Note: The job is a remote job and is open to candidates in USA. UnitedHealth Group, through its Optum organization, delivers technology-enabled care, pharmacy benefits, data, and health resources to help people live healthier lives. The Clinical Administrative Coordinator will support clinical staff by preparing and researching cases for Clinical Coverage Review, processing member claims, meeting productivity and quality standards, and collaborating with the team in a fully remote environment.
Responsibilities
- Review, research and assist the clinical staff with setting up documents/triage cases for Clinical Coverage Review
- You'll need to be efficient, productive, and thoroughly dealing with our member's claims
- Constantly meet established productivity, schedule adherence, and quality standards while maintaining good attendance
- Works with team to solve complex problems
- Prioritize and multi-task and ability to work in a Team oriented environment
- Other duties as assigned by manager and/or director
Skills
- High School Diploma / GED OR equivalent years of work experience
- Must be 18 years of age OR older
- 2+ years of experience in a health care setting / industry
- Familiarity with medical terminology
- Experience with medical claims processing OR research
- Experience with Microsoft Word (creating document OR editing existing document)
- Microsoft Excel (creating, editing, saving spreadsheets) and Microsoft Outlook
- Ability to work full-time. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00 am - 5:00 pm local time. It may be necessary, given the business need, to work occasional overtime
- Clerical OR administrative support background
- Knowledge of ICD-10 and CPT codes
- Experience with CPS claims platform and / OR authorizations
Benefits
- National remote work from anywhere within the U.S.
- Paid on-the-job training
- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution
- Career development opportunities
Company Overview