Clinical Administrative Coordinator - Remote - North Idaho

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. 

The Clinical Administrator Coordinator role is part of our clinical support team. You will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive and positive for our members and providers. You’ll have the opportunity to do live outreach, educating people about program benefits and services while also helping to manage individual cases. 

This is a fast-paced working environment that requires the ability to multitask with attention to detail and excellent organizational skills.

If you reside in Idaho, you’ll enjoy the flexibility to telecommute* as you take on some tough challenges. 

Primary Responsibilities:

• Manage administrative intake of people with UHC insurance and complete required documentation in our medical management systems.
• Maintain compliance with turnaround times based on the member’s product, the type of request and the specific regulatory agency    
• Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers 
• Process incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles 
• Assist the clinical staff with setting up documents/triage cases for Clinical Coverage Review 
• Handle resolution/inquiries from members and/or providers 
• Complete special projects and call DSNP or Medicaid members
• Participate from time to time in call campaigns
• Other duties as assigned

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
• More information can be downloaded at: http://uhg.hr/uhgbenefits

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 higher)
• 2 years of customer service experience 
• 1 years of experience with Microsoft Word (create, edit, save documents), Microsoft Excel (create, edit, save documents) and Microsoft Outlook (email and calendar management)

Preferred Qualifications

• Experience working within the health care industry and with health care insurance
• Experience working in a hospital, physician's office or medical clinic setting
• Experience working in a call center
• A clerical or administrative support background 
• Knowledge of ICD-10 and CPT codes
• Bilingual English / Spanish
• Live in the state of Idaho

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

The salary 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. 

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 #GREEN

Salary : $17 - $33