Note: The job is a remote job and is open to candidates in USA. UnitedHealth Group is a healthcare organization that delivers care aided by technology to help people live healthier lives. The Clinical Administrative Coordinator supports clinical coverage review by preparing documents, triaging cases, researching and processing member claims, and meeting productivity and quality standards.
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 thorough 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
- Experience with medical claims processing OR research
- Experience with Microsoft Word (creating document OR editing existing document)
- Microsoft Outlook and Adobe PDF experience
- Familiarity with medical terminology
- 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
- 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
- Ability to remain focused and productive each day though tasks may be repetitive
- Clerical OR administrative support background
- Knowledge of ICD-10 and CPT codes
- Experience with the following claims platforms: UNET, CPA/Cosmos, CSP/Facets, Cirrus/USP, UHCW/NICE
- Experience with Data Entry
Benefits
- Paid on-the-job training
- Flexibility to telecommute from anywhere within the U.S.
- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution
- Career development opportunities
Company Overview