Note: The job is a remote job and is open to candidates in USA. Optum is hiring an Associate Clinical Administrative Coordinator to support members and providers as part of its clinical support team. The role manages member cases, referrals, service requests, and care coordination, while providing outreach and resolving inquiries.
Responsibilities
- Manage the intake of members or the admission/discharge information post notification
- Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers
- Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles
- Provide appropriate triage and care coordination notification cases for non-clinical assessment/intervention
- Handle resolution/inquiries from members and/or providers. This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone
Skills
- High School Diploma / GED OR equivalent work experience
- Valid driver's license
- Must be 18 years of age OR older
- 1+ years of customer service experience analyzing and solving customer problems
- 1+ years of experience in a telephonic customer service position, such as a call center
- Proficiency with Microsoft Word and Microsoft Excel (ability to create, edit, save and send documents and spreadsheets)
- Ability to travel up to 25% of the time (domestic)
- Ability to work full time
- Call center experience
- Knowledge of ICD-9 and CPT codes
- Clerical OR administrative support background
- Experience working in a metric-driven work environment
- Experience working with Medicare and / OR Medicaid Services
- Experience working within the health care Industry and with health care insurance
- Ability to work independently
- Strong time management skills
- Must be able to type and talk at the same time and navigate through multiple screens
Benefits
- 3 weeks of paid training
- Primarily a remote role in Washington D.C., Maryland and Virginia; may require travel into the market on an as-needed basis
- A comprehensive benefits package, subject to eligibility requirements
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution, subject to eligibility requirements
Company Overview
Company H1B Sponsorship