Clinical Administrative Coordinator - National Remote

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.

The Clinical Administrative Coordinator will be responsible for managing various administrative and coordination tasks to support efficient inpatient admissions, post-acute case management, and ensure compliance with healthcare standards. This role requires a professional with strong communication skills, the ability to manage multiple priorities, and a commitment to delivering high-quality support in a fast-paced healthcare environment.

This position is full time (40 hours/week) Friday - Monday OR Saturday - Tuesday. Employees are required to have flexibility to work any of our 10-hour shift schedules during our normal business hours of 6am - 8pm. 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 training will be aligned to your schedule.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Oversee the management of building inpatient admissions and post-acute cases, ensuring that the admissions process is efficient and that turnaround times are met
• Handle incoming clinical records by reviewing, organizing, and attaching them to the associated inpatient case in a timely manner
• Respond to incoming calls, providing exceptional customer service, and directing inquiries to the appropriate department or individual as needed
• Manage appeals oversight for the Quality Improvement Organization (QIO) and health plan, ensuring all procedures are followed according to regulatory and company standards
• Initiate peer-to-peer reviews with healthcare providers to discuss patient cases and ensure appropriate care is provided
• Prepare and send out initial Notice of Medicare Non-Coverage (NOMNC) packets and process incoming packets, maintaining compliance and proper documentation
• Maintain oversight of regional emails and faxes, ensuring timely and accurate responses to all communications
• Manage Prior Authorization intake for Skilled Nursing Facilities (SNF), Long-Term Acute Care Hospitals (LTACH), Acute Inpatient Rehab (AIR), and other services as needed
• Perform any additional duties assigned by UM support leadership, which could include administrative tasks, reporting, or participating in special projects

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/GED or equivalent years of experience
• Must be 18 years or older
• 1 years experience in a customer service role using computers and multi-line telephone system
• Experience using multiple screens to look up information
• Experience with office products (Word, Excel, Microsoft outlook, PowerPoint and Teams)
• Ability to work full time from Friday to Monday OR Saturday to Tuesday, between the hours of 6am – 8pm PST

Preferred Qualifications:

• 6 months of experience working in a healthcare environment
• Health Insurance experience
• Knowledge of Medical Terminology

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 verbal communication and organizational skills
• Self-motivated
• Attention to detail
• Ability to multi-task and work under pressure

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

The hourly range for this role is $16.88 to $33.22 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

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.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO

Salary : $17 - $33