligible for a health programTake calls from providers and enter services that they are requesting into the systemMust have accurate documentation and strong attention to detailMust meet weekly metricsProvideexcellentCustomerServicetobothProvidersandEnrolleesConstantlymeetestablishedproductivity,scheduleadherence,andqualitystandardswhilemaintaininggoodattendanceReceivesCareCoordination notification cases for non clinical assessment / intervention and provides appropriate triageProcessesoutofnetworkrequestsfor consideration of in network level of benefits for physician specialty referrals for appropriate productsProcessesnotificationrequirements for outpatient procedures, home health, DME, and, network gap issuesDeterminesbenefit coverage issues based on employer group contractsSetsup / documents / triagescases for (CCR) Clinical ReviewProcessesletterswithinDOL time framesVerifiesappropriate ICD 10 and CPT coding usageCommunicatestoprovidersandmembersbenefitdeterminationswithinDOLtimeframesYou’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 higher)2 years of experience working in the healthcare industry and working knowledge of medical terminology2 year of customer service experience analyzing and solving customer problems or experience in a call center environment1 year of experience with medical terminology2 years experience working with Microsoft Word (creating, editing, saving documents) and Microsoft Excel (creating, editing, saving spreadsheets)2 years experience working with a PC and windows applications, with the ability to learn other sometimes complex systemsMust be able to work Monday Friday 8:00am 5:00pmPreferred Qualifications:2 years of professional experience inan Office settingusing the telephoneand computer as theprimary instruments to perform the job dutiesExperience working withinthe Healthcare Industry, Hospital,Physician’s Office,or Medical Clinical setting, MedicalTerminology, ICD 9 and CPT codes, Medicare and / or Medicaid Servicesor in a call center environmentTelecommuting Requirements:Required to have a dedicated work area established that is separated from other living areas and provides information privacyAbility to keep all company sensitive documents secure (if applicable)Must live in a location that can receive a UnitedHealth Group approved high speed internet connection or leverage an existing high speed internet serviceSoft Skills:Ability to remain focused and productive each day though tasks may be repetitiveCapable of working in a complex, fast paced, dynamic environment that involves multiple customer types, products and evolving systemsAbility to work autonomously must be a self starterUnitedHealth 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.Some of the steps we’ve taken to ensure employee well being include:Transitioned our new hire training classes to be conducted virtuallyLaunched our ProtectWell app and UnitedCARES program to help ease the burden and stress for our UnitedHealth Group team members and their immediate family affected by COVID 19Daily updates from our CEO Dave Wichmann to support and inspire team members during this challenging timeOnsite social distancing and increased sanitization measures for employees who have been welcomed back to our officesFully cover the COVID 19 healthcare costs for our employeesEmployees who self identify as high risk or who live with someone who is high risk have been asked to remain working from homeYou can learn more about all we are doing to fight COVID 19 and support impacted communities at:Https://www.Unitedhealthgroup.Com/newsroom/addressing-covid.HtmlCareers 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 doyour life’s best work.SMDiversity 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: customer service, healthcare, telephonic, patient interaction, field based, advocacy, medical,work at home, work from home, WAH, WFH, remote, telecommute, hiring immediatelyterminology, codes, coding