About the Role
Title: Associate Clinical Administrative Coordinator – National Remote
Location: Dallas TX US
Job Description:
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
This position is full time Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am – 5:00 pm. It may be necessary, given the business need, to work occasional overtime.
We offer 4 – 6 weeks of on-the-job training. The hours of the training will be aligned with your schedule.
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities
- Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers
- Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles
- Handle resolution/inquiries from members and/or providers
You’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 or GED
- 18 years or older
- 2+ years of referrals, utilization management experience
- General knowledge of medical terminology
- 1+ year of customer service experience analyzing and solving customer problems
- Proficiency with Microsoft Word and Microsoft Excel (ability to create, edit, save and send documents and spreadsheets)
- Ability to work any of our 8-hour shift schedules during our normal business hours of 8:00 am – 5:00 pm. It may be necessary, given the business need, to work occasional overtime.
Preferred Qualifications
- Experience working within the health care Industry and with health care insurance
- A clerical or administrative support background
- Knowledge of ICD-10 and CPT codes
- Experience working with Medicare commercial and/or Medicaid Services
- Call center experience
- Experience working in a metric-driven work environment
Telecommuting Requirements:
- Ability to keep all company sensitive documents secure (if applicable)
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.