About the Role
Title: Senior 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.
Positions in this family include those responsible for functions in areas such as health services, clinical services and delivery of clinical care. Positions in this function include those responsible for initial triage of members, administrative intake of members or managing the admission/discharge information post-notification, working with hospitals and the clinical team. Includes managing incoming calls, managing requests for services from providers/members, providing information on available network services and transferring members as appropriate to clinical staff. Manages the referrals process, processes incoming and outgoing referrals, and prior authorizations. This function includes intake, notification and census roles.
Employees in jobs labeled with ‘SCA’ must support a government Service Contract Act (SCA) agreement. Extensive work experience within own function. Work is frequently completed without established procedures. Works independently. May act as a resource for others. May coordinate others’ activities. Extensive work experience within own function. Applies knowledge/skills to a range of moderately complex activities. Demonstrates great depth of knowledge/skills in own function. Sometimes acts as a technical resource to others in own function. Proactively identifies solutions to non-standard requests. Solves moderately complex problems on own. Works with team to solve complex problems. Plans, prioritizes, organizes and completes work to meet established objectives. May coordinate work of other team members.
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 8:00am – 8:00pm CST. It may be necessary, given the business need, to work occasional overtime.
We offer 3-4 weeks of paid training (1 week of classroom training (virtual) and then a shadowing on-the-job training for a period of time until acclimated). The hours during training will be 8:00am – 5:00pm, Monday – Friday. Training will be conducted virtually from your home.
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Make calls to qualified members to provide information and answer questions about health plan programs
- Provide “best-in-class” customer service to enrollees
- Meet established productivity, schedule adherence, and quality standards while maintaining good attendance
- Identify, qualify, and engage members into the most appropriate health and wellness programs to meet their needs
- Effectively engage members that either qualify for our programs or are interested in learning more about what is offered
- Accurate documentation of consumer interaction
- Appropriately follow all processes and procedures
- Maintain engagement with all the customer requests to ensure high quality of customer service
Required Qualifications:
- High School Diploma / GED OR equivalent work experience
- Must be 18 years of age OR older
- 2+ years of experience in a high-volume call center
- 6+ months of experience in an office setting OR administrative role
- Proficient in Microsoft Word, Microsoft Excel (creating, editing, saving) and Microsoft Outlook (customizing, navigating)
- Ability to work an 8-hour shift during our core business hours of 8:00am – 8:00pm CST, Monday – Friday, at least 50% of the shifts will be evening. It may be necessary, given the business need, to work occasional overtime
Preferred Qualifications:
- Experience in a hospital, physician’s office or medical clinic setting
- Sales experience
- Clerical or administrative support background and/or working in a call center environment
- Healthcare or insurance benefits
- Bilingual fluency in English and Spanish
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
Soft Skills:
- Excellent communication skills – both written and verbal