Clinical Administrative Coordinator - Remote Opportunity in MST Time Zone - Join Optum and UnitedHealth Group

Transform Healthcare with Optum and UnitedHealth Group

At Optum, a global organization under the UnitedHealth Group umbrella, we're on a mission to help people live healthier lives and make the health system work better for everyone. We're committed to advancing health equity on a global scale and creating a culture guided by diversity and inclusion. As part of this endeavor, we're seeking a skilled Clinical Administrative Coordinator to join our team on a remote basis in the MST time zone.

About Us

Optum is a leader in the healthcare industry, delivering care aided by technology to millions of people worldwide. Our work directly improves health outcomes by connecting individuals with the care, pharmacy benefits, data, and resources they need to feel their best. As part of the greater UnitedHealth Group, we're backed by a comprehensive network of healthcare services and a commitment to mitigating our impact on the environment.

WellMed, now part of Optum, provides concierge-level medical care and service for seniors, focusing on prevention and the complete coordination of care for patients. We're looking for a dedicated Clinical Administrative Coordinator to support our Intake Call Center operations, ensuring seamless coordination of Network Operations processes and delivering exceptional customer service.

Key Responsibilities

• Managing authorizations/notifications and other service requests received via incoming phone calls, faxes, and portal submissions
• Providing excellent customer service, including handling escalated callers and resolving issues efficiently
• Determining authorization/notification requirements and preparing cases for Medical Directors, Network Operations Nurses, and Case Managers
• Handling expedited authorizations, authorization updates, and status checks, as well as confirming member eligibility
• Outreaching to providers and/or patients to complete authorization requests and prescriptions
• Maintaining knowledge of various health plan partner benefits, networks, CMS regulations, and health plan partner policies
• Utilizing experience and judgment to plan, accomplish goals, and effectively resolve assigned tasks
• Providing administrative approvals and clerical support to clinical staff in their medical necessity review process
• Performing all other related duties as assigned

Requirements and Qualifications

Essential Qualifications

• High School Diploma/GED
• Must be 18 years of age or older
• 1 year of combined or related experience in a healthcare, call center, and/or customer service setting using the telephone and computer as primary instruments to perform job duties
• Proficiency with Microsoft Office Word, Excel, and Outlook
• Ability to work an 8-hour shift Sunday-Saturday, 9:00 am-7:00 pm CST (shifts vary to support 24/7 operations)

Preferred Qualifications

• Medical Terminology knowledge
• ICD-10 and CPT knowledge

Telecommuting Requirements

• Reside within the MST time zone
• Ability to keep all company-sensitive documents secure
• Dedicated work area established, separated from other living areas, and providing information privacy
• High-speed internet connection or existing high-speed internet service
• Adherence to UnitedHealth Group's Telecommuter Policy

What We Offer

As a Clinical Administrative Coordinator with Optum and UnitedHealth Group, you'll enjoy a competitive salary, comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution (subject to eligibility requirements). Our culture is guided by diversity and inclusion, and we're committed to creating a healthier atmosphere for our employees and the communities we serve.

Career Growth and Development

We're dedicated to helping you grow your career and develop new skills. As a Clinical Administrative Coordinator, you'll have opportunities to advance your career within our organization, taking on new challenges and responsibilities. Our comprehensive training program and ongoing support will ensure you're equipped to succeed in your role.

Work Environment and Culture

As a remote employee, you'll enjoy the flexibility to work from home while still being part of a collaborative and dynamic team. Our culture is built on a foundation of diversity, equity, and inclusion, and we're committed to creating a work environment that's inclusive and supportive.

Compensation and Benefits

The hourly range for this role is $20.8 per hour, based on full-time employment. Our compensation package is competitive, and we're committed to ensuring that our employees are fairly compensated for their work. In addition to your salary, you'll enjoy a comprehensive benefits package, including:

• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (subject to eligibility requirements)
• Comprehensive benefits package

Join Our Team!

If you're a motivated and detail-oriented individual with a passion for delivering exceptional customer service, we encourage you to apply for this exciting opportunity. As a Clinical Administrative Coordinator with Optum and UnitedHealth Group, you'll play a critical role in supporting our Intake Call Center operations and contributing to our mission to help people live healthier lives.

Don't miss this chance to join a dynamic team and take your career to the next level. Apply today and become part of our commitment to advancing health equity and creating a healthier atmosphere for all.