Associate Clinical Administrative Coordinator – National Remote

Optum, Brentwood, TN 37024, Openings : 1,
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Job Description :

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

Optum Home &amp Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual’s physical, mental, and social needs – helping patients access and navigate care anytime and anywhere.

As a team member of our naviHealth product, we help change the way health care is delivered from hospital to home supporting patients transitioning across care settings. This life-changing work helps give older adults more days at home.

We’re connecting care to create a seamless health journey for patients across care settings. Join our team, it’s your chance to improve the lives of millions while doing your life’s best work. SM

The Associate Clinical Administrative Coordinator is a non – clinical role in a high volume customer service environment handling inbound and outbound requests from acute members or providers via phone, email, system platforms and applications. You will be responsible for managing the intake process of members, processing admission and / or discharges, managing referrals, conducting prior authorizations, and resolving any issues and inquiries. This position will work in collaboration with hospitals, clinics, facilities, and the clinical team.

This position is full-time (40 hours / week), Thursday – Sunday. Employees are required to work any assigned 8-hour shift between the hours of 7:00 AM – 8:00 PM CST including the flexibility to work occasional overtime and weekends based on business need.

We offer up to 2 weeks of paid on-the-job training (paired with SME). The hours during training will be 7:00 AM – 5:30 PM CST from Thursday – Sunday. Training will be conducted virtually from your home.

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

Primary Responsibilities:

  • Process inbound and outbound data and communication (i.e., faxes, emails and electronic communication) according to productivity and quality standards.
  • Enter, review and or verify member information in the nH Coordinate care management platform and communicate approved pertinent information with healthcare providers and / or naviHealth team as needed.
  • Enter the required data into the naviHealth database accurately and in a timely manner.
  • Complete administrative documentation for member records including but not limited to disenrollment, transitioning, creating authorization shells, attaching documents (i.e., medical records), and logging therapy information.
  • Manage inbound and outbound telephone communication in a professional manner and according to productivity and quality standards.
  • Process inbound and outbound data and communication (i.e., faxes, emails and electronic communication) according to productivity and quality standards.
  • Enter, review and or verify member information in the nH Coordinate care management platform and communicate approved pertinent information with healthcare providers and / or naviHealth team as needed.
  • Enter the required data into the naviHealth database accurately and in a timely manner.
  • Complete administrative documentation for member records including but not limited to disenrollment, transitioning, creating authorization shells, attaching documents (i.e., medical records), and logging therapy information.
  • Assist in a smooth coordination of members care between health providers and the health plan.
  • Establish relationships and communicate, when appropriate, to providers, clients and / or naviHealth field / care management staff as defined by departmental policy and process.
  • Triage inbound calls manage member inquiries / requests, and resolve or escalates to appropriate naviHealth or health plan personnel.
  • Run and / or review reports to monitor assigned team duties are completed.
  • Follow chain of command as appropriate when reporting issues or concerns.
  • Attend naviHealth meetings as requested.
  • Adhere to organizational, departmental, compliance and regulatory policies and procedures.
  • Promote a positive attitude and work environment.
  • Perform other duties and responsibilities as required, assigned, or requested.

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 work experience
  • 1+ years of customer service experience with analyzing and solving customer problems
  • Proficiency with using Microsoft Word and Microsoft Excel (ability to create, edit, save, and send documents and spreadsheets)
  • Ability to work any assigned, full – time (40 hours / week), 8-hour shift between the hours of 7:00 AM – 8:00 PM CST from Thursday – Sunday including the flexibility to work occasional overtime and weekends based on business need
  • Must be 18 years of age OR older

Preferred Qualifications:

  • Experience with working within the health care Industry and with health care insurance
  • Clerical OR administrative support background
  • Experience in working with Medicare and / OR Medicaid Services
  • Call center experience
  • Previous experience with working in a virtual 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

Soft Skills:

  • Experience with working in a metric – driven work environment
  • Ability to type and talk at the same time and navigate through multiple screens

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington, or Rhode Island Residents Only: The hourly range for California / Colorado / Connecticut / Hawaii / Nevada / New York / New Jersey / Washington / Rhode Island residents is $16.00 – $28.27 per hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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

Last Date For Apply: 2024-06-12 00:00:00 Job Type : FULL_TIME, Employment Type : FULL_TIMEApply Here